Att_6_-_Past_Performance_Questionnaire.docx
DOCX document 35 KB Posted
- Solicitation number
- 140L0624R0038
About this file
This document is a Past Performance Questionnaire related to a federal contract opportunity for the MORGAN BRIDGE RIPARIAN RESTORATION DESIGN-BUILD project, Solicitation Number 140L0624R0038.
The questionnaire is to be completed by a reference for the contractor, providing an evaluation of their past performance on the contract in areas such as quality, schedule and time management, pricing and payments, management, and regulatory compliance. The reference is asked to rate the contractor's performance as Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory, and provide supporting comments. The completed questionnaire is to be returned to the Contracting Officer, Vicki Meier, by 6/19/2024. The contract was a Firm Fixed Price, Time & Materials, Cost Reimbursable, or other type, with an Awarded Contract Price of $X,XXX,XXX and a Current/Final Price of $X,XXX,XXX. The contract was awarded on XX/XX/XXXX with a completion date of XX/XX/XXXX. The project was located at the address provided and the client/owner company is listed.
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PAST PERFORMANCE QUESTIONNAIRE
140L0624R0038– MORGAN BRIDGE RIPARIAN RESTORATION DESIGN-BUILD
A. CONTRACTOR INFORMATION (OFFEROR COMPLETES)
| 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 (OFFEROR COMPLETES)
| Project Title |
| Title |
| 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 |
| Project Location |
| Street address, City, State |
| Client / Owner |
| Company |
| Brief description of the contract & work effort: |
| Scope of work description to include identification of whether the contract was design-build. |
C. REFERENCE (REFERENCE COMPLETES)
Name
Position / Title
Organization
Phone Number
Email Address
Signature
Date
D. EVALUATION (REFERENCE COMPLETES)
| Rating |
| Definition |
| Exceptional (EX) |
| 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 (VG) |
| 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 (S) |
| Performance met contractual requirements. The element being assessed contained some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Marginal (M) |
| Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective action. |
| Unsatisfactory (U) |
| Performance did 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 were ineffective. |
Not Applicable (NA)
The element does not pertain to the subject project as a result of specific contract and/or project requirements.
| Evaluation Area |
| Rating |
Quality
Quality of workmanship (including subcontractors)?
Quality of and adherence to quality control plan?
Quality of informational and technical submittals?
Quality of design documents (if design/build)?
Overall Quality Rating
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 and/or deadlines?
Responded to owner requests in a timely manner?
Informational and technical submittals submitted timely?
Promptly addressed scheduling issues?
Overall Schedule & Time Management Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Pricing and Payments
Minimized additional costs when addressing differing & unforeseen site conditions?
Provided fair and reasonable pricing for contract modifications?
Submitted accurate and complete invoices?
Promptly paid subcontractors and suppliers?
Overall Pricing and Payment Rating
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?
Coordination with and control of subcontractors?
Avoidance of accidents & safety violations?
Addressed location factors (especially remote locations)?
Maintained good working relationship with owner representatives?
Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?
Overall Management Rating
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?
Met regulatory and contractual labor standards?
Designed and/or constructed to Buy American Act requirements?
Overall Regulatory Compliance Rating
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:
Overall Comments:
E. RETURN:
| Return by |
| 6/19/2024 |
| Name |
| Vicki Meier |
| Title |
| Contracting Officer |
| Organization |
| Bureau of Land Management, National Operations Center, OC664 |
| vmeier@blm.gov |
File details come from the government source that posted it. Updated .