4-B08_Solit_PSP_Vol_I_PastPerf,_Amend__4.pdf

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections I and II and transmit questionnaire with their proposal. Please assure that points of contact are correct and current.

of form)

I. CONTRACT IDENTIFICATION

CONTRACTOR NAME: CONTRACT NO:

CONTRACTOR ADDRESS: CONTRACT TYPE:

[ ] FIRM-FIXED-PRICE

[ ] COST REIMBURSEMENT

[ ] OTHER____________________________

[ ] ACTIVE [ ] COMPLETED

[ ] ROUTINE [ ] COMPLEX

DATES OF PERFORMANCE: AWARD AMOUNT $___________________

TOTAL WITH MODS $___________________

PROJECT DESCRIPTION:

II. AGENCY (CUSTOMER) IDENTIFICATION

AGENCY/CLIENT (CUSTOMER) NAME:

TITLE/PHONE:

III. PAST PERFORMANCE RATING

Rating Scale: E = Excellent. Considerably surpassed requirements/expectations.

G = Good. Surpassed requirements/expectations.

S = Satisfactory. Met requirements/expectations

M = Marginal. Met some requirements/expectations

U = Unsatisfactory. Did not meet requirements/expectations

1. QUALITY: (Circle applicable rating)

a. Conformance with contract requirements E G S M U

b. Quality of workmanship (including subcontractors) E G S M U

c. General oversight by project manager and superintendent E G S M U

d. Coordination with and control of subcontractors E G S M U

e. Compliance with Davis-Bacon wage rate and labor usage requirements

E G S M U

f. Avoidance of accidents/safety violations E G S M U

g. Ability to work in remote locations, if applicable E G S M U

2. TIMELINESS:

a. Adherence to project delivery schedules E G S M U

b. Submission of change proposals E G S M U

c. Response to technical direction and change orders E G S M U

d. Response to correction of identified problems E G S M U

e. Submission of timely/accurate/complete billings E G S M U

f. Ability to meet project schedule milestones E G S M U

g. Submission of materials/other submittals E G S M U

3. BUSINESS RELATIONS:

a. Flexibility and cooperativeness in resolving problems E G S M U

b. Tenacity and innovativeness in resolving problems E G S M U

c. Relationships with subcontractors, including prompt payment E G S M U

National Park Service/ Denver Service Center Contact Information:

Contracting Officer: Dave Thomas Contract Specialist: Joy Ewalt

MAILING ADDRESS: National Park Service / Denver Service Center (DSC-CS) ATTN: Dave Thomas 12795 West Alameda Parkway Lakewood, CO 80228

OR EMAIL FORM TO: Dave_Thomas@nps.gov and Joy_Ewalt@nps.gov

d. Relationships with owner’s representative E G S M U

e. End user was satisfied with services performed E G S M U

IV. COMMENTS

Provide any additional comments for items in Section III

Item No. Comment

POC SIGNATURE/DATE:

Please provide contact information where you may be reached during normal business hours:

Solicitation #: 140P2018R0018 Amentment #4