Attachment 7 - Present-Past Performance Questionnaire.pdf

12444121R0010

ATTACHMENT 7

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

SECTION A: CONTRACTOR INFORMATION

A. Contractor’s Name and Address: _________________________________________________________

B. Point of Contact: _______________________________________________________________________

C. Phone #: ______________________________________________________________________________

D. Contract Number: ___________________________ Contract Type: _______________________________

E. Project Title: ___________________________________________________________________________

F. Period of Performance: ___________________________________________________________________

G. Brief Description/Scope of Services provided: ________________________________________________

RESPONDENT INFORMATION:

A. Name:_____________________________________________________________________________

B. Position:___________________________________________________________________________

C. Telephone Number: ____________________________________ Fax Number: ___________________

D. Address:____________________________________________________________________________

E. Relationship and Time Involved with Contractor: ___________________________________________

F. Date Questionnaire Completed: _________________________________________________________

12444121R0010

ATTACHMENT 7

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

E VG S N M U

Excellent Very Good Satisfactory Neutral Marginal Unsatisfactory

CONTRACT PERFORMANCE

1. Working relationship with your Company E VG S N M U

2. Did the contractor provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements? If no, please explain.

Yes No N/A

3. Exhibited knowledge of and compliance with government (or other) regulations and industry standards

4. Did the contractor provide and properly maintain operational equipment throughout the term of the contract? If no, please explain.

5. Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary qualified personnel during the contract? If no, please explain.

6. Does the contractor provide timely and accurate records? Yes No N/A

7. How well did the contractor comply with Environmental, health and security requirements

8 Would you award similar contracts to this contractor (If no, please explain in remarks)

9. Contractor’s Overall Performance E VG S N M U

QUALITY OF SERVICE/CONTROL

1. Contractor’s accomplishment in meeting the quality standards E VG S N M U

2. Did the contractor provide an effective quality control plan or inspection procedures to meet contract requirements? If no, please explain.

3. Overall Quality of Service/Control E VG S N M U

TIMELINESS OF PERFORMANCE

1. Was the job/contract started and completed on time? If not, explain Yes No N/A

2. Did the contractor have a system or method to track progress on all work in progress?

SAFETY

1. How well did the contractor comply with safety requirements? E VG S N M U

2. Were there any accidents or safety infractions on the project/job site Yes No N/A

REMARKS: If additional remarks are necessary, please attach an additional sheet.