ATTACHMENT_5__Past_Performance_Questionnaires.docx
DOCX document 22 KB Posted
- Attached to
- USDA FS NFNC Croatan RD Road Maintenance
- Solicitation number
- 12455018R0009
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Past Performance Questionnaire
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_2_Spec_SOW_drawings.pdf | ||
| Attachment_6_Croatan_Road_Maintenance_Map.pdf | ||
| Attachment_1_Wages.docx | DOCX document | |
| SF_1449.pdf | ||
| SF_1449_Cont.docx | DOCX document | |
| Attachment_4_Experience_Questionnaire.docx | DOCX document | |
| Attachment_3_Schedule_of_Items.docx | DOCX document |
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12455018R0009 NFNC Croatan RD Road Maintenance Attachment 5 Past Performance
PAST PERFORMANCE QUESTIONNAIRE
Offerors are to complete Section A, then Forward it to their references to complete and e-mail to clroberts@fs.fed.us no later than August 20.
Attachment 5 must be received directly from the reference, not the offeror.
SECTION A: CONTRACTOR INFORMATION
A. Contractor’s Name and Address: ________________________________________________
B. Point of Contact: ______________________________________________________________
C. Phone #: ____________________________________________________________________
D. Contract Number: ___________________ Contract Type: ____________________
E. Project Title: _________________________________________________________________
F. Period of Performance: _________________________________________________________
G. Brief Description/Scope of Services provided: _________________________________________
H. Authorization is hereby granted to provide the information requested in SECTION B of this questionnaire.
Signature of Authorized Contractor Representative Date
Printed Name and Title of Authorized Contractor Representative
RESPONDENT INFORMATION:
A. Name:______________________________________ B. Position:________________ C. Telephone Number:_____________________ Fax Number: ______________ D. Address:___________________________ E. Relationship and Time Involved with Contractor:___________________ F. Date Questionnaire Completed:_______________________
| E |
| VG |
| S |
| N |
| M |
| U |
| Excellent |
| Very Good |
| Satisfactory |
| Neutral |
| Marginal |
| Unsatisfactory |
CONTRACT PERFORMANCE
| 1. |
| Working relationship with your Company |
| E |
| VG |
| S |
| N |
| M |
| U |
| 2. |
| Did the contractor provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements? If no, please explain. |
| Yes |
No
N/A
| 3. |
| Exhibited knowledge of and compliance with government (or other) regulations and industry standards |
| E |
| VG |
| S |
| N |
| M |
| U |
| 4. |
| Did the contractor provide and properly maintain operational equipment throughout the term of the contract? If no, please explain. |
| Yes |
No
N/A
| 5. |
| Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary qualified personnel during the contract? If no, please explain. |
| Yes |
No
N/A
| 6. |
| Does the contractor provide timely and accurate records? |
| Yes |
No
N/A
| 7. |
| How well did the contractor comply with Environmental, Safety, health and security requirements |
| E |
| VG |
| S |
| N |
| M |
| U |
| 8 |
| Would you award similar contracts to this contractor (If no, Please explain in remarks) |
| Yes |
No
N/A
| 9. |
| Contractor’s Overall Performance |
| E |
| VG |
| S |
| N |
| M |
| U |
QUALITY OF SERVICE/CONTROL
| 1. |
| Contractor’s accomplishment in meeting the quality standards |
| E |
| VG |
| S |
| N |
| M |
| U |
| 2. |
| Did the contractor provide an effective quality control plan or inspection procedures to meet contract requirements? If no, please explain. |
| Yes |
No
N/A
| 3. |
| Overall Quality of Service/Control |
| E |
| VG |
| S |
| N |
| M |
| U |
TIMELINESS OF PERFORMANCE
| 1. |
| Was the job/contract started and completed on time?. If not, explain |
| Yes |
No
N/A
| 2. |
| Did the contractor have a system or method to track progress on all work in progress? |
| Yes |
No
N/A
REMARKS: If additional remarks are necessary, please attach an additional sheet.
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