Attachment_5_-_Past_Performance_Questionnaire.pdf
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- Solicitation number
- 140L3622R0004
About this file
This document contains a past performance questionnaire and details of a federal contract opportunity. The Bureau of Land Management is soliciting proposals for construction services including grading, shaping, surfacing and realigning 4.5 miles of road and 0.57 miles of additional road near Axolotl Lakes, Montana. Work will include site grading, road maintenance, crushed aggregate base installation, core rock, and hydroseeding. The total small business set-aside contract has an estimated value between $250,000 and $500,000 under NAICS code 237310. Offerors must submit proposals by May 11th, 2022 to be considered for the single award contract. Award is expected on June 7th, 2022 with work to begin by June 13th and be complete by August 5th, 2022. The past performance questionnaire requests input on a contractor's prior work quality, timeliness, and client relationships for consideration in this award.
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Text version
Solicitation No: 140L3622R0004 PROJECT DESCRIPTION: Axolotl Lakes Road Surfacing and Realignment (GAOA)
Department of Interior Past Performance Questionnaire (PPQ)
U.S. Department of the Interior, Bureau of Land Management is considering [Insert Company].
Your comments would be appreciated regarding this company’s past performance.
Firm Information Project Title:
Location:
Description:
Company Name: Contract Number:
Start Date: Completion Date:
Initial Amount: Final Amount:
Evaluator Evaluator Name: Company/Agency Name:
Address: POC Email:
Position Held or Function in Relation to Project:
Ratings Overview Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.
“O” Outstanding Performance greatly exceeded the contract requirements.
“A” Above Average Performance exceeded the contract requirements.
“S” Satisfactory Performance met the contract requirements.
“M” Marginal Performance met the minimum contract requirements but
Some material aspects of the contractor’s performance were less than satisfactory.
“U” Unacceptable Performance was poor and/or did not satisfy contract requirements.
Solicitation No: 140L3622R0004 PROJECT DESCRIPTION: Axolotl Lakes Road Surfacing and Realignment (GAOA)
Questionnaire
Please select the appropriate rating and provide supporting information for the following questions.
1. The relationship between the company and client’s/customer’s contract team:
O
A
S
M
U
2. Overall corporate management, integrity, reasonableness, and cooperative conduct:
3. Quality control:
4. Ability to meet the performance schedule:
5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:
Yes
No
6. Would you award another contract to the company being evaluated? If no, please explain:
7. Was the customer satisfied with the final product and services? If no, please explain:
8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
9. Overall Rating
10. Comments
Signatures
Name Date:
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