Attachment 11 - Past Performance Questionnaire.docx
DOCX document 43 KB Posted
- Attached to
- Mechanical Electrical Plumbing (MEP) MATOC Federal contract opportunity
- Solicitation number
- 12805B24R0004
About this file
This document is a Past Performance Questionnaire that is part of a federal contract opportunity for a Mechanical, Electrical, Plumbing (MEP) Multiple Award Task Order Contract (MATOC) with the Department of Agriculture's Agricultural Research Service.
The questionnaire is for the offeror to send to references to provide information on the offeror's past performance, including quality of work, timeliness, compliance with requirements, and overall customer satisfaction. The reference is asked to rate the offeror's performance on a scale of 0 to 5 in various areas and provide an overall performance rating. The completed questionnaire is then to be submitted directly to the contracting office by the reference. This questionnaire is required to be submitted with the offeror's proposal by the closing date for the solicitation.
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Text version
Attachment 9 – PAST PERFORMANCE QUESTIONNAIRE
PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS TO OFFEROR FOR SENDING REFERENCE QUESTIONNAIRE FORMS:
Prepare and send a reference questionnaire package for each project you list as a reference for the Past Performance evaluation factor. You are encouraged to send a questionnaire to other clients of contracts. For Government contracts, send to Contracting Officer or Technical Representative. For commercial references send to personnel with duties similar to those for Government contracts. It is your responsibility to follow-up and to encourage your references to send in their questionnaire. If you have multiple references at one location, send one cover letter and questionnaire for each contract you want a reference for. Completed PPQs shall be submitted with the offeror’s proposal by the specified closing date and time, in addition to being emailed from the past performance evaluator to the Contracting office before the closing date of the RFP.
Your questionnaire package should contain the following.
Cover Letter (See SAMPLE TRANSMITTAL LETTER) Respondent Info Rating Sheets Offeror should put name in spaces indicated and ensure it is on every page for identification purposes.
PAST PERFORMANCE QUESTIONNAIRE FOR MECHANICAL, ELECTRICAL, PLUMBING, MATOC, RFP 12805B24R0004
INSTRUCTIONS TO OFFEROR
Complete the CONTRACTOR INFORMATION section, below (type answers into light blue shaded boxes). Save the document. Send an electronic or hard copy print of the form to each of your reference contacts, asking them to please complete the form and submit it according to the instructions, below.
Company Name
Street Address
Point of Contact (POC)
City
POC Phone Number
State
Reference Project Title
Zip Code
Contract Period of Performance (start to finish):
Contract Number
Contract Dollar Value
Description of Work
Role of Contractor on This Project (check appropriate box)
Prime Contractor Sub-contractor Key Personnel
INSTRUCTIONS TO REFERENCE CONTACT
The contractor named above is submitting a proposal for a United States Department of Agriculture (USDA) -Agricultural Research Service (ARS) contract and has sent this form to you as a past performance reference contact. Please complete the following pages in full (all areas shaded in light yellow, below). Once completed, please send the form directly to the email below (also shall be included in the proposal package submission):
Email address: joshua.keadle@usda.gov and kelly.wright@usda.gov
Please return the completed form ASAP, but no later than the closing of the solicitation.
If you have any questions, please contact the Contract Specialist: kelly.wright@usda.gov
SOURCE SELECTION SENSITIVE WHEN COMPLETED*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****RETURN THIS PAGE WITH QUESTIONAIRE.
RESPONDENT INFORMATION [completed by Reference Contact]
Company Name
Street Address
POC Name
City
Phone Number
State
Zip Code
PERFORMANCE INFORMATION: Choose the number on the scale of 0 (Neutral) to 5 (Exceptional) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE AN EXPLANATION FOR THE OVERALL RATING in the Remarks section, below.
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NEUTRAL |
| UNACCEPTABE |
| MARGINAL |
| ACCEPTABLE |
| VERY GOOD |
| OUTSTANDING |
No record of past performance, or not applicable or the record is inconclusive.
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
Performance met most contractual requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.
Performance met all contract requirements and exceeded some to the government’ s benefit.
There were a few minor problems, which the contractor resolved in a timely, effective manner.
Performance exceeded all contract requirements. There were no problems.
QUALITY – MANAGEMENT & WORKMANSHIP
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
1.
How well did the Offeror utilize quality control process that ensured conformance to scope and quality requirements?
2.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified construction personnel during the contract period.
3.
Provided and followed approved quality control plan and/or inspection procedures to meet contract requirements.
| 4. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
| 5. |
| Submittals clearly identified the proposed item in accordance with (IAW) the specifications and drawings. |
| 6. |
| Suggested alternative approaches to problems. |
TIMELINESS AND ADHERENCE TO SCHEDULE
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
7.
Contractor provided timely notices of possible delays/schedule revisions.
REMARKS:
8.
Timeliness in submitting submittals and reports and responding to agency inquiries, RFP's, etc.
9.
Developed realistic and met approved progress schedules.
BUSINESS PRACTICES/CUSTOMER RELATIONSHIP AND ABILITY TO PERFORM
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
10.
Displayed initiative to solve problems. REMARKS:
11.
How well did the contractor work independent of Government guidance, oversight, and assistance? REMARKS:
12.
Subcontractors / tradesmen were adequately managed and coordinated. Explain any subcontracting issues (positive or negative) that impacted the performance of your contract(s).
13.
Contractor independently coordinated with state and city permitting/environmental agencies, public safety departments, and public utility companies.
| 14. |
| For contract changes, contractor provided timely and realistic change order proposals. |
COMPLIANCE & SAFETY
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 15. |
| Reports (i.e., daily, test, logs)/records were submitted completely and accurately to satisfy the requirement. |
16.
Applicable to Federal Contracts –Contractor complied with applicable Federal Laws and Regulations such as Construction Wage Rate Requirements – timely payrolls and compliance; Drug-Free Workplace; Environmental Regulations and Use of Recovered Materials; Executive Order 13101 Greening the Government.
17.
Contractor’s safety program was in compliance with federal regulations. Contractor implemented and followed their safety plan and ran a safe jobsite.
OVERALL CUSTOMER SATISFACTION
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 18. |
| Demonstrated reasonableness in modifications cost proposal. |
19.
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in the remarks section. |
| YES |
| NO |
| 20. |
| Would you award another contract to this contractor? If not, please explain in the remarks section. |
| YES |
| NO |
OVERALL PERFORMANCE RATING:
REMARKS (Please use as much space as is needed ).
I hereby certify that the information that I have reported above is accurate to the best of my knowledge.
Printed Name E-mail address
Business Title Signature Date
File details come from the government source that posted it. Updated .