Attachment 8 - Past Performance Questionnaire.pdf
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- Solicitation number
- 36C24724R0018
About this file
This document contains a past performance questionnaire template for evaluating contractors on prior federal contracts. The template requests information including the contractor's name and contract number, a description of the contract scope of work, and ratings of the contractor's performance in areas such as submitting required documents on time, developing realistic schedules, and providing experienced managers. Respondents are asked to provide narrative explanations and assess the contractor's performance as substantial confidence, satisfactory confidence, limited confidence, no confidence, or unknown confidence.
The related federal contract opportunity is for construction services to upgrade an angio-CT suite at a Veterans Affairs medical center. The solicitation number provided is 36C24724R0018 and is being issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7.
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ATTACHMENT
PAST PERFORMANCE QUESTIONNAIRE
1. Name of Contractor:
Contract or Identifying Number:
Title/Description of Contract:
2. Brief description of scope of work:
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.
A. Did the contractor have any non-conformance issues? If so, what kind?
B. Did the contractor have adequate resources to complete the required performance?
C. Were there issues with the subcontractor’s testing lab and/or material suppliers?
D. Did the contractor submit required documents on time and answer questions in a timely manner?
Assessment Definition Substantial Confidence
(SC)
Based on the Offeror’s recent/relevant performance record, this customer has a high expectation that the Offeror will successfully perform the required effort for us again.
Satisfactory Confidence
(SAT)
Based on the Offeror’s recent/relevant performance record, this customer has a reasonable expectation that the Offeror will successfully perform the required effort for us again.
Limited Confidence
(LC)
Based on the Offeror’s recent/relevant performance record, this customer has a low expectation that the Offeror will successfully perform the required effort for us again.
No Confidence
(NC)
Based on the Offeror’s recent/relevant performance record, this customer has no expectation that the Offeror will successfully perform the required effort for us again.
Unknown Confidence (Neutral) (UC)
No recent/relevant performance record is available or the Offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned.
Based upon the assessment definitions above, indicate your assessment of the contractor’s performance on your contract described on Attachment A. Your assessment should consider the contractor’s performance in accordance with the contractual requirements. Circle all that apply.
CONTRACTOR’S NAME: __________________________ CONTRACT NO.: _______________________
01 Contractor developed realistic progress schedules & completed the project within the established schedule.
SC SAT LC NC UC
02 Contractor provided submittals in a timely manner. Submittals were well researched and clearly identified the proposed item.
SC SAT LC NC UC
03 Contractor provided timely and accurate payrolls with no known labor violations (Davis-Bacon Act) or labor claims.
SC SAT LC NC UC
04 Contractor provided experienced managers and supervisors, with the technical and administrative abilities needed to meet contract requirements.
SC SAT LC NC UC
05 Contractor hired quality subcontractors and effectively managed them.
SC SAT LC NC UC
06 Contractor identified problems as they occurred. Suggested approaches to problems. Displayed initiative and cooperation to solve problems. Provided adequate information and pricing for change orders and negotiated them in good faith.
SC SAT LC NC UC
07 Contractor provided effective quality control, which resulted in a quality-finished product.
SC SAT LC NC UC
08 Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain in comments section, SC SAT LC NC UC
09 Would you hire this contractor again? If no, explain in comments section
SC SAT LC NC UC
OVERALL RATING: ______________________________
BRIEF EXPLANATION OF OVERALL RATING GIVEN:
ADDITIONAL COMMENTS
Name of Person Completing Evaluation:
Base/Company: Date:
Position Title/Grade: Phone:
Email: Fax:
File details come from the government source that posted it. Updated .