Attachment 0002_Past Perf Questionnaire.docx
DOCX document 30 KB Posted
- Solicitation number
- 69056726R000008
About this file
This is a Past Performance Questionnaire template designed to evaluate contractor performance for the Western Federal Lands Highway Division (WFLHD) Building Renovation Project (Solicitation Number 69056726R000008). Completed questionnaires must be returned via email to WFL.Contracts@dot.gov with the subject line "Source Selection Information: 69056726R000008 WFLHD Building Renovation Project Evaluation Factor Rating System."
The questionnaire uses a standardized five-point rating scale (N/A, U, M, S, VG, E) to assess contractor performance across eight primary evaluation categories: Technical abilities and workmanship quality; environmental sensitivity capability; schedule adherence; equipment and material provision; cost control management; quality control program effectiveness; specification compliance; and problem resolution ability. Additional evaluation areas include subcontractor management and coordination, small business subcontracting goal achievement, regulatory compliance, and overall customer satisfaction and safety commitment. Raters are required to provide brief explanatory remarks for any "Marginal" or "Unsatisfactory" ratings. The questionnaire also requests a final recommendation regarding the contractor's suitability for similar future requirements. This template does not address specific products, services, response dates, or pricing terms, serving instead as an assessment instrument for source selection purposes in evaluating past performance of contractors bidding on the WFLHD renovation project managed by the Department of Transportation Federal Highway Administration.
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Other files
| File | Type | Posted |
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| QA_09-01-2026.pdf | ||
| QA_08-31-2026.pdf | ||
| QA_08-26-2026.pdf | ||
| QA_08-21-2026.pdf | ||
| 260817_WFLHD-PreProposalMeeting.pdf | ||
| QA_08-19-2026.pdf | ||
| Guided Tour Attendees.pdf | ||
| Amendment A001.pdf | ||
| QA_08-17-2026.pdf | ||
| Amendment A001.pdf | ||
| Attachment 0004_WFLHD Masterplan.pdf | ||
| Attachment 0001_SF330.pdf | ||
| Attachment 0003_Specialized Experience and Technical Qualifications.docx | DOCX document | |
| RFQ 690056726R000008.pdf |
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Attachment 0002 Page 1 of 2
Past Performance Questionnaire Please return the completed questionnaire via e-mail to [ WFL.Contracts@dot.gov ] with a subject line of “Source Selection Information: 69056726R000008 WFLHD Building Renovation Project
Evaluation Factor Rating System. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings:
N/A=Not Applicable U=Unsatisfactory M=Marginal S=Satisfactory VG=Very Good E=Exceptional
· Unsatisfactory - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
· Marginal - Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
· Satisfactory - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
· Very Good - Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
· Exceptional – Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
For ratings of “Marginal” and/or “Unsatisfactory”, please provide a brief explanation in the remarks section.
Name of Rated Company:
Project Name:
| Submitted by: |
| Phone: |
Email:
Agency:
Note: When completing this questionnaire by e-mail, please do not use a color, such as red, to select the rating in section I of this questionnaire. Color fonts do not show well when printed. Please bold it, underline it, or increase the font size in black.
Technical (quality of product or service)
| How would you rate the quality of the Contractor’s technical abilities and/or workmanship to provide the required supplies and/or services? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
| How would you rate the ability of the contractor to work within an environmentally sensitive area? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
Schedule/Timeliness
| How would you rate the contractor’s adherence to the approved schedule? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
| How would you rate the ability of the contractor to provide the right equipment and material to perform the required work? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
Cost control (not applicable for firm-fixed-price or fixed-price with economic price adjustment arrangements).
| How would you rate the contractor’s ability and effectiveness managing and controlling costs within the confine of the contract? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
Management
| Did the contractor’s QC program effectively monitor all work? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
| Did the contractor complete work in accordance with the specifications? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
| How would you rate the contractor’s ability to promptly resolve problems? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
| How would you rate the Contractor’s ability to effectively manage, coordinate, and integrate subcontractors |
| N/A |
| U |
| M |
| S |
| VG |
| E |
Small Business Contracting
| How would you rate the Contractor’s ability to demonstrate a good faith effort to meet all subcontracting goals in the various socio-economic categories? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
| How would you rate the Contractor’s ability to utilize Small Business concerns and met any other small business participation requirements included in the contract/order? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
Regulatory Compliance
| How would you the contractor’s compliance with applicable laws, regulations, and contract requirements? |
| N/A |
| U |
| M |
| S |
| VG |
| E |
Other:
| Customer Satisfaction: Was the Contractor committed to customer satisfaction? |
| Yes |
| No |
| N/A |
| Safety: Was the Contractor committed to running a safe operation? |
| Yes |
| No |
| N/A |
| Recommendation: Would you recommend the Contractor for similar requirements in the future? |
| Yes |
| No |
Remarks:
Western Federal Lands Highway Division (WFLHD) Building Renovation Project
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