Attachment_12_PAST_PERFORMANCE_QUESTIONNAIRE.docx
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- Attached to
- Dixie National Forest SO Construction Federal contract opportunity
- Solicitation number
- 1284N819R0002
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PAST PERFORMANCE QUESTIONNAIRE
1. Information Provided in Response to RFP No.: 1284N819R0002
2. Offeror:
PART I: Contract Information
3. Customer Organization:
4. Reference Name and Title: (individual completing this questionnaire)
5. Contract Number:
6. Contract Type:
7. Contract Value:
8. Description of Work/Services Performed:
9. Problems: (if problems encountered on this contract, explain corrective action taken)
10. Would you recommend this contractor and would you have them work for you again?
Highly Likely |_| Likely |_| Unlikely |_| Highly Unlikely |_| Comment:
1. Quality of work or service: (please double click on check box to check and uncheck box)
E |_| V |_| S |_| M |_| U |_| N |_|
2. Schedule: Did the Contractor maintain scheduling?(please double click on check box to check and uncheck box)
Comment:
3. Cost Control: Did the Contractor maintain cost controls? (please double click on check box to check and uncheck box)
E |_| V |_| S |_| M |_| U |_| N |_| Comment:
4. Management: (please double click on check box to check and uncheck box)
E |_| V |_| S |_| M |_| U |_| N |_| Comment:
5. Customer Satisfaction: Rate the working relationship between the customer and your company.
E |_| V |_| S |_| M |_| U |_| N |_| Comment:
6. Regulatory Compliance: (please double click on check box to check and uncheck box)
Part II: Performance Assessment (to be completed by reviewer)
| CODE |
| PERFORMANCE LEVEL |
| E |
| EXCEPTIONAL - |
| Performance meets contractual requirements and exceeds many to the reviewer’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished without problems. |
| V |
| VERY GOOD - |
| Performance meets contractual requirements and exceeds some to the reviewer’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with minor problems for which corrective actions taken by the contractor were effective. |
| S |
| SATISFACTORY - |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| M |
| MARGINAL - |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| U |
| UNSATISFACTORY - |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| N |
| NOT APPLICABLE - |
| Unable to provide a score. Performance in this area not applicable to effort assessed. |
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