J_2__Past_Performance_Questionnaire_0007.pdf

Attachment 2 140R1021R0001

SOURCE SELECTION INFORMATION WHEN COMPLETED (SEE FAR 3.104)

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

This information will be provided to the U.S. Department of the Interior, Bureau of Reclamation, Pacific Northwest Region, for use in selecting a contractor to perform construction work for Solicitation No. 140R1021R0001, Leavenworth National Fish Hatchery, Surface Water Intake Fish Screen and Fish Passage Project, LeavenworthWashington. Completed forms shall be submitted to the Bureau of Reclamation by one of the following means: By fax to (208) 378-5108, Attn:

Lance Fleming; by e-mail to lfleming@usbr.gov, or by regular mail to: Bureau of Reclamation, Attn:

CPN-7303, 1150 N. Curtis Road, Boise, ID 83706-1234.

This information must be submitted no later than the date for receipt of proposals as stated in Block 13 of the SF-1442. It is the offeror’s responsibility to ensure each questionnaire is submitted timely.

Contract Information

Name and Address of Firm Being Evaluated:

Contract No.: Type of Contract:

Project Title: Project Location:

Initial Amount: Final Amount:

Award Date: Completion Date:

Description of work performed:

Evaluator Information

Name of Evaluator:

Company/Agency Name:

Address:

Attachment J.2. Past Performance Questionnaire mailto:cgordon@usbr.gov

Phone Number:

Email Address:

Position Held or Function in Relation to

Project:

Past Performance Rating

Rating: If the rating is “Acceptable” or “Poor,” please provide additional information in the appropriate block or in the remarks section of this form.

“O” Outstanding Performance greatly exceeded the contract requirements.

“E” Excellent Performance exceeded the contract requirements.

“G” Good Performance met the contract requirements.

“A” Acceptable Performance met the minimum contract requirements but Some material aspects of the contractor’s performance were less than satisfactory.

“P” Poor Performance was poor and/or did not satisfy contract requirements.

N/A Not applicable

Insert N/A if a question is not applicable to the project.

Please circle the appropriate rating and provide any supporting information/comments for the following:

1. Firm and Client’s/Customer’s Contract Team Relationship: O E G A P

2. Management and Coordination of Subcontractors: O E G A P

3. Overall Corporate Management, Integrity, Reasonableness and Cooperative Conduct: O E G A P

4. Timeliness and Quality of Submittals: O E G A P

5. Responsiveness to Customer/Client’s Requirements: O E G A P

6. Quality of work: O E G A P

7. Quality Control: O E G A P

8. Ability to meet the Performance Schedule: O E G A P

9. Ability/Actions to Improve Schedule Problems: O E G A P

10. Ability to Control Costs and Provide the Required Work at a Reasonable Total Price: O E G A P

11. Ability of contractor to maintain key personnel through the entire project performance period O E G A P

12. Quality of Contract Administration: O E G A P

13. Compliance with Labor Standards: O E G A P

14. Change Order Management: O E G A P

15. Overall Contract Compliance: O E G A P

16. Compliance with safety standards and/or number of safety related incidents, code compliance, as applicable: O E G A P

17. Construction Project Management: O E G A P

18.

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

Yes No

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

20. Was the customer satisfied with the end product? If no, please explain: Yes No

21. 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

22. Was the contractor safety conscious and did it maintain a safe work environment for all prime and subcontractor employees? O E G A P

23.

Additional Remarks:

24. Overall rating for this firm: O E G A P