lpta_questionnaire.pdf

PDF 285 KB Posted

Attached to
Co-Located Sitka Office Renovation Federal contract opportunity
Solicitation number
AG-0116-S-14-0021
Issued by
Department of Agriculture Forest Service R10-Alaska Region

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Questionnaire

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Text version

Solicitation Number: AG-0116-S-14-0021

TO: FACSIMILE:

PHONE: EMAIL:_____________________

INFORMATION REQUEST FOR

PAST PERFORMANCE

Region 10 Acquisition Management (AQM) and the Tongass National Forest (TNF) is currently in the process of soliciting offers for a contract. Specifically, they are looking for past performance information in the following areas:

a.) Quality of Product or Service b.) Timeliness or Scheduling of Service/Deliveries c.) Business Relations/Customer Satisfaction d.) Key Personnel and Staffing (Including Subcontractors) e.) Cost Control (COST CONTRACTS ONLY)

In order to complete its evaluation, the attached questionnaire must be completed and submitted directly to AQM/TNF not later than 10 days prior to the proposal due date which is currently

_____________________. The completed questionnaire may be e-mailed or faxed to:

FAX: (907) 772-5894

E-MAIL: mljohnson02@fs.fed.us

For your convenience, a cover sheet for use in mailing/faxing is provided below.

mailto:mljohnson02@fs.fed.us

From: (Name and Address of Firm)

(Point of Contact Name): __________________________________________________

(Facsimile/Phone Number)__________________________________________________

(E-mail Address)__________________________________________________

To (Point of Contact Name) __AG-0116-S-14-0021_

(Facsimile Number) __(907) 772-5894___

(E-mail Address)__mljohnson02@fs.fed.us__________

CONTRACTOR PERFORMANCE EVALUATION SURVEY

CONTRACTOR NAME:

CONTRACT NUMBER:

PERFORMANCE PERIOD:

1. Please describe the service/supply provided by the Contractor for your firm/agency.

2. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Satisfactory(S), Marginal (M), or Unsatisfactory (U). For ratings of “Unsatisfactory,” please provide a brief explanation.

SATISFACTORY MARGINAL UNSATISFACTORY

OVERALL PAST PERFORMANCE

RATING

Please provide an overall rating of the contractor’s past performance for the referenced contract/delivery order.

a.) Quality of Product or Service:

Conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence.

b.) Timeliness or Scheduling of

Service/Deliveries:

Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction as to scheduling.

c.) Business Relations/Customer Satisfaction

Effective management, prompt notification of problems, reasonable/cooperative behavior, proactive, timely award and management of subcontracts, effective small business/small disadvantaged business subcontracting program and satisfaction with Contractor’s service.

d.) Key Personnel and Staffing (Including

Subcontractors)

Quality of key personnel and how well key personnel managed their potion of the contract.

e.) Cost Control (COST CONTRACTS

ONLY)

Actual cost/rates reflect closely to negotiated cost/rates, adequate budgetary internal controls, current, accurate and complete billings.

Explanation of Unsatisfactory Ratings:

File details come from the government source that posted it. Updated .