Past_Performance_Evaluation_Survey.doc
DOC document 44 KB Posted
- Attached to
- Replacement Of Virginia Creeper Trail Bridges No. 35 & No. 36, Mount Rogers National Recreation Area
- Solicitation number
- AG-3395-S-14-0004
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Past Performance Evaluation Survey
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Past Performance Evaluation Survey
Instructions: Offeror shall send this survey to a minimum of two references. Offeror shall complete Sections A, B, and C before sending.
A. FROM:Your Company Name
Contact Person
B. TO:
Reference Company/Agency:
Address:
Contact Person:
C. Reference Contract:
Contract number
Date of award
Dollar value
Completion date
Description of work
Dear Client:
Our firm is preparing a proposal for the U.S. Forest Service for a construction contract that will replace up to two pre-fabricated steel truss trail bridges. Please provide a reference for our work under the contract identified above. If you have any questions, you may contact the Contracting Officer, Laura M. Ingram, at 540-265-5113. Please return the completed survey form to Ms. Ingram by the proposal due date of April 16, 2014 either by fax to 540-265-5109 or by e-mail to lauraingram@fs.fed.us
1) What role did you play (Contracting Officer/COR/Inspector/Other), and for how long?
2) Please provide a more complete description of the work.
3) How well did the contractor’s crew(s) perform?
4) Was the contractor cooperative in resolving issues? Please offer an example.
5) Did the contractor provide sufficient tools, equipment, and vehicles to perform the work?
6) Did the contractor devote sufficient effort to performing the work? If not, please describe.
7) If the Contracting Officer may contact you with further questions, please provide the contact information here:
8) Name
Phone e-mail
9) How was contractor’s performance in terms of:
a) Quality of Service Exceptional Good Acceptable Marginal Unacceptable
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Comments:
b) Customer Satisfaction:
Exceptional Good Acceptable Marginal Unacceptable
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Comments:
c) Business Relations/Responsiveness (ex: RFI responses, negotiations on change orders) Exceptional Good Acceptable Marginal Unacceptable
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Comments:
d) Timeliness (ie, how well met project schedule)
Exceptional Good Acceptable Marginal Unacceptable
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