Attachment 8 Past_Performance_Questionnaire.doc

Questionnaire on Contractor’s Present and Past Performance

Request you provide the following information on the contractor’s present and past performance by placing an X in the space provided by the most appropriate response. If you wish to elaborate on your answer, please provide comments on the lines provided after each question. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire. You are asked to provide frank, concise comments regarding your overall assessment of the contractor’s performance on the contract identified. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. The following definitions are applicable rating levels of the contractor’s performance on the identified program.

Performance Confidence Assessment

Exceptional/High Confidence: Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

Very Good/Significant Confidence: Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required effort.

Satisfactory/Confidence: Based on the offeror’s performance record, some doubt exists that the offeror will successfully perform the required effort.

Neutral/Unknown Confidence: No performance record identifiable.

Marginal/Little Confidence: Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements.

Unsatisfactory/No Confidence: Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required effort.

Individual’ Name, Title, and Phone Number Completing Questionnaire:

Company’s Name: _______________________________________________________ Contractor’s Name:

Contract Number:

Contract Title:

Period of Performance (Including Options):

Contract Amount (Including Options):

MANAGEMENT

1. Rate the contractor on their ability to provide adequate manning and equipment to respond to surge requirements, contingencies, emergencies, and weather delays without falling behind the regular schedule.

Exceptional Very Good Satisfactory Neutral

Marginal Unsatisfactory

Comments:

I have worked with Daniel’s on numerous large culvert and small bridge projects (up to 35’). They have always demonstrated a high level of knowledge of the work they are performing, adequate staffing, and appropriate equipment.

QUALITY OF SERVICE

2. Rate the contractor on their ability to provide effective quality control and/or inspection procedures to meet contract requirements and their ability to take appropriate action to take to correct deficiencies when identified. (Does the contractor conform with the Government accepted quality control plan? Does the contractor provide effective quality control and/or inspection procedures to meet contractual requirements?)

Exceptional Very Good Satisfactory Neutral

Marginal Unsatisfactory

Our experience has been that Daniel’s provides a high level of quality and knowledge in the work they perform.

3. Rate the contractor’s ability to proactively recognize and resolve unanticipated difficulties. (Does contractor display initiative to solve problems? Does contractor identify risks/problems as they occur?)

Exceptional Very Good Satisfactory Neutral

Marginal Unsatisfactory

Comments:

TIMELINESS OF PERFORMANCE

4. Rate the contractor on their ability to provide a sufficient number of qualified personnel to ensure all contract requirements were successfully completed in an expedient manner. (Does contractor demonstrate ability to hire, maintain, and replace if necessary, qualified personnel during the contract period?)

Exceptional Very Good Satisfactory Neutral

Marginal Unsatisfactory

Comments:

CUSTOMER SATISFACTION

5. Rate the working relationship between the contractor and your company and your designated representatives.

Exceptional Very Good Satisfactory Neutral

Marginal Unsatisfactory

Comments:

6. Rate the contractor on their environmental awareness. (Includes environmental compliance and environmental initiatives, such as affirmative procurement)

Exceptional Very Good Satisfactory Neutral

Marginal Unsatisfactory

[X]

Comments:

7. Has the contractor ever been given a Cure Notice, Show Cause Notice, Letter of Concerns, or had payment withheld for services not rendered?

Number of Cure Notices:

Number of Show Cause Notices:

Number of Letter of Concerns:

Number of time payment withheld for services not rendered:

SUMMARY

8. Would you hire this contractor again? Highly Likely Likely

Unlikely

Highly Unlikely