Attachment 6 - Past Performance Questionnaire.doc

DOC document 37 KB Posted

Attached to
PIPE Remodel Visitor Center, Abandon Sewer System Federal contract opportunity
Solicitation number
140P6021R0005
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This document is a contractor past performance questionnaire template to be completed for a federal project involving the remodeling of a visitor center, abandonment of a sewer system, and demolition of a comfort station. The project is solicited by the Department of the Interior National Park Service Midwest Region under solicitation number 140P6021R0005. The questionnaire evaluates a contractor's performance on factors such as adherence to schedule, plans and specifications, quality of work, communication, and responsiveness to changed requirements. Respondents are asked to provide ratings from 1-10 on these performance metrics and include any additional comments. Contact information is also requested for the person completing the questionnaire.

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Text version

CONTRACTOR PAST PERFORMANCE QUESTIONNAIRE

Date____________________ Contractor Name _____________________________ Project Title/Description___________________________________ Point of Contact _____________________________ Contract Type [ ] RFQ [ ] Sealed Bid [ ] Fixed Price [ ] Negotiated

Contract Period ________________________ Cost Original $_______________ Current/Final $_______________

For the scales below, 1 = Poor, 10 = Outstanding

1. Was the project completed within the allotted time? [ ] Yes [ ] No

2. How effective was the contractor with establishment

1 2 3 4 5 6 7 8 9 10 N/A and execution of the schedule?

3. Contractor’s adherence to plans and specifications

1 2 3 4 5 6 7 8 9 10 N/A

4. Submission of documents and reports (submittals)

1 2 3 4 5 6 7 8 9 10 N/A

5. Standards of workmanship/quality

1 2 3 4 5 6 7 8 9 10 N/A

6. Completion of final punch-list

1 2 3 4 5 6 7 8 9 10 N/A

7. Supervision

1 2 3 4 5 6 7 8 9 10 N/A

8. Communication, coordination, and cooperation (CO, COTR, etc.)

1 2 3 4 5 6 7 8 9 10 N/A

9. Was the contractor fair/reasonable regarding equitable

1 2 3 4 5 6 7 8 9 10 N/A adjustments and cost proposals in response to changed work requirements?

OTHER COMMENTS

Interviewed by:__________________________________________

Email:

Phone:

File details come from the government source that posted it. Updated .