Attachment 3_ Past Performance Evaluation.docx

DOCX document 21 KB Posted

Attached to
Z1DA--NCO5 - MATOC II Federal contract opportunity
Solicitation number
36C24524R0024
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 5

About this file

This document is a Past Performance Evaluation form to be completed by a government evaluator regarding the performance of a prime contractor or subcontractor on a previous project. The form covers 12 performance criteria such as compliance with contract requirements, on-site management, use of appropriate personnel, timeliness of submissions, adherence to schedule, safety responsiveness, customer relations, problem-solving, financial management, and overall performance. The evaluator is asked to rate the contractor's performance on a scale from 1 to 5, with 5 being superior. The evaluator is also asked if they would recommend or use the contractor again. The form provides space for the evaluator to include additional comments about the contractor's performance.

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Text version

PAST PERFORMANCE EVALUATION

NAME OF PRIME CONTRACTOR OR SUB-CONTRACTOR

WHO IS BEING PROVIDED THE EVALUATION:

PROJECT NAME#

PROJECT LOCATION:

Physical Address City, State Zip Code PERFORMANCE HISTORY: Please rate each of the following using a scale of N/A to 5

5Represents superior performance
4Represents very good performance
3Represents satisfactory performance
2Represents marginal performance
1Represents unacceptable performance

N/A Represents not applicable

1. How would you rate the Offeror's compliance with the contract requirements? _____

2. How would you rate the effectiveness of the Offeror's on-site management?_____

3. How would you rate the Offeror's use of appropriate personnel for contract requirements?______

4. How would you rate the Offeror's timeliness in submission of schedule? _____Reports? ______Submittals?______
5. How would you rate the Offeror's adherence to the construction schedule?_____

6. How would you rate the Offeror's responsiveness towards safety issues?______

7. How would you rate the Offeror's ability to effectively deal with the customer and other Government personnel?________

8. How would you rate the Offeror's cooperativeness in solving problems and negotiating changes?_______

9. How would you rate the Offeror's abilities to address any financial difficulties (i.e., payment of subcontractors and/or vendors, labor disputes, etc.)?______

10. How would you rate the Offeror's responsiveness to cure notices, show cause letters, suspension of payment, or termination notices? _______

11. How would you rate the Offeror's overall performance on this project?______

12. Would you recommend or use this contractor again?________ Please use the following space to provide any additional comments regarding this contractor's performance on this project.

EVALUATOR INFORMATION: Name:

Title:

Telephone #:

Email Address:

Please indicate if you (individual completing this evaluation) were the primary point of contact for this project: Yes No If you were not the primary point of contact, please indicate what your role in this project:

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