Att7_140L0625R0012_Past_Perf_Questionnaire_AM05_0005.docx
DOCX document 35 KB Posted
- Attached to
- GAOA MELSTONE DAM RECONSTRUCTION
- Solicitation number
- 140L0625R0012
About this file
This is a Past Performance Questionnaire for solicitation 140L0625R0012 related to the Melstone Dam Reconstruction project. The form is designed to be completed by contractors who have previously performed work similar to the requirements of this federal contract opportunity issued by the Department of the Interior Bureau of Land Management National Office. The questionnaire requests contractor information including company details, DUNS number, and a point of contact, along with comprehensive contract information such as project title, contract number, contract type (Firm Fixed Price, Time & Materials, Cost Reimbursable, or Other), awarded and current/final contract prices, award and completion dates, project location, and client/owner information. Contractors must provide a reference contact with name, title, organization, phone, email, and signature.
The evaluation section assesses contractor performance across five key areas using a standardized rating scale: Quality (workmanship, quality control plan adherence, and technical submittals); Schedule & Time Management (milestone achievement, responsiveness to owner requests, submittal timeliness, and scheduling issue resolution); Pricing and Payments (cost minimization for site conditions, fair modification pricing, invoice accuracy, and supplier/subcontractor payment promptness); Management (project manager oversight, subcontractor coordination, safety performance, remote location handling, owner relationships, and problem-solving flexibility); and Regulatory Compliance (building codes, life safety codes, and labor standards adherence). Ratings range from Exceptional to Unsatisfactory with provisions for Not Applicable designations. The form includes space for detailed comments, an overall recommendation regarding future contract suitability, and general comments. Completed questionnaires must be returned by February 20, 2026, to Lisa McKeon, Contracting Officer, at the Bureau of Land Management National Operations Center.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
140L0625R0012 – MELSTONE DAM RECONSTRUCTION
A. CONTRACTOR INFORMATION
| Company Name |
| Company |
| Street Address |
| Address |
| City |
| City |
| State |
| State |
| Zip Code |
| XXXXX |
| DUNS Number |
| XXXXXXX |
| Point of Contact |
| Name, Email, Phone |
B. CONTRACT INFORMATION
| Project Title |
| Title |
| Contract Number |
| XXXXXXXXXX |
| Contract Type |
| Firm Fixed Price / Time & Materials / Cost Reimbursable / Other |
| Awarded Contract Price |
| $X,XXX,XXX |
| Current / Final Price |
| $X,XXX,XXX |
| Contract Award Date |
| XX/XX/XXXX |
| Contract Completion Date |
| XX/XX/XXXX |
| Project Location |
| Street address, City, State |
| Client / Owner |
| Company |
| Brief description of the contract & work effort: |
| Scope of work description |
C. REFERENCE:
Name
Position / Title
Organization
Phone Number
Email Address
Signature
Date
D. EVALUATION
| Rating |
| Definition |
| Exceptional (EX) |
| Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good (VG) |
| Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory (S) |
| Performance met contractual requirements. The element being assessed contained some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Marginal (M) |
| Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective action. |
| Unsatisfactory (U) |
| Performance did not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions were ineffective. |
Not Applicable (NA)
The element does not pertain to the subject project as a result of specific contract and/or project requirements.
| Evaluation Area |
| Rating |
Quality
Quality of workmanship (including subcontractors)?
Quality of and adherence to quality control plan?
Quality of informational and technical submittals?
Overall Quality Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Schedule & Time Management
Met project schedule milestones and/or deadlines?
Responded to owner requests in a timely manner?
Informational and technical submittals submitted timely?
Promptly addressed scheduling issues?
Overall Schedule & Time Management Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Pricing and Payments
Minimized additional costs when addressing differing & unforeseen site conditions?
Provided fair and reasonable pricing for contract modifications?
Submitted accurate and complete invoices?
Promptly paid subcontractors and suppliers?
Overall Pricing and Payment Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Management
General oversight by project manager and superintendent?
Coordination with and control of subcontractors?
Avoidance of accidents & safety violations?
Addressed location factors (especially remote locations)?
Maintained good working relationship with owner representatives?
Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?
Overall Management Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Regulatory Compliance
Met building and life safety codes?
Met regulatory and contractual labor standards?
Overall Regulatory Compliance Rating
Overall Recommendation:
Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:
Overall Comments:
E. RETURN:
| Return by |
| 20 February 2026 |
| Name |
| Lisa McKeon |
| Title |
| Contracting Officer |
| Organization |
| Bureau of Land Management, National Operations Center, OC664 |
| lmckeon@blm.gov |
File details come from the government source that posted it. Updated .