PAST PERFORMANCE QUESTIONNAIRE.pdf

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Attached to
USCG STA MORRO BAY (47280) - FY20 DRYDOCK REPAIR
Solicitation number
70Z04020QP3047500
Issued by

About this file

This document contains a past performance questionnaire template for evaluating contractor performance on prior federal contracts. The template requests information including the contractor name and address, contract number, initiation and completion dates, contract value, contract type, and description of contract requirements. It includes a section for an evaluating organization representative to provide an evaluation on a scale of Outstanding to Poor for criteria such as quality of products and services, performance, schedule, technical requirements, cost control, and customer satisfaction. Space is also provided for additional comments.

The combined synopsis/solicitation is for drydock repair services at US Coast Guard Station Morro Bay with a solicitation number of 70Z04020QP3047500. The opportunity type is a solicitation from the Department of Homeland Security's US Coast Guard for repair work to be completed at USCG Station Morro Bay. The required products and services include drydock repairs.

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PAST PERFORMANCE QUESTIONNAIRE

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options): $

6. TYPE OF CONTRACT:

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

Please add a continuation page if additional space necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager / COR/ Other) AND ORGANIZATION:

b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.

O = Outstanding

E = Excellent

A = Adequate

M = Marginal

P = Poor

N/O = Not Observed

A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

O E A M P N/O

B. Performance – Assess the contractor’s performance as the Technician for the project.

C. Schedule – Assess the timeliness of contractor against the schedule of activities and the initiative displayed in solving unexpected problems.

D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.

E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.

G. Overall Assessment.

H. Additional Comments:

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