Attachment_15_-_Past_Performance_Questionnaire.doc
DOC document 73 KB Posted
- Attached to
- Yellowstone National Park, Clinic Operations Federal contract opportunity
- Solicitation number
- 140P1421Q0032
About this file
This document contains a past performance questionnaire and details of a federal contract opportunity for clinic operations at Yellowstone National Park. The past performance questionnaire requests references and ratings for a named contractor on a previous project, including the quality of products or services, ability to meet delivery dates, performance of staff, invoicing management, and an overall rating. The federal contract opportunity is a solicitation to provide total operation of one year-round and two seasonal medical clinics located in Yellowstone National Park. Services required include primary, urgent, and community healthcare, pharmaceutical services, janitorial services, medical waste management, and additional clinic operations to meet over 7,500 patient visits annually. The agency issuing this opportunity is the Department of the Interior National Park Service Intermountain Region.
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Text version
Past Performance Questionnaire Solicitation Title & No.: Electric Construction IDIQ 140P1421R0002 Name of Contractor:
Reference Contract / Project
a. Name of project:
b. Location of project: ____________________________________________
c. Approximate completion date:
d. Approximate contract dollar amount: $
e. Brief description of project and services provided: _____________________________________________________________________________________________________________________________________________________________________________
Reference Questions
| Rating |
| Definition |
| Excellent |
| The reference was extremely satisfied with the contractor’s performance. |
| Good |
| The reference was very satisfied with the contractor’s performance. |
| Satisfactory |
| The reference believes the contractor’s performance was neither good nor bad but was satisfactory. |
| Poor |
| The reference was very dissatisfied with the contractor’s performance. |
| Failed |
| The reference was extremely dissatisfied with the contractor’s performance. |
Please rate the contractor’s performance on the above listed project:
a. Quality of the contractor’s product or service:
b. Contractor’s ability to meet the contractual delivery dates:
c. Contractor’s staff or project team:
d. Contractor’s ability to manage invoicing:
e. Overall rating of the Contractor’s performance (did the contractor meet your specifications for bison collars):
Contractor’s Strengths and Weaknesses a.
Please describe the Contractor’s performance strengths:
b.
Please describe the Contractor’s performance weaknesses:
Additional reference comments:
Reference’s Printed Name:
Title:
Reference’s Signature:
Date:
File details come from the government source that posted it. Updated .