Attachment 6 - Past Performance.pdf

PERFORMANCE EVALUATION QUESTIONNAIRE

Person completing questionnaire: Phone No.:

Firm’s name: Date:

Email address:

* Contractor:

1. This new IDIQ contract is for:

Has this contractor performed any of these services for you? If yes, which ones and when was work completed?

Ratings Definitions:

Exceptional: Performance meets contractual requirements and exceeds many to the Government’s/owner’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good: Performance meets contractual requirements and exceeds some to the Government’s/owner’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory: Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal: Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

jpaul Typewritten Text The major categories of work activities required by the contract include clearing, earthwork, structural embankments, drainage structures, pit/quarry development, road base and surfacing, road structure demolition, road structure construction (such as retaining walls and minor bridge work) and road obliteration (decommissioning). Minor bridge work for new construction includes any simple span bridge structure equal to, or less than 80’-0” span length. Bridge superstructure may be precast reinforced concrete, precast-prestressed concrete, or timber. Bridge abutments may be reinforced concrete or timber grade beams, cast-in-place reinforced concrete shallow foundation, precast concrete modular block foundation, geosynthetic reinforced soil foundation, or driven or drilled steel piling foundation with a cast-in-place concrete pile cap.

2. Timeliness of Performance/Schedule Rating (see ratings definitions on Page 1)

☐Exceptional ☐Very Good

☐Satisfactory ☐Marginal

☐Unsatisfactory

Please provide rationale for above rating, e.g., did the contractor meet the contract schedule, were they reliable and responsive to technical direction; were any liquidated damages assessed?

3. Management Rating (see ratings definitions on Page 1)

☐Satisfactory ☐Marginal

☐Unsatisfactory

Please provide rationale for above rating, e.g., how effective was the contractor’s management, did they maintain a good working relationship with the Government/project owner, did they demonstrate cooperative behavior, recommend effective solutions to problems, and show businesslike concern for Government/project owner’s interests?

4. Quality Rating (see ratings definitions on Page 1)

☐Satisfactory ☐Marginal

☐Unsatisfactory

Please provide rationale for above rating, e.g., was a quality product provided; to what extent did the contractor conform to good standards of workmanship; was deficient work identified and corrected, were any unspecified materials incorporated into the project?

5. Overall, to what extent were you satisfied with the contractor’s completed services?

☐Extremely satisfied ☐Generally satisfied

☐Generally dissatisfied ☐Extremely dissatisfied

Additional comments:

6. Given what I know today about the contractor’s ability to perform in accordance with a contract’s most significant requirements, I ________________ recommend them for similar requirements in the future.

☐WOULD ☐WOULD NOT