Attachment 6.pdf

Questionnaire on Contractor’s Present and Past Performance

Request you provide the following information on the contractor’s present and past performance by placing an X in the space provided by the most appropriate response. If you wish to elaborate on your answer, please provide comments on the lines provided after each question. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submitting to the Central Administrative Zone. You are asked to provide frank, concise comments regarding your overall assessment of the contractor’s performance on the contract identified. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. The following definitions are applicable rating levels of the contractor’s performance on the identified program.

Performance Confidence Assessment

Exceptional/High Confidence: Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

Very Good/Significant Confidence: Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required effort.

Satisfactory/Confidence: Based on the offeror’s performance record, some doubt exists that the offeror will successfully perform the required effort.

Neutral/Unknown Confidence: No performance record identifiable.

Marginal/Little Confidence: Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements.

Unsatisfactory/No Confidence: Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required effort.

Individual’ Name, Title, and Phone Number Completing Questionnaire:

Company’s Name:

Contractor’s Name:

Contract Number:

Contract Title:

Period of Performance (Including Options):

Contract Amount (Including Options):

Contract Type: Firm Price Cost Reimbursement Other (Specify)

SPECIALIZED EXPERIENCE

1. Rate the contractor on their experience on the basis of similar projects (the number if times it has performed this type of work, the scope and complexity).

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Comments:

PAST PERFORMANCE

2. Rate the contractor on their Satisfaction of end users with the contractor's completed services. Did the contractor conform to the terms and conditions of the contract, obey the laws, and committed to customer satisfaction.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

TECHNICAL APPROACH

3. Rate the Contractor on their understanding of construction contract requirements, scheduling and their ability to accomplish all work in accordance with program requirements.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

SUMMARY

4. Would you hire this contractor again?

Highly Likely Likely Unlikely Highly Unlikely