B08_Solit_PSP_Vol_I_PastPerf_REQD(1)_0002.pdf
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- Solicitation number
- 140P2024R0010
About this file
This document is a Past Performance Questionnaire for Solicitation No. 140P2024R0010. The solicitation is for the Rehabilitation and Expansion of the Wastewater Treatment Plant to increase the capacity for flow and treatment.
The Past Performance Questionnaire is to be completed by the offeror in Sections A and B, and then provided to a reference to complete Sections C and D. The reference will provide an evaluation of the offeror's past performance in areas such as quality, schedule, cost control, management, small business subcontracting, and regulatory compliance. The reference will then provide an overall recommendation for the offeror's suitability for similar contracts. The completed questionnaire is to be returned to the Contracting Officer listed in Section E.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
SOLICITATION NO. 140P2024R0010
INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.
Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.
Notice to Contractor
Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.
This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.
The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.
A. OFFEROR INFORMATION
Company Name Company
Street Address Address
City City
State State
Zip Code XXXXX
Unique Entity Identifier
(UEI) Number / SAM
XXXXXXX
Point of Contact Name, Email, Phone
B. CONTRACT INFORMATION FOR PAST PROJECT (PROJECT SUBMITTED UNDER PROJECT
EXPERIENCE)
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
Period of Performance XX/XX/XXX – XX/XX/XXX
Project Location Park or Street address, City, State
Client / Owner Company
Brief description of the contract & work effort:
Scope of work description
C. REFERENCE:
Name First, Last
Position / Title Title
Organization Agency or Company
Phone Number XXX-XXX-XXXX
Email Address Email
Signature Signature
Date XX/XX/XXXX
D. EVALUATION
Rating Definition
Exceptional
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
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 Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.
Unsatisfactory
Performance does 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 appear or were ineffective.
Evaluation Area Rating
Quality
Quality of workmanship (including subcontractors)? Choose an item.
Quality of and adherence to quality control plan? Choose an item.
Quality of informational and technical submittals? Choose an item.
Overall Quality Rating Choose an item.
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? Choose an item.
Responded to owner requests in a timely manner? Choose an item.
Informational and technical submittals submitted timely? Choose an item.
Promptly addressed scheduling issues? Choose an item.
Overall Schedule (& Time Management) Rating Choose an item.
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Cost Control
Addressed differing & unforeseen site conditions so as to minimize additional costs? Choose an item.
Provided fair and reasonable pricing for contract modifications? Choose an item.
Submitted accurate and complete invoices? Choose an item.
Promptly paid subcontractors and suppliers? Choose an item.
Overall Cost Control Rating Choose an item.
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? Choose an item.
Coordination with and control of subcontractors? Choose an item.
Avoidance of accidents & safety violations? Choose an item.
Addressed location factors (especially remote locations)? Choose an item.
Maintained good working relationship with owner representatives? Choose an item.
Demonstrated flexibility, innovativeness and cooperation in resolving potential problems? Choose an item.
Overall Management Rating Choose an item.
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Small Business Subcontracting (& Labor Standards)
Met regulatory and contractual labor standards? Choose an item.
Successfully contracted with small and socio-economically disadvantaged businesses? Choose an item.
Quality and adherence to applicable subcontracting plans? Choose an item.
Overall Small Business Subcontracting (& Labor Standards) Rating Choose an item.
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? Choose an item.
Overall Regulatory Compliance Rating Choose an item.
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: Choose an item.
Overall Comments:
E. RETURN:
Return by
Name
Title
Organization
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