J.4 Past Performance Form 2_A001.pdf
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- 69056723R000013
About this file
This document contains a past performance evaluation form for contractors bidding on the Yellowstone, Grand Teton, & Surrounding Area Multiple Award Task Order Contract (MATOC) 2024 opportunity issued by the Department of Transportation Federal Highway Administration. The past performance evaluation form requests ratings and comments on contractors' previous performance across key areas such as technical quality, cost control, schedule adherence, management, small business utilization, customer satisfaction, and safety. Ratings are to be provided using a scale of unsatisfactory, marginal, satisfactory, very good, and exceptional. Contractors are evaluated on their workmanship, ability to work in environmentally sensitive areas, provision of proper equipment, cost control, adherence to schedules, quality control programs, compliance with specifications and regulations, good faith efforts to meet subcontracting goals, utilization of small businesses, and commitment to customer satisfaction and safe operations.
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Attachment J.4 Past Performance Form 2
Past Performance Form 2
Subject Line “Source Selection Information: Yellowstone, Grand Teton, & Surrounding Area Multiple Award Task Order Contract (MATOC) 2024
Project: Yellowstone, Grand Teton, & Surrounding Area Multiple Award Task Order Contract
(MATOC) 2024
Evaluation Factor Rating System. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings:
N/A=Not Applicable U=Unsatisfactory M=Marginal S=Satisfactory VG=Very Good E=Exceptional
• Unsatisfactory - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
• Marginal - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
• Satisfactory - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
• Very Good - Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
• Exceptional – Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
For ratings of “unsatisfactory” and “Marginal” please provide a brief explanation in the remarks section.
Company Name:
Project Name:
Submitted by:
Name
Phone:
Email:
Agency:
Technical (quality of product or service)
How would you rate the contractor’s quality of workmanship for work performed?
N/A U M S VG E
How would you rate the ability of the contractor to work within an environmentally sensitive area?
N/A U M S VG E
How would you rate the ability of the contractor to provide the right equipment and material to perform the required work?
N/A U M S VG E
Cost control (not applicable for firm-fixed-price or fixed-price with economic price adjustment arrangements).
How would you rate the contractor’s ability to control costs within the confine of the contract?
N/A U M S VG E
Schedule/Timeliness How would you rate the contractor’s adherence to the approved schedule? N/A U M S VG E
Management Did the contractor’s QC program effectively monitor all work? N/A U M S VG E
Did the contractor complete work in accordance with the specifications?
N/A U M S VG E
How would you rate the contractor’s ability to promptly resolve problems?
N/A
U
M
S
VG
E
Did the contractor comply with all known laws and regulations?
N/A
U
M
S
VG
E
Small Business Contracting Demonstrated a good faith effort to meet all of the negotiated subcontracting goals in the various socio-economic categories?
N/A U M S VG E
Utilized Small Business Concerns and met any other small business participation requirements included in the contract/order?
N/A U M S VG E
Other:
Customer Satisfaction: Was the Contractor committed to customer satisfaction?
Yes No
Safety: Was the Contractor committed to running a safe operation?
Yes No
Remarks:
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