Past_Performance_Questionnaire.pdf

PDF 441 KB Posted

Attached to
MOLD REMEDIATION AT DEVIL'S ELBOW ADMIN BUILDING Federal contract opportunity
Solicitation number
140L3624Q0008
Issued by
Department of the Interior Bureau of Land Management

About this file

This document contains a past performance questionnaire for the solicitation number 140L3624Q0008 for mold remediation services at the Devil's Elbow Administrative Building. The Bureau of Land Management is requesting a past performance evaluation of [Insert Company] for a mold remediation project. The questionnaire requests ratings and comments on the company's overall management, quality control, ability to meet schedules, customer satisfaction with final products and services, and any issues with cure notices, show cause letters, or contract terminations. It also asks if the evaluator would award another contract to the company and if the company has had an opportunity to address any negative performance ratings. The purpose of the past performance questionnaire is to evaluate the contractor's performance on a previous similar project for consideration in awarding the current mold remediation contract.

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A04_-_Devils_Elbow_Mold_Remediation_Project_SOW.pdf PDF
Sol_140L3624Q0008.pdf PDF
WD_2015-5399_rev__20.pdf PDF

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Text version

Solicitation No: 140L3624Q0008 PROJECT DESCRIPTION: Devil's Elbow Mold Remediation

Department of Interior Past Performance Questionnaire (PPQ)

U.S. Department of the Interior, Bureau of Land Management is considering [Insert Company].

Your comments would be appreciated regarding this company’s past performance.

Firm Information Project Title:

Location:

Description:

Company Name: Contract Number:

Start Date: Completion Date:

Initial Amount: Final Amount:

Evaluator Evaluator Name: Company/Agency Name:

Address: POC Email:

Position Held or Function in Relation to Project:

Ratings Overview Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“O” Outstanding Performance greatly exceeded the contract requirements.

“A” Above Average Performance exceeded the contract requirements.

“S” Satisfactory Performance met the contract requirements.

“M” Marginal Performance met the minimum contract requirements but

Some material aspects of the contractor’s performance were less than satisfactory.

“U” Unacceptable Performance was poor and/or did not satisfy contract requirements.

Questionnaire Please select the appropriate rating and provide supporting information for the following questions.

1. The relationship between the company and client’s/customer’s contract team:

O A S M U

2. Overall corporate management, integrity, reasonableness, and cooperative conduct:

O A S M U

3. Quality control: O A S M U

4. Ability to meet the performance schedule: O A S M U

5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes No

6. Would you award another contract to the company being evaluated? If no, please explain: Yes No

7. Was the customer satisfied with the final product and services? If no, please explain: Yes No

8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?

Yes No

9. Overall Rating O A S M U

10. Comments

Signatures Name Date:

Project Title:
Location:
Description:
Company Name:
Contract Number:
Start Date:
Completion Date:
Initial Amount:
Final Amount:
Evaluator Name:
CompanyAgency Name:
Address:
POC Email:
Position Held or Function in Relation to Project:
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Yes:
No:
6 Would you award another contract to the company being evaluated If no please explain:
Yes_2:
No_2:
7 Was the customer satisfied with the final product and services If no please explain:
Yes_3:
No_3:
8 Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings If so what were the results:
Yes_4:
No_4:
9 Overall Rating:
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10 Comments:
Date:
[Insert Company}:
5:
Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain::

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