Attachment_2_Present Past_Performance.docx

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Attached to
Culvert Replacement and Road Decommissioning Federal contract opportunity
Solicitation number
AG-447U-S-14-0053
Issued by
Department of Agriculture Forest Service R8-Southern Region

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Past Performance Questionaire

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Chickasawhay Ranger District AG-447U-S-14-0053 Culvert Replacement

Attachment 2

Please fax completed questionnaire to the Attention of Andrew J Thompson, Contracting, (601) 965-1788

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

SECTION A: CONTRACTOR INFORMATION

A. Contractor’s Name and Address: ___________________________________________________

B. Point of Contact: _________________________________________________________________

C. Phone #: _______________________________________________________________________

D. Contract Number: _____________________ Contract Type: ____________________________

E. Project Title: ____________________________________________________________________

F. Period of Performance: ____________________________________________________________

G. Brief Description/Scope of Services provided: _________________________________________

H. Authorization is hereby granted to provide the information requested in SECTION B of this questionnaire.

Signature of Authorized Contractor Representative Date

Printed Name and Title of Authorized Contractor Representative

RESPONDENT INFORMATION:

A. Name:_________________________________________________________ B. Position:_______________________________________________________ C. Telephone Number:_____________________ Fax Number: ______________ D. Address:________________________________________________________ E. Relationship and Time Involved with Contractor:_______________________ F. Date Questionnaire Completed:_____________________________________

SECTION B OF ATTACHMENT 3

E
VG
S
N
M
U
Excellent
Very Good
Satisfactory
Neutral
Marginal
Unsatisfactory

CONTRACT PERFORMANCE

1.
Working relationship with your Company
E
VG
S
N
M
U
2.
Did the contractor provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements? If no, please explain.
Yes

No

N/A

3.
Exhibited knowledge of security procedures and compliance with contract specifications? If no, please explain.
E
VG
S
N
M
U
4.
Did the contractor properly use and supply the proper equipment for use by its personnel? Did they implement electronic guard monitoring system throughout the term of the contract? If no, please explain.
Yes

No

N/A

5.
Did the contractor demonstrate the ability to hire, train, maintain, and replace, if necessary qualified personnel during the contract? If no, please explain.
Yes

No

N/A

6.
Does the contractor provide the proper equipment for personnel to provide timely and accurate records? Did they provide timely and accurate records? If no, please explain.
Yes

No

N/A

7.
Did the contractor perform the necessary drug testing and background checks? If no, please explain.
E
VG
S
N
M
U
8.
Would you award similar contracts to this contractor (If no, Please explain in remarks)
Yes

No

N/A

9.
Contractor’s Overall Performance
E
VG
S
N
M
U

QUALITY OF SERVICE/CONTROL

1.
Contractor’s accomplishment in meeting the quality standards
E
VG
S
N
M
U
2.
Did the contractor provide an effective quality control plan or inspection procedures to meet contract requirements? If no, please explain.
Yes

No

N/A

3.
Were there any issues with the contractor’s oversight or quality control? If yes, please explain.
Yes

No

N/A

4.
Overall Quality of Service/Control
E
VG
S
N
M
U

TIMELINESS OF PERFORMANCE

1.
Did guards report for duty on time? If not, explain
Yes

No

N/A

2.
Were patrols completed in a timely manner?
Yes

No

N/A

REMARKS: If additional remarks are necessary, please attach an additional sheet.

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