Att_9_Past_Perf_Questionnaire.docx

DOCX document 35 KB Posted

Attached to
GAOA FINALE DAM RECONSTRUCTION Federal contract opportunity
Solicitation number
140L0625R0015
Issued by
Department of the Interior Bureau of Land Management National Office

About this file

This document is a Past Performance Questionnaire for the GAOA Finale Dam Reconstruction project (Solicitation Number 140L0625R0015) issued by the Bureau of Land Management's National Operations Center. The questionnaire is designed to comprehensively evaluate a contractor's performance across multiple critical areas including quality, schedule and time management, pricing and payments, project management, and regulatory compliance, using a rating scale from Exceptional to Unsatisfactory.

The contract is for dam reconstruction with a firm fixed price or time & materials structure, with the contract award and completion dates not fully specified. The document provides a structured mechanism for the contracting agency to assess and document the contractor's performance, with a return deadline of September 1, 2025 at 1400 MD. The questionnaire is to be completed by a reference contact who will rate the contractor's performance and provide detailed comments, with the ultimate goal of determining the contractor's suitability for similar future contracts.

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Attch_14_A0003_Questions_Answers_0003.doc DOC document
Attch_11_A0002_140L0625R0015_Cont__Pages_-_REV_0002.docx DOCX document
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Attch_12_A0002_Questions_Answers_0002.doc DOC document
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Sol_140L0625R0015_Amd_0001.pdf PDF
Att_1_B08_140L0625R0015_Cont__Pages_-_FINALv3_0001.pdf PDF
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Text version

PAST PERFORMANCE QUESTIONNAIRE

140L0625R0015 – FINALE DAM RECONSTRUCTION

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
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

C. REFERENCE:

Name

Position / Title

Organization

Phone Number

Email Address

Signature

Date

D. EVALUATION

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?

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?

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
1 September 2025 at 1400 MD
Name
Max Petersen
Title
Contract Specialist
Organization
Bureau of Land Management, National Operations Center, OC664
Email
Ipetersen@blm.gov

File details come from the government source that posted it. Updated .