Att_5_Past_Performance_Questionnaire.docx

DOCX document 45 KB Posted

Attached to
Project Title: SAFR EPPLETON HALL MOORINGS REPLACE Federal contract opportunity
Solicitation number
140P8622R0017
Issued by
Department of the Interior National Park Service Pacific West Region

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Other files for this federal contract opportunity

Other files attached to Project Title: SAFR EPPLETON HALL MOORINGS REPLACE, newest first.
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Amd_3_att__FINAL_-_Contract_Price_Schedule_Rev_2_0003.xlsx XLSX spreadsheet
Amd_3_att_Final_Calculations_Eppleton_Hall_Mooring_Replacements_0003.pdf PDF
Amd_3_att_01_27_00_-_Definition_of_Contract_Line_Items_Rev_2_0003.pdf PDF
Sol_140P8622R0017_Amd_0003.pdf PDF
Amd_3_att_Q_A_3_0003.docx DOCX document
Sol_140P8622R0017_Amd_0002.pdf PDF
B09_Amd_2_Attachment_140P8622R0017_Q_A_2__0002.pdf PDF
Sol_140P8622R0017_Amd_0001.pdf PDF
Amd_1_Replacement_Pages_01_11_00_-_Summary_of_Work_Rev_1_0001.pdf PDF
Amd_1_Replacement_Pgs_01_27_00_-_Definition_of_Contract_Line_Items_Rev_1_0001.pdf PDF
B11_Site_Visit_Sign_In_Sheet_Completed_0001.pdf PDF
Att_8_Limitation_on_Subcontracting_Report_Template.xlsx XLSX spreadsheet
Sol_140P8622R0017.pdf PDF
Att_9_Vaccination_Certification_Notification.pdf PDF
Att_6_Project_Experience_Form.docx DOCX document
Att_4_Wage_Determination_SF_County_WD_CA20220018_rev_08-04-2022.pdf PDF
B08_140P8622R0017_Request_for_Proposal_docx.pdf PDF
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Att_7_Proposed_Equals.doc DOC document
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Att_1_Specifications.pdf PDF
B08_Price_Schedule_Fillable.xlsx XLSX spreadsheet
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Text version

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

A. CONTRACTOR INFORMATION

Company Name
Company
Street Address
Address
City
City
State
State
Zip Code
XXXXX
DUNS Number
XXXXXXX
Point of Contact
Name, Email, Phone

B. CONTRACT INFORMATION

Project Title
xxxxx
Contract Number
XXXXXXXXXX
Contract Type
Firm Fixed Price / Time & Materials / Cost Reimbursable / Other
Awarded Contract Price
$X,XXX,XXX
Current / Final Price
$X,XXX,XXX
Contract Award Date
XX/XX/XXXX
Contract Completion Date
XX/XX/XXXX
Period of Performance
XX/XX/XXX – XX/XX/XXX
Project Location
Park or Street address, City, State
Client / Owner
Company
Brief description of the contract & work effort:
Scope of work description

C. REFERENCE:

Name
First, Last
Position / Title
Title
Organization
Agency or Company
Phone Number
XXX-XXX-XXXX
Email Address
Email
Signature
Signature
Date
XX/XX/XXXX

D. EVALUATION

Rating
Definition
Exceptional
Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good
Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory
Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal
Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.
Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
Evaluation Area
Rating

Quality

Quality of workmanship (including subcontractors)?
Choose an item.
Quality of and adherence to quality control plan?
Choose an item.
Quality of informational and technical submittals?
Choose an item.
Overall Quality Rating
Choose an item.
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Schedule (& Time Management)

Met project schedule milestones?
Choose an item.
Responded to owner requests in a timely manner?
Choose an item.
Informational and technical submittals submitted timely?
Choose an item.
Promptly addressed scheduling issues?
Choose an item.
Overall Schedule (& Time Management) Rating
Choose an item.
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Cost Control

Addressed differing & unforeseen site conditions so as to minimize additional costs?
Choose an item.
Provided fair and reasonable pricing for contract modifications?
Choose an item.
Submitted accurate and complete invoices?
Choose an item.
Promptly paid subcontractors and suppliers?
Choose an item.
Overall Cost Control Rating
Choose an item.
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Management

General oversight by project manager and superintendent?
Choose an item.
Coordination with and control of subcontractors?
Choose an item.
Avoidance of accidents & safety violations?
Choose an item.
Addressed location factors (especially remote locations)?
Choose an item.
Maintained good working relationship with owner representatives?
Choose an item.
Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?
Choose an item.
Overall Management Rating
Choose an item.
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Small Business Subcontracting (& Labor Standards)

Met regulatory and contractual labor standards?
Choose an item.
Successfully contracted with small and socio-economically disadvantaged businesses?
Choose an item.
Quality and adherence to applicable subcontracting plans?
Choose an item.
Overall Small Business Subcontracting (& Labor Standards) Rating
Choose an item.
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Regulatory Compliance

Met building and life safety codes?
Choose an item.
Overall Regulatory Compliance Rating
Choose an item.
Overall Recommendation:
Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:
Choose an item.
Overall Comments:

E. RETURN:

Return by
Wednesday, September 7, 2022 2:00 PM PDT
Name
Cris Stubitz
Title
Contracting Officer
Organization
National Park Service – Golden Gate National Recreation Area
Email
Cris_stubitz@nps.gov
RFP and Title:
140P8622R0017 – Eppleton Hall Mooring Replacement – NPS - SAFR

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