PastPerformanceQuestionaire.docx
DOCX document 75 KB Posted
- Attached to
- Aspen Site Prep 2016
- Solicitation number
- AG-569R-S-16-0036
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Past Performance Questionnaire
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Text version
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:
| 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 and compliance with government (or other) regulations and industry standards |
| E |
| VG |
| S |
| N |
| M |
| U |
| 4. |
| Did the contractor provide and properly maintain operational equipment throughout |
the term of the contract? If no, please explain.
Yes
No
N/A
| 5. |
| Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary |
qualified personnel during the contract? If no, please explain.
Yes
No
N/A
| 6. |
| Does the contractor provide timely and accurate records? |
| Yes |
No
N/A
| 7. |
| How well did the contractor comply with Environmental, Safety, health and security |
requirements
| 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
| 3. |
| Overall Quality of Service/Control |
| E |
| VG |
| S |
| N |
| M |
| U |
TIMELINESS OF PERFORMANCE
| 1. |
| Was the job/contract started and completed on time?. If not, explain |
| Yes |
No
N/A
| 2. |
| Did the contractor have a system or method to track progress on all work in progress? |
| Yes |
No
N/A
REMARKS: If additional remarks are necessary, please attach an additional sheet.
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