A.10 Past Performance Questionaire 1.docx

DOCX document 43 KB Posted Sep 17, 2024

Attached to: Program Manager
Solicitation number: 1128318
Issued by: Department of Agriculture Forest Service

About this file

Written by GovTribe AI · Sep 17, 2024

This document is a Past Performance Questionnaire that is part of a federal contract opportunity. The Questionnaire is intended to be completed by a reference for the offeror, providing an evaluation of the offeror's past performance on a specific contract. The evaluation areas include Quality, Schedule/Time Management, Cost/Price, and Management. The reference is asked to rate the offeror's performance in each area as Relevant, Somewhat Relevant, or Not Relevant, and provide supporting comments. The reference is also asked to provide an overall recommendation on whether they would recommend the offeror for similar contracts. The completed Questionnaire is to be returned to the Contract Specialist, Ernest Hernandez, by September 23, 2024.

The related federal contract opportunity is for a Program Manager to support the Southern California Priority Landscape and the Wildfire Crisis Strategy. The contract will be awarded by the Department of Agriculture Forest Service. The Program Manager will be responsible for timely reporting of expenditure of funds and coordinating with contractors and non-governmental partners working on fuels projects.

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PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

A. CONTRACTOR INFORMATION

Company Name

Company

Street Address

Address

City

State

Zip Code

XXXXX

DUNS Number

XXXXXXX

Point of Contact

Name, Email, Phone

B. CONTRACT INFORMATION

Project Title

Title

Contract Number

XXXXXXXXXX

Contract Type

Firm Fixed Price / Time & Materials / Cost Reimbursable / Other

Awarded Contract Price

$X,XXX,XXX

Current / Final Price

$X,XXX,XXX

Contract Award Date

XX/XX/XXXX

Contract Completion Date

XX/XX/XXXX

Period of Performance

XX/XX/XXX – XX/XX/XXX

Project Location

Street address, City, State

Brief description of the contract & work effort:

Scope of work description

C. REFERENCE:

Name

First, Last

Position / Title

Title

Organization

Agency or Company

Phone Number

XXX-XXX-XXXX

Email Address

Signature

Date

XX/XX/XXXX

D. EVALUATION

Rating

Description

Relevant

Past/present performance effort involved much of the similarity, magnitude of effort and complexities this solicitation requires.

Somewhat Relevant Past/present performance effort involved some of the similarity, magnitude of effort and complexities this solicitation requires.

Not Relevant Past/present performance effort did not involve any of the similarity, magnitude of effort and complexities this solicitation required.

Evaluation Area

Rating

Quality

Quality of workmanship (including subcontractor)?

Not Applicable

Quality of and adherence to quality control plan?

Choose an item.

Quality of informational and technical submittals?

Choose an item.

Overall Quality Rating

Choose an item.

Comments: Please provide comments supporting the above ratings.

Schedule (& Time Management)

Met project schedule milestones?

Choose an item.

Responded to owner requests in a timely manner?

Choose an item.

Informational and technical deliverables submitted timely?

Choose an item.

Promptly addressed scheduling issues?

Choose an item.

Overall Schedule (& Time Management) Rating

Choose an item.

Comments: Please provide comments supporting the above ratings.

Cost / Price

Provided fair and reasonable pricing for contract awards and modifications?

Choose an item.

Submitted accurate and complete invoices?

Choose an item.

Overall Cost /Price Rating

Choose an item.

Comments: Please provide comments supporting the above ratings.

Management

General oversight by project manager?

Choose an item.

Coordination with and control of subcontractor?

Choose an item.

Maintained good working relationship with all mission partners

Choose an item.

Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?

Choose an item.

Met regulatory and contractual labor standards?

Choose an item.

Overall Management Rating

Choose an item.

Comments: Please provide comments supporting the above ratings.

Overall Recommendation:

Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:

Choose an item.

Overall Comments:

E. RETURN:

Return by

23 September 2024 / 1700 ET

Name

Ernest Hernandez

Title

Contract Specialist

Organization

United States Forest Service - Special Project Operations Center Southwest

Ernest.hernandez@usda.gov

File details come from the government source that posted it. Updated Sep 17, 2024.