FigureL-3_Past_Performance_Questionnaire.docx

FIGURE L-3

Past Performance Questionnaire Solicitation No: 47PH0218R0003

CONTRACT IDENTIFICATION

Contractor’s Name:

Contract Number For Project:

Contractor role:

[i.e., Prime, Subcontractor, or Joint Venture]

Period of Performance:

Name of Agency or Company Issuing the Contract:

Address, City, and State of contract performance

Contract Value (including options) :

CPARS

Rated [ ] YES [ ] NO

Building Name, Square Footage, and Type of Services:

[Identify each building name, the square footage of each building, and what types of services were provided in that building]

Type of Space Serviced: [i.e., Commercial Office Building, Federal Courthouse, Federal Parking Garage, etc.]

Contract Requirements: [Describe all services provided under the contract and any special/unique contract requirements. Briefly describe any problems encountered and how they were resolved]

REFERENCE IDENTIFICATION

Name

Title

Agency/Company

Address

Telephone

E-mail

PAST PERFORMANCE QUESTIONNAIRE

Please check the level of the Contractors overall performance in each of the business management factors listed below. Leave blank if the factor does not apply to the contract being rated.

Quality . accuracy, and timeliness of required documentation

Identification and reporting of problems and potential problems

Compliance with technical/contractual terms and conditions

Provides personnel to perform all contract requirements

Responsiveness to requests for information

Accommodates fluctuating workload

Adheres to safety policies and procedures

Success of Quality Control Program

Empowerment of onsite management [authority to hire/fire personnel and authority to purchase necessary materials, and equipment]

Ability to obtain required corporate resources

Quality and stability of key personnel

Effectiveness of phase-in/close out activities

Overall rating of contractor's performance

Please comment on all Fair and Poor ratings given, or on any other ratings, as desired.

COMMENTS:

Name and Signature Of Person Providing Reference Information