Attachment_4_-_Past_Performance_Questionnaire.doc

CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE

Date____________________ Contractor Name _____________________________ Project Title/Description___________________________________ Point of Contact _____________________________________________________________________________________ Contract Type [ ] RFQ [ ] Sealed Bid [ ] Fixed Price [ ] Negotiated

Contract Period ________________________ Cost Original $_______________ Current/Final $_______________

For the scales below, 1 = Poor, 10 = Outstanding

1. Was the project completed within the allotted time? [ ] Yes [ ] No

2. How effective was the contractor with establishment

1 2 3 4 5 6 7 8 9 10 N/A and execution of the schedule?

3. Contractor’s adherence to plans and specifications

1 2 3 4 5 6 7 8 9 10 N/A

4. Submission of documents and reports (submittals)

1 2 3 4 5 6 7 8 9 10 N/A

5. Standards of workmanship/quality

1 2 3 4 5 6 7 8 9 10 N/A

6. Completion of final punch-list

1 2 3 4 5 6 7 8 9 10 N/A

7. Supervision

1 2 3 4 5 6 7 8 9 10 N/A

8. Communication, coordination, and cooperation (CO, COTR, etc.)

1 2 3 4 5 6 7 8 9 10 N/A

9. Was the contractor fair/reasonable regarding equitable

1 2 3 4 5 6 7 8 9 10 N/A adjustments and cost proposals in response to changed work requirements?

OTHER COMMENTS

Interviewed by:__________________________________________

Email:

Phone: