Past_Performance_Questionnaire.pdf
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- Solicitation number
- 47PH0519R0021
About this file
This document contains a past performance questionnaire and details of a related federal contract opportunity. The past performance questionnaire is a template for evaluating a contractor's performance on a previous contract and includes ratings for requirements, timeliness, and overall performance.
The related federal contract opportunity is a solicitation seeking construction services to replace heating, ventilation, and air conditioning equipment and venting at the U.S. Custom House in New Orleans, Louisiana. The estimated cost range for the work is between $1 to $5 million. The North American Industry Classification System code for this project is 238220 with a size standard of $16.5 million. The solicitation is set aside 100% for small businesses. The selected contractor must perform at least 90% of the work. The anticipated period of performance is 245 calendar days. Source selection will use a best value methodology.
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FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE – FAR 2.101 and 3.104
Solicitation 47PH0519R0021
PAST PERFORMANCE QUESTIONNAIRE
CONTRACTOR/OFFEROR: ________________________________________________
Reference Contacted:
Name: ____________________________________________________________
Company: __________________________ Telephone No.: _________________
Title:_________________________________Fax No.________________________
Building location of contractor’s performance: ______________________________
Start/End date of Contract Performance:___________________________________
Estimated price/cost for services:_________________________________________
Construction period (# of days):___________________
EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.
Evaluation Definitions – The following definitions should be used in the assessment of Contractor performance.
EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.
VERY GOOD
Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
ACCEPTABLE
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
POOR
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.
UNACCEPTABLE Performance information reveals major deficiencies not readily correctable
Past Performance Evaluation
Question 1. Performance
What is your assessment of the Contractor’s ability to meet your requirements?
Exceptional Very
Good Acceptable Marginal Poor Unacceptable
Performance
Comments, if any.
Questions 2/3/4. Timeliness
Was your project completed on time?
Were any delays (if any) due to the fault of the contractor?
Where problems (if any) relsolved in a timely manner?
Timeliness
Ability Resolve Timeliness Problems
Comments, if any.
Questions 5/6. Overall Rating of Contractor’s performance
What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?
Would you use the contractor on future projects?
Performance
General Comments:
Name of Interviewer: __________________________ Date: __________
| Evaluation Definitions – |
| The following definitions should be used in the assessment of Contractor performance. |
| EXCEPTIONAL |
| Unacceptable |
| Unacceptable |
| Unacceptable |
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