Attachment 6_Past Performance Questionnaire.docx
DOCX document 31 KB Posted
- Attached to
- Replace 60 Ton Air-Cooled Chiller, Raleigh, NC Federal contract opportunity
- Solicitation number
- 12405B23Q0186
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 2_Davis Bacon Act WD NC20230040.pdf | ||
| Sol_12405B23Q0186.pdf | ||
| Attachment 3_ARS-371.pdf | ||
| Attachment 4_ARS-372.pdf | ||
| Attachment 5_ARS Facilities Design Standards ARS-242.1.pdf | ||
| Attachment 7_SF 24 Bid Bond.pdf | ||
| Attachment 1_SOW Replace Air Cooled Chiller Raleigh NC_Redacted.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Solicitation# 12405B23Q0186
Instructions: The end user/client must complete the questionnaire and submit directly back to the offeror. The offeror must submit the complete questionnaire with their quote. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM. Note, a wet signature or digital signature is required. The digital signature must have a digital certificate that specifies the identity associated with the key, such as the name of the signee and/or the name of an organization.
NAME OF OFFEROR: _________________________________________
I. Current or Historical Contract Information
CONTRACT REFERENCED:
1. Contract or Identifying Number: _____________________________
2. Work performed as: ☐ Prime Contractor ☐ Subcontractor ☐ Joint Venture ☐ Other (Explain)
3. Contract Value: _________________________________________
4. Period of Performance: _______________________________________________________________
5. Brief description of project:
6. Name of Person Completing Questionnaire: _____________________________________________
Agency/Company: _____________________________________________________________
Title: __________________________________ Phone: _____________________________
E-mail: _____________________________________________________________________
Signature: ___________________________________________________________________
7. Alternate POC w/ Phone Number: _________________________________________________ II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.
Evaluation Definitions –
The following definitions should be used in the assessment of Contractor performance.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
Past Performance Evaluation
Question 1. Performance
What is your assessment of the Contractor’s ability to meet your requirements?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Performance | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Comments, if any.
Question 2. Timeliness/Schedule
What is your assessment of the Contractor’s ability to maintain construction schedule and address any delays in a timely manner?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Timeliness | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Ability to Resolve Timeliness Problems | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Question 3. Safety
What is your assessment of the Contractor’s ability to meet requirements (including staffing with appropriate knowledge, skills and abilities; conformance to contract requirements; safety/health standards, accuracy of data/reports; etc.)?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Quality of Services | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Question 4. Cost
What is your assessment of the Contractor’s ability to work within contract cost constraints (Does the Contractor keep within the total estimated cost; Did the Contractor do anything innovative that resulted in cost savings; Were billings current, accurate and complete, etc.)
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| Quality of Services | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
Question 5. Overall Rating of Contractor’s performance
What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
General Comments:
File details come from the government source that posted it. Updated .