Attach2_Contractor_Performance_Survey.doc

CONTRACTOR PERFORMANCE SURVEY Attachment 2

CONTRACTOR: Complete Sections A, B, and C, and send this survey to three references. References will complete questions 1 – 8 and return directly to Forest Service.

A. FROM: Your Company’s Name ______________________________________________________

Your Name________________________________________________________________

B. TO:

Reference Agency, Company or Individual: _______________________________________

Address: _________________________________________________

Contact Person: ___________________________________________ C. Reference Project:

Contract Number or Project Name: _____________________________ Dollar value: __________________ Date of award ______________________ Completion date ____________________ Brief description of work: ___________________________________________________________________ Dear Reference:

Our company is preparing a proposal for the U.S. Forest Service for a requirements contract for Vegetation Management Services. Please provide a reference for the work we have performed for you, as identified above. If you have any questions, you may contact the Contracting Officer, Nina Barrow, at 423-476-9706. Please return the completed survey form directly to Mrs. Barrow by the proposal due date of APRIL 23, 2014 either by fax to 423-339-8635, by e-mail to nbarrow@fs.fed.us, or hard copy mail to 2800 North Ocoee Street, Cleveland TN 37312. DO NOT RETURN TO ME OR MY COMPANY.

1) Contact Person: What role did you play (Project Manager, Owner, CO/COR/etc), 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?

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?

7) If the Contracting Officer may contact you with further questions, please provide your contact information.

Name:______________________ Phone: ______________ e-mail: _______________

8) How was contractor’s performance in terms of:

a) Quality Excellent Good Fair Poor

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Comments:

b) Keeping the Work on Schedule Excellent Good Fair Poor

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Comments:

c) Cost control (change order requirements)

Excellent Good Fair Poor

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Comments:

d) Business relations (with your agency/company, and with any subcontractors)

Excellent Good Fair Poor

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Comments:

e) Management (coordination of all activities needed to execute contract) Excellent Good Fair Poor

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Comments: