Attachment 5 Past Performance Questionnaire.pdf

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Attached to
FLORIDA DITCH AND CANAL LINING Federal contract opportunity
Solicitation number
140R4021R0007
Issued by
Department of the Interior Bureau of Reclamation

About this file

This document contains a past performance questionnaire and details of a federal contract opportunity for Florida ditch and canal lining. The Bureau of Reclamation is soliciting past performance information from offerors for contract 140R4021R0007 by June 24, 2021. The opportunity is for Florida ditch and canal lining services through the Department of the Interior Bureau of Reclamation. Offerors are asked to provide details of relevant past contracts including contract number, dates, value, type of contract, and description of requirements for an evaluator to assess quality, performance, technical requirements, schedule, cost control, customer satisfaction, and overall performance.

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Text version

BUREAU OF RECLAMATION 140R4021R0007

Florida Ditch and Canal Lining UPPER COLORADO REGION

ATTACHMENT 5: PAST PERFORMANCE QUESTIONNAIRE

Solicitation # 140R4021R0007: Florida Ditch and Canal Lining

Your assistance is requested in support of a source selection. This solicitation requests three (3) sources that must be received by the Acquisition Management Division no later than the date below.

Response Date: June 24, 2021 Please complete this Questionnaire Email to: kcaskey@usbr.gov

Make sure to confirm that the Contract Specialist received the email.

Subject: 140R4021R0007 – Past Performance Questionnaire

TO BE COMPLETED BY OFFEROR

1. CONTRACTOR NAME:

ADDRESS:

CITY/ZIP:

1a: NAME OF PRIME CONTRACTOR:

2. CONTRACT NO.:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options): $

6. TYPE OF CONTRACT (Fixed Firm 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):

b. Organization Name:

c. Evaluator's Phone Number:

d. Evaluator’s email:

e. Months Performance Monitored by Evaluator:

*** See page 2 of 2 for additional questions ***

Please check the response for each topic (A‐G) that best reflects your experience with this contractor.

BUREAU OF RECLAMATION 140R4021R0007

Florida Ditch and Canal Lining UPPER COLORADO REGION

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 health and safety standards.

☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory

B. Performance ‐ Assess the contractor's performance as the General Contractor or Architect/Engineer (as appropriate) for the project.

☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory

C. Technical Requirements ‐ Assess the contractor's ability to fulfill the technical requirements of the contract.

☐ Neutral ☐ Satisfactory ☐ Unsatisfactory

D. Schedule ‐ Assess the timeliness of the contractor against the schedule of activities.

☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory

E. Cost Control ‐ Assess the contractor's ability to manage the contract budget and control costs.

☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory

F. Customer Satisfaction ‐ Assess the contractor's responsiveness to customer concerns and "user friendliness".

☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory

G. Overall Assessment

☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory

Additional Comments:

☐ Exceptional

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