Attachment_5_-_Past_Performance_Questionnaire.pdf
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- Solicitation number
- 140L3622R0003
About this file
This document contains a past performance questionnaire and details of a related federal contract opportunity for construction services. The Bureau of Land Management Montana State Office is soliciting proposals to renovate two recreation sites in Silver Bow County, Montana. Work includes constructing new entrance roads, parking areas, boat ramps, and other site amenities. The estimated price range is $500,000 to $1,000,000. The NAICS code is 237990 and it has been set aside for small businesses under $39.5 million. Proposals are due June 16th and award is anticipated for July 16th. The contractor must begin work within 10 days of notice and complete within 102 days. Interested parties should contact the point of contact for more information.
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Text version
Solicitation No: 140L3622R0003 PROJECT DESCRIPTION: Big Hole Recreation Site Renovations (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: 140L3622R0003 PROJECT DESCRIPTION: Big Hole Recreation Site Renovations (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:
| Project Title: |
| Location: |
| Description: |
| Company Name: |
| Contract Number: |
| Start Date: |
| Completion Date: |
| Initial Amount: |
| Final Amount: |
| Evaluator Name: |
| CompanyAgency Name: |
| Address: |
| POC Email: |
| Position Held or Function in Relation to Project: |
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| Yes: |
| No: |
| 6 Would you award another contract to the company being evaluated If no please explain: |
| Yes_2: |
| No_2: |
| 7 Was the customer satisfied with the final product and services If no please explain: |
| Yes_3: |
| No_3: |
| 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: |
| Yes_4: |
| No_4: |
| 9 Overall Rating: |
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| 10 Comments: |
| Date: |
| [Insert Company}: |
| 5: |
| Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:: |
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