Attachment_J-7_PAST_PERFORMANCE_EVALUATION_QUESTIONNAIRE.doc

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Solicitation 15-223-SOL-00036 1.

Contract Identification: (to be completed by offeror) Offeror Name and Address, Offeror Point of Contact Name/Title, Telephone Number, and E-Mail Address:

Reference Information: Agency/Company Name and Address, Agency Point of Contact Name/Title, Telephone Number, E-Mail Address, and Contract Number for/ to whom this questionnaire was submitted:

Location of Work:

Description of Work:

Relevance of the referenced contract to the current requirement: _________________________________________________________________

Problems Encountered in Performance and Corrective Actions Taken:

Company’s capacity served on the project, ie, prime, subcontractor, key personnel.

Construction Project Manager, and On-Site Construction Superintendent (including any major subcontractors) serving as Key Personnel on the project.

Contract Information:

Contract Number:

Contract Type:

Period of Performance:

Original Contract Amount:

Final Contract Amount:

Original Completion Date:

Final Completion Date:

2.

Agency/Company Identification: (to be completed by Client) Description of Work Performed and the Contractor’s Association with the Project (Prime, Subcontractor, etc). __________________________________________________________________

Reason for difference (if any) between original contract amount and final contract amount:

Reason for difference (if any) between original contract completion date and final completion date:

3. Contractor Performance Ratings:

Please rate the Contractor’s performance by utilizing the rating and definition provided below; it is imperative that ratings be accompanied by supporting narrative (comments):

A.

Timeliness of Performance

1. To what extent did the contractor adhere to contract delivery schedules? (Ratings Must Be Supported by Comments)

Outstanding

Above Average

Satisfactory

Marginal

Unsatisfactory

Comments: __________________________________________________________________

2. To what extent did the contractor submit required reports and documentation in a timely manner? (Ratings Must Be Supported by Comments)

B.

Quality of Work

1. To what extent were the contractor’s reports and documentation accurate and complete? (Ratings Must Be Supported by Comments)

2. To what extent was the contractor able to solve contract performance problems without extensive guidance from Company/Government counterparts? (Ratings Must Be Supported by Comments)

3. Did the contractor provide a product or service that conformed to contract requirements, specifications, and standards of good workmanship? (Ratings Must Be Supported by Comments)

C.

Business Relations

1. To what extent did the contractor commit adequate resources to the contract in a timely fashion in order to meet the requirements and to successfully solve problems? (Ratings Must Be Supported by Comments)

2. To what extent did the contractor submit change orders and other required proposals in a timely manner? (Ratings Must Be Supported by Comments)

3. To what extent did the contractor respond positively and promptly to technical directions, contract modifications, etc.? (Ratings Must Be Supported by Comments)

4. To what extent was the contractor effective in interfacing with the Company/Government’s staff? (Ratings Must Be Supported by Comments)

5. Has this contract been partially or completely terminated for default or convenience? (Ratings Must Be Supported by Comments)

( )Yes ( ) No

( )Default ( )Convenience

If yes, explain (e.g., inability to meet cost, performance, or delivery schedule):

D. Cost Control

1. How well did the firm submit accurate price information for change order? (Ratings Must Be Supported by Comments)

2. Did the applicant initiate unwarranted change orders or change order requests? (Ratings Must Be Supported by Comments)

E.

Management of Key Personnel

1. Did the contractor use personnel with the appropriate skills and expertise to fulfill the requirements of the contract? (Ratings Must Be Supported by Comments)

2. Did the contractor retain the necessary skilled personnel and maintain a low turnover rate? (Ratings Must Be Supported by Comments)

F.

General

1. Were you satisfied overall with the Contractor’s performance?

( )Yes ( ) No

Comments: __________________________________________________________________

2. Would you do business with this contractor again?

( )Yes ( ) No

3. In summary, provide an overall rating for the work performed by this contractor. (Ratings Must Be Supported by Comments)

G. Evaluator Information:

Name (please print):

Title:

Work phone number (including area code): __________________________________________________________________

FAX number (including area code): __________________________________________________________________

E-Mail address:

Signature: