Attachment 3 Past Performance and References.docx
DOCX document 59 KB Posted
- Attached to
- Road Repair - National Park Service USVI
- Solicitation number
- 140P5521R0001
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140P5521R0001_Amd_0001.pdf | ||
| Attachment 7. Site Visit Sign in_0001.pdf | ||
| Attachment 6. Question and Answer_0001.pdf | ||
| Sol_140P5521R0001.pdf | ||
| Provisions and Clauses R0001.pdf | ||
| Attachment 2 Wage Determinations.pdf | ||
| Read This First.docx | DOCX document | |
| Attachment 1 Statement of Work.docx | DOCX document |
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Text version
Virgin Islands National Park
Solicitation #140P5521R0001
Project Title:
Repair Lameshur Road, St. Johns’, USVI
PMIS #244622
REQUEST FOR PROPOSAL (RFP)
Proposal Submission Package For Technical Volume I:
Past Performance Questionnaire
For Price Volume II:
General References
NATIONAL PARK SERVICE
INTERIOR REGION 2
STORM RECOVERY PROGRAM
PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.
Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.
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 |
| Period of Performance |
| XX/XX/XXX – XX/XX/XXX |
| Project Location |
| Park or Street address, City, State |
| Client / Owner |
| Company |
| Brief description of the contract & work effort: |
| Scope of work description |
C. REFERENCE:
| Name |
| First, Last |
| Position / Title |
| Title |
| Organization |
| Agency or Company |
| Phone Number |
| XXX-XXX-XXXX |
| Email Address |
| Signature |
| Signature |
| Date |
| XX/XX/XXXX |
D. EVALUATION
| Rating |
| Definition |
| Exceptional |
| 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 |
| 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 |
| Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. |
| Unsatisfactory |
| Performance does 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 appear or were ineffective. |
| Evaluation Area |
| Rating |
Quality
| Quality of workmanship (including subcontractors)? |
| Choose an item. |
| Quality of and adherence to quality control plan? |
| Choose an item. |
| Quality of informational and technical submittals? |
| Choose an item. |
| Overall Quality Rating |
| Choose an item. |
| 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? |
| Choose an item. |
| Responded to owner requests in a timely manner? |
| Choose an item. |
| Informational and technical submittals submitted timely? |
| Choose an item. |
| Promptly addressed scheduling issues? |
| Choose an item. |
| Overall Schedule (& Time Management) Rating |
| Choose an item. |
| Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.): |
Cost Control
| Addressed differing & unforeseen site conditions so as to minimize additional costs? |
| Choose an item. |
| Provided fair and reasonable pricing for contract modifications? |
| Choose an item. |
| Submitted accurate and complete invoices? |
| Choose an item. |
| Promptly paid subcontractors and suppliers? |
| Choose an item. |
| Overall Cost Control Rating |
| Choose an item. |
| 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? |
| Choose an item. |
| Coordination with and control of subcontractors? |
| Choose an item. |
| Avoidance of accidents & safety violations? |
| Choose an item. |
| Addressed location factors (especially remote locations)? |
| Choose an item. |
| Maintained good working relationship with owner representatives? |
| Choose an item. |
| Demonstrated flexibility, innovativeness and cooperation in resolving potential problems? |
| Choose an item. |
| Overall Management Rating |
| Choose an item. |
| Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.): |
Small Business Subcontracting (& Labor Standards)
| Met regulatory and contractual labor standards? |
| Choose an item. |
| Successfully contracted with small and socio-economically disadvantaged businesses? |
| Choose an item. |
| Quality and adherence to applicable subcontracting plans? |
| Choose an item. |
| Overall Small Business Subcontracting (& Labor Standards) Rating |
| Choose an item. |
| 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? |
| Choose an item. |
| Overall Regulatory Compliance Rating |
| Choose an item. |
| 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: |
| Choose an item. |
| Overall Comments: |
E. RETURN:
| Return by |
| December 23, 2020 |
| Name |
| Lara Wood |
| Title |
| Contracting Officer |
| Organization |
| National Park Service – Interior Region 2 South Atlantic Gulf, Storm Recovery |
| Lara_Wood@nps.gov |
General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.
It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.
Name of Contractor/Offeror:
Surety
Name of Surety:
Address of Surety:
Name of Agent:
Telephone Number:
Corporate Bank
Name of Bank:
Address of Bank:
Name of Agent:
Telephone Number:
Types and Numbers of Accounts:
Corporate Bank
Name of Bank:
Address of Bank:
Name of Agent:
Telephone Number:
Types and Numbers of Accounts:
Insurance Company
Name:
Address:
Name of Agent:
Telephone Number:
Types of Policies:
Subcontractor
Name:
Address:
Name of Contact:
Telephone Number:
Area of Specialized Work:
Subcontractor
Name:
Address:
Name of Contact:
Telephone Number:
Area of Specialized Work:
Subcontractor
Name:
Address:
Name of Contact:
Telephone Number:
Area of Specialized Work:
Material Supplier
Name:
Address:
Name of Contact:
Telephone Number:
Types of Material:
Material Supplier
Name:
Address:
Name of Contact:
Telephone Number:
Types of Material:
MATERIAL Supplier
Name:
Address:
Name of Contact:
Telephone Number:
Types of Material:
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