12318723Q0315 -Attachment 6 - Past Performance Reference Questionnaire.pdf

United States

Department of

Agriculture

Forest

Service

Washington Office

Procurement &

Property Services

201 14th Street, SW

Washington, DC 20250

ATTACHMENT 6 – PAST PERFOMANCE REFERENCE QUESTIONNAIRE

PART I – REFERENCE CONTRACT IDENTIFICATION INFORMATION (to be completed by Offeror for Past Performance Evaluation).

Please supply three (3) relevant, separate, recent* prior Contract References, with the Offeror’s

Technical Proposal, Price Proposal, and Representations and Certifications, by the RFQ Deadline of: 3 July 2023, 5:00PM Eastern Daylight Time (EDT).

A. Offeror Company Name (including division/department):

Reference Contract Number: __________________________________________ Reference Contracting Activity (e.g., DOE, Navy, Air Force): _________________ Reference Name &Title of Contact: _____________________________________ Telephone Number of Contact: _________________________________ E-mail of Contact: ___________________________________________ Contract Type (Cost, Fixed): ___________________________________________ Performance Period (including Options): __________________________________ Contract Value ($): ______________________________________________ Description of Contract Work: (fire engine bodies, delivery, other services, etc., similar to the proposed work)

(Please add extra sheets with descriptions, as needed).

B. Indicate whether your Company was the Prime Contractor or the Subcontractor:

Prime Contractor: _____________ Subcontractor: _____________

OFFEROR, PLEASE DO NOT WRITE BELOW THIS LINE

PART II – PAST PERFORMANCE INFORMATION – RESPONDENT COMPLETES

RATING (ADJECTIVAL). Please indicate a Rating of: Excellent (E); Good (G); Satisfactory (S);

Marginal (M); Poor (P) or Neutral (N) in the following Rating Areas. Please provide a short narrative to support why that particular Rating was selected, especially for those Areas which are rated other than “Satisfactory.” Please refer to the end of this document for the Rating Definitions.

A. QUALITY OF SERVICES

1. Performance in design, implementation and maintenance of overall work:

Rating:_______ Comment: ______________________________________

*Recent means five (5) years past from the date of this Request for Quote

Past Performance Reference Questionnaire

RFQ Number: 12318723Q0315 Forest Service Type 6 Fire Engines

ATTACHMENT 6 (CONTINUED)

QUALITY OF SERVICES (continued)

2. Quality control, workmanship, and conformance to specifications: Rating:

Comment:______________________________________________________________

3. Contractor Safety Record and responsiveness regarding Safety issues: Rating:

Comment:______________________________________________________________

B. TIMELINESS OF PERFORMANCE

1. Development, implementation and adherence to work schedules: Rating:

Comment:

2. Timely completion of deliverables: Rating:______ Comment:

C. COST CONTROL

1. Accurately estimated and managed project cost effectiveness, and adhered to proposed Price: Rating:_______ Comment: __________________________________

2. If there were any changes in the Contractor’s pricing that were due to the Contractor’s actions, please explain the reasons why. Was it avoidable? Rating:_______ Comment:

D. BUSINESS PRACTICES

1. Contractor possessed strong skills in efficiently and effectively allocating and directing personnel and resources: Rating: _______ Comment: __________________________

2. Contractor conducts work in a businesslike manner and showed willingness to cooperate with Government personnel and other contractors:

Rating:______ Comment:__________________________________________________

ATTACHMENT IV (CONTINUED)

BUSINESS PRACTICES (continued)

3. Content and accuracy of any Technical, Business, Cost and/or other Reports:

Rating:______Comment:__________________________________________________

4. Compliance with Contract Terms and Conditions:

Rating:______Comment:__________________________________________________

E. CUSTOMER SATISFACTION

1. Please comment on the strong and weak points of the Contractor’s performance and management of the work or project:

2. Please comment on the Overall Satisfaction of your organization’s Technical Representatives with the Contactor’s performance:______________________________

3. Would this Contractor be hired again for this Work? (Yes/No):

Why?__________________________________________________________________

PART III – PAST PERFORMANCE RESPONDENT INFORMATION

A. Reference Name:

B. Position and Title:

C. Email:

PART IV – FOREST SERVICE – Offeror’s Past Performance Reference was verified by:

A. Name and Title of Forest Service Employee accepting Reference:

B. Date:

Comment:

ADJECTIVE RATINGS AND DEFINITIONS USED TO BEST REFLECT THE EVALUATION OF THE

CONTRACTOR’S PAST PERFORMANCE:

E (EXCELLENT) – Performance met contractual requirements and exceeded the Government/Customer’s expectations. The contractual performance of the element being assessed was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective. (HIGH

CONFIDENCE)

G (GOOD) – Performance met contractual requirements and exceeded some requirements to the Government/Customer’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(SIGNIFICANT CONFIDENCE)

S (SATISFACTORY) – Performance met contractual requirements. The contractual performance of the element contained some minor problems for which corrective action taken by the contractor appeared or were satisfactory. (CONFIDENCE)

M (MARGINAL) – Performance did not meet some contractual requirements. The contractual performance of the element being assessed reflected a serious problem or problems for which the contractor did not properly identify corrective actions. The contractor’s proposed actions appeared only marginally effective or were not fully implemented. Contract may have had Cost Overruns, Extended Performance Periods, Numerous Warranty Calls, etc. (LITTLE CONFIDENCE)

P (POOR) – Performance did not meet most contractual requirements and recovery was not likely in a timely manner. The contractual performance of the element contained serious problem(s) for which the contractor’s corrective actions appeared or were ineffective. Contractor may have received Cure Notices or Show Cause Letters. (NO CONFIDENCE)

N (NEUTRAL) – No relevant past performance record is identifiable upon which to base a meaningful performance risk prediction. (This is neither a negative nor a positive assessment.)