Attachment 4 - Past Performance Questionnaire.docx
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- Attached to
- NIIP Power Factor Corrections, Block 4 Federal contract opportunity
- Solicitation number
- 140R4021R0004
About this file
This document contains a past performance questionnaire for the solicitation numbered 140R4021R0004 for NIIP Power Factor Corrections, Block 4 from the Department of the Interior Bureau of Reclamation. Offerors are requested to provide this questionnaire to an evaluating organization representative for a response date of February 19, 2021 at 5 pm MST to assess the offeror's performance on prior relevant contracts. The questionnaire asks for contract details including number, initiation date, completion date, value which may be up to $5 million, and type which could be fixed price, cost plus, or firm price. Evaluators will then rate the offeror's quality of products and services, performance, technical requirements, schedule, cost control, customer satisfaction, and provide an overall assessment on a scale of exceptional, very good, satisfactory, marginal, or unsatisfactory.
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Text version
Attachment 4 Please provide form to EVALUATING ORGANIZATION REPRESENTATIVE Solicitation No. 140R4021R0004
PERFORMANCE QUESTIONNAIRE
Power Factor Corrections - Block 4(NIIP)
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and mail or email to:
USDOI Bureau of Reclamation Response Date: February 19, 2021 at 5 pm MST Attn: Philoma Singer (FCCO-170) 1235 La Plata Highway Farmington NM 87401 Email: psinger@usbr.gov Phone: 505-324-5033
TO BE COMPLETED BY OFFEROR
| 1. CONTRACTOR NAME & ADDRESS |
| 2. CONTRACT NO.: |
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
| 1a: NAME OF PRIME CONTRACTOR: |
| 5. CONTRACT VALUE (with options): $ |
6. TYPE OF CONTRACT (fixed price, CMP, FPI, etc.):
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION:
a. Evaluator name, position (Project Manager/COR/Other) and organization:
b. Evaluator's Phone Number:
c. Months Performance Monitored by Evaluator:
Please circle response code for each topic (A-G) that best reflects your experience with this contractor.
| EX=Exceptional |
| S = Satisfactory |
| US = Unsatisfactory |
| VS = Very Good |
| MG = Marginal |
N/O = Not Observed
A. Quality of Products and Services - Assess the contractor's conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards.
| Ex |
| VG |
| S |
| MG |
| US |
| N/O |
B. Performance - Assess the contractor's performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
| Ex |
| VG |
| S |
| MG |
| US |
| N/O |
C. Technical Requirements - Assess the contractor's ability to fulfill the technical requirements of the contract.
| Ex |
| VG |
| S |
| MG |
| US |
| N/O |
D. Schedule - Assess the timeliness of the contractor against the schedule of activities.
| Ex |
| VG |
| S |
| MG |
| US |
| N/O |
E. Cost Control - Assess the contractor's ability to manage the contract budget and control costs.
| Ex |
| VG |
| S |
| MG |
| US |
| N/O |
F. Customer Satisfaction - Assess the contractor's responsiveness to customer concerns and "user friendliness".
| Ex |
| VG |
| S |
| MG |
| US |
| N/O |
G. Overall Assessment
| Ex |
| VG |
| S |
| MG |
| US |
| N/O |
Solicitation No. 140R4021R0004
File details come from the government source that posted it. Updated .