J-7_Past_Performance_Questionnaire.pdf

Project Past Performance Questionnaire (Submitted by Customer Owner/Agency)

Directions: To be completed by the Owner/Agency and submitted directly to:

ATTN: CONTRACTS FAX: (360) 956-241

Olympic NF

1835 Black Lake Blvd., Suite A E-MAIL: msutherland@fs.fed.us

Olympia, WA 98512

Part A - General Information (to be completed by the contractor):

Contractor’s Name

Contractor Name:

Owner/Agency

Contact Name: Contact Number:

Project Title

Project Number

Contract Number

Project Location (Town/State/Forest…)

Description of Work provided by the Contractor:

Contract Information for project listed above (to be completed by the Customer Owner/Agency):

Contract Award Date: Contract Start Date:

Original Completion Date: Final Completion Date:

Were liquidated damages assessed for late completion? __ Yes __ No

Was a contractor evaluation prepared? __ Yes __ No If yes what was the overall rating?

Project Past Performance Questionnaire (Submitted by Owner/Agency)

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 P=Poor F=Fair G=Good E=Excellent O=Outstanding

Unsatisfactory--Response to inquiries, technical/service/administrative issues is not effective

Poor--Response to inquiries, technical/service/administrative issues is marginally effective

Fair--Response to inquiries, technical/service/administrative issues is somewhat effective

Good--Response to inquiries, technical/service/administrative issues is usually effective

Excellent--Response to inquiries, technical/service/administrative issues is effective

Outstanding--The contractor has demonstrated an outstanding performance level that justifies adding a point to the score. (It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".)

For ratings of “Unsatisfactory” and “Poor” please provide a brief explanation in the remarks section.

Planning, Scheduling and Coordination

Developed realistic progress schedules, met established milestones, and submitted updated progress schedules as required.

N/A U P F G E O

Scheduling changes were clearly communicated to the workforce, suppliers and owner agency representatives.

N/A U P F G E O

How would you rate the contractors overall project management performance in the areas of Planning, Scheduling and Coordination?

N/A U P F G E O

Change Management (Collaboration with Owner)

Supporting price/cost information for modifications was accurate, complete, and reasonable.

N/A U P F G E O

The contractor effectively collaborated with the owner in an equitable, businesslike and timely manner to come to satisfactory agreements.

N/A U P F G E O

How would you rate the contractor’s overall effort at collaboration with the owner agency in problem solving? N/A U P F G E O

Quality Control System

Did the contractor’s QC program effectively monitor all work including that of subcontractors/suppliers?

N/A U P F G E O

Did the contractor consistently take responsibility to ensure that all work met contract requirements?

N/A U P F G E O

Did the contractor complete work in accordance with the specifications without owner agency presence?

N/A U P F G E O

Project Superintendence and Management Personnel Did project superintendence and management personnel foster an attitude of contract compliance?

N/A U P F G E O

Did project superintendence and management personnel act promptly to resolve problems?

N/A U P F G E O

Did project superintendence and management personnel have sufficient authority to make decisions or to take appropriate actions.

N/A U P F G E O

Did project superintendence and management personnel deal in an ethical, collaborative and businesslike manner with owner agency representatives, workforce, subcontractors and suppliers?

N/A U P F G E O

Subcontract/Supplier Management Did the contractor take accountability for subcontractor performance?

N/A U P F G E O

Did the contractor coordinate with subcontractors regarding changes to schedules or work?

N/A U P F G E O

Did contractor effectively represent subcontractors to the owner concerning changes or problems?

N/A U P F G E O

Did contractor facilitate corrective actions to ensure subcontractor work was completed in a timely and satisfactory manner?

N/A U P F G E O

Was the Contractor committed to customer satisfaction? Yes No

REMARKS