Attachment_-_Past_Performance_Questionnaire_0002.docx
DOCX document 36 KB Posted
- Attached to
- Janitorial Services for Grand Coulee Dam, WA
- Solicitation number
- 140R1723R0002
About this file
This document is a past performance questionnaire template to be completed by references for contractors bidding on Solicitation No. 140R1723R0002 for janitorial services at Grand Coulee Dam, WA. The past performance questionnaire requests ratings on 23 criteria including quality of work, schedule compliance, cost control, safety practices, and overall performance. It also asks whether any negative actions were taken and if the reference would award another contract to the firm. Completed questionnaires must be submitted to the Bureau of Reclamation by the proposal due date to be considered in evaluating bidders' past performance. The related federal contract opportunity is for janitorial services at Grand Coulee Dam issued by the Bureau of Reclamation within the Department of the Interior, with responses due as specified in the solicitation.
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Text version
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, Columbia-Pacific Northwest Region, for use in selecting a contractor to perform services for Solicitation No. 140R1723R0002, Grand Coulee Janitorial Services. Completed forms shall be submitted to the Bureau of Reclamation by one of the following means: Attn: Terry Mest; by e-mail to tmest@usbr.gov, or by regular mail to: Bureau of Reclamation, Attn: GC-7810, PO Box 620, Grand Coulee, WA 99133-0620.
This information must be submitted no later than the date for receipt of proposals as stated in the past performance evaluation factor. 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 at Award:
Actual Completion Date:
Description of work performed:
Evaluator Information
Name of Evaluator:
Company/Agency Name:
Address:
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:
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.
Project Management:
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 services provided? 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? |
23.
Additional Remarks:
24.
Overall rating for this firm:
O E G A P
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