Attach 2 Past Performance Questionnaire.doc

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Attached to
GPO Harding Hall Window Replacement
Solicitation number
040ADV-24-R-0015
Issued by

About this file

This document is a Past Performance Questionnaire that is part of a federal contract opportunity. The questionnaire requests information about a contractor's past performance on a federal contract, including the contract number, period of performance, contract value, type of contract, and key project characteristics. The evaluating organization is asked to assess the contractor's performance in areas such as quality of products and services, overall performance, schedule, technical requirements, cost control, subcontracting, and customer satisfaction. The contractor's strong and weak points are also requested, as well as information on any other projects completed for the evaluating organization.

The related federal contract opportunity is for the GPO Harding Hall Window Replacement project. The vendor shall be responsible for demolishing the existing 6 window assemblies, disposing of the old windows, and designing and installing new replacement windows. The vendor shall supply all necessary materials and labor to complete the window replacement.

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Attachment 2

Past Performance Questionnaire

Past Performance Questionnaire

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this questionnaire and send by email to: tmizelle@gpo.gov and cbettini@gpo.gov

U.S. Government Publishing Office Acquisition Services

732 North Capitol Street, NW Room A530, Stop: AS Washington, DC 20401 Response Due Date April 29, 2024 at 11:00 AM

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY CONTRACTOR

1. CONTRACTOR’S NAME AND ADDRESS

3. CONTRACT NO.:

CONTRACT DATE:

4. PERIOD OF PERFORMANCE:

4. PACE OF PERFORMANCE:

5. COMPLETION DATE:

6. CONTRACT VALUE $

2. PROJECT NAME:

7. TYPE OF CONTRACT:

8. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:

Please add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

9. NAME AND ADDRESS OF EVALUATING ORGANIZATION:

EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other)

EVALUATOR’S PHONE NUMBER

MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please check the response code for each topic that best reflects your experience with this Contractor:

EX = Exceptional VG = Very Good S = Satisfactory MG = Marginal US = Unsatisfactory N/O = Not Observed

Quality of Products and Services- Assess the Contractor’s conformance to contract requirements.

FORMCHECKBOX

EX

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VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Overall Performance- Assess the Contractor’s overall performance for the project.

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Schedule- Assess the timeliness of the Contractor against the schedule of activities (as appropriate).

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Technical Requirements- Assess the Contractor’s ability and capacity to fulfill the technical requirements of the contract.

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Cost Control- Assess the Contractor’s willingness and ability to manage the contract budget and control costs.

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Subcontracting- Assess the Contractor’s success at complying with subcontracting goals.

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

Repeat Business- Assess the likelihood that you would want this Contractor to perform another contract for you in the near future.

FORMCHECKBOX

EX

FORMCHECKBOX

VG

FORMCHECKBOX

S

FORMCHECKBOX

MG

FORMCHECKBOX

US

FORMCHECKBOX

N/O

List Contractor’s Weak Points:

List Contractor’s Strong Points:

List any other projects this Contractor has completed for you:

If an award fee contract, what was the average award fee % earned?

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