12.7. Solicitation - Attachment G Past Performance Questionnaire.pdf

140R8121R0002 Professional Services for Construction Support

ATTACHMENT C – PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

This information will be provided to the U.S. Department of the Interior, Bureau of Reclamation, Denver Acquisition Operations Branch for use in selecting a contractor to perform Construction Services on an Indefinite Delivery Indefinite Quantity contract; Solicitation number 140R8121R0002.

Completed forms shall be submitted to the Bureau of Reclamation via e-mail to asomerville@usbr.gov.

This information must be submitted no later than 3:00 PM (MST), February 11, 2021. It is the offeror’s responsibility to ensure each questionnaire is submitted timely.

Contract Information

Name and Address of Firm Being Evaluated:

Contract No.: Type of Contract:

Project Title: Project Location:

Initial Amount: Final Amount:

Award Date: Completion Date:

Description of work performed:

Evaluator Information

Name of Evaluator:

Company/Agency Name:

Address:

Phone Number:

Email Address:

Position Held or Function in Relation to Project:

Past Performance Rating

Rating: If the rating is “Unsatisfactory,” please provide additional information in the appropriate block or in the remarks section of this form.

“E” Exceptional Performance was very good or better.

“S” Satisfactory Performance was acceptable.

“N” Neutral Question is not applicable to the project performed.

“U” Unsatisfactory Performance was marginal to unacceptable.

mailto:asomerville@usbr.gov

Select the appropriate rating and provide any supporting information/comments for the following:

1. Firm and Client’s/Customer’s Contract Team Relationship: E S N U

2. Management and Coordination of Subcontractors: E S N U

3. Overall Corporate Management, Integrity, Reasonableness and Cooperative Conduct:

E S N U

4. Timeliness and Quality of Submittals: E S N U

5. Responsiveness to Customer/Client’s Requirements: E S N U

6. Quality of work: E S N U

7. Quality Control: E S N U

8. Ability to meet the Performance Schedule: E S N U

9. Ability/Actions to Improve Schedule Problems: E S N U

10. Ability to Control Costs and Provide the Required Work at a Reasonable Total Price:

E S N U

11. Ability of contractor to maintain key personnel through the entire project performance period

E S N U

12. Quality of Contract Administration: E S N U

13. Compliance with Labor Standards: E S N U

14. Change Order Management: E S N U

15. Overall Contract Compliance: E S N U

16. Compliance with safety standards and/or number of safety related incidents, code compliance, as applicable:

E S N U

17. Construction Project Management: If Applicable E S N U

18. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes No

19. Would you award another contract to the firm being evaluated? If no, please explain:

Yes No

20. Was the customer satisfied with the end product? If no, please explain:

Yes No

21. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what

Yes No

22. Was the contractor safety conscious and did it maintain a safe work environment for all prime and subcontractor employees?

E S N U

23. Additional Remarks:

24. Overall rating for this firm:

E S N U