Attachment_5_-_Past_Performance_Questionnaire.pdf
PDF 322 KB Posted
- Attached to
- GAOA FT MEADE ALKALI CREEK VENTED FORD
- Solicitation number
- 140L3623Q0034
About this file
This document contains a past performance questionnaire template for evaluation of contractors on a federal project. The questionnaire requests information on a contractor's performance on a prior, unnamed project for the Department of the Interior Bureau of Land Management, including ratings in areas such as relationship with client, management, quality control, schedule, and an overall rating. It also asks if any issues such as cure notices or termination occurred, and whether the customer and contractor would work together again. The related federal contract opportunity is for maintenance work on the GAOA Ft. Meade Alkali Creek Vented Ford under solicitation number 140L3623Q0034 from the Department of the Interior Bureau of Land Management. No further details are provided on the required products or services for that project.
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Text version
Solicitation No: 140L3623Q0016 PROJECT DESCRIPTION: GAOA Depression Dam Maintenance
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: 140L3623Q0016 PROJECT DESCRIPTION: GAOA Depression Dam Maintenance
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:
O A S M U
3. Quality control: O A S M U
4. Ability to meet the performance schedule: O A S M U
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: Yes No
7. Was the customer satisfied with the final product and services? If no, please explain: Yes No
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 No
9. Overall Rating O A S M U
10. Comments
Signatures Name Date:
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