Attachment_5_-_Past_Performance_Questionnaire.pdf
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- Solicitation number
- 140L3623R0002
About this file
This document contains a past performance questionnaire for evaluation of a company for the solicitation of a road construction project on Bureau of Land Management lands in Montana. The project involves resurfacing approximately 3,200 linear feet of road and aligning/constructing approximately 2,400 linear feet of new roadway in accordance with technical specifications and drawings provided. The questionnaire requests ratings and commentary from previous clients and customers of the company on factors such as relationship and cooperation, management and conduct, quality control, schedule performance, any issues with notices or letters, customer satisfaction, and opportunities for discussion of negative feedback. An overall rating is also solicited, with the option to provide additional comments.
The related federal contract opportunity provides further details on the solicitation, identifying it as number 140L3623R0002 for Great American Outdoors Act-funded construction activities on the specified Copper City Road resurfacing and realignment project located approximately 37 miles from Bozeman, Montana. The Department of Interior Bureau of Land Management Montana State Office is issuing the solicitation for the roadwork.
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Text version
Solicitation No: 140L3623R0002 PROJECT DESCRIPTION: Copper City Road Resurfacing & 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: 140L3623R0002 PROJECT DESCRIPTION: Copper City Road Resurfacing & 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:
File details come from the government source that posted it. Updated .