Appendix K_Past Performance Evaluation Questionnaire.pdf

Note: If you decide to use the attached PAST PERFORMANCE EVALUATION QUESTIONAIRE you have the choice of 1) sending it to the agency or company for whom you performed the work and let them fill it out and send it directly to raymond.h.delpesche@dot.gov or 2) ask them to verbally provide the evaluation information and you fill it out and include it in your package.

mailto:raymond.h.delpesche@dot.gov

PAST PERFORMANCE EVALUATION QUESTIONAIRE

Today’s date:

Reference’s name, phone number, and title

Name of A/E firm:

Project Name and what agency was the work performed for:

Nature of work performed:

Dates work was performed:

Was this Contractor the Prime or Sub on this contract:

If Prime, were Subs used:

If Subs used, Type and Extent of Subcontracting:

Did the Prime have good relations and control of subs:

Were there problems on the project?

Was the contractor cooperative in addressing problems and changes? In what ways?

Evaluate the firm as outstanding, above average, satisfactory, marginal, or unsatisfactory in the following areas:

Thoroughness of site investigations

Project management and adherence to schedules

Meeting cost limits/cost control

Cooperativeness and responsiveness

Quality assurance and quality control

Overall ranking (outstanding, above average, satisfactory, marginal, or unsatisfactory)

If you had the opportunity, would you want to work with this contractor again? Why? Why not?

Would you recommend this firm for future work? With or without reservations?

Any additional comments: