Attachment_9_Past_Performance_Questionnaire.docx
DOCX document 28 KB Posted
- Attached to
- GAOA Taos Area Visitors Centers
- Solicitation number
- 140L0625R0010
About this file
This document is a Past Performance Questionnaire for a federal contract (Solicitation Number 140L0625R0010) for the GAOA Taos Area Visitors Centers, issued by the Bureau of Land Management's National Operations Center. The contract is for an unspecified project with a firm fixed price, time and materials, or cost reimbursable basis, with an awarded contract price in the hundreds of thousands of dollars. The questionnaire is designed to evaluate a contractor's performance across five key areas: Quality, Schedule & Time Management, Pricing and Payments, Management, and Regulatory Compliance, using a rating scale from Unsatisfactory to Exceptional.
The document requires completion and return by July 9, 2025, at 1400 Mountain Daylight Time, with responses to be sent to Kassandra Hicks and Lisa McKeon, Contract Specialist and Contracting Officer, respectively. The evaluation will help determine the contractor's suitability for future similar contracts by assessing their performance in areas such as workmanship quality, schedule adherence, pricing fairness, project management, subcontractor coordination, safety compliance, and regulatory standards. The completed questionnaire will provide a comprehensive review of the contractor's capabilities and performance on the GAOA Taos Area Visitors Centers project.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
140L0625R0010 –GAOA TAOS AREA VISITORS CENTERS
A. CONTRACTOR INFORMATION
| Company Name |
| Company |
| Street Address |
| Address |
| City |
| City |
| State |
| State |
| Zip Code |
| XXXXX |
| SAM UEI Number |
| XXXXXXX |
| Point of Contact |
| Name, Email, Phone |
B. CONTRACT INFORMATION
| Project Title |
| Title |
| Contract Number |
| XXXXXXXXXX |
| Contract Type |
| Firm Fixed Price / Time & Materials / Cost Reimbursable / Other |
| Awarded Contract Price |
| $X,XXX,XXX |
| Current / Final Price |
| $X,XXX,XXX |
| Contract Award Date |
| XX/XX/XXXX |
| Contract Completion Date |
| XX/XX/XXXX |
| Project Location |
| Street address, City, State |
| Client / Owner |
| Company |
| Brief description of the contract & work effort: |
| Scope of work description |
C. REFERENCE:
Name
Position / Title
Organization
Phone Number
Email Address
Signature
Date
D. EVALUATION
| Rating |
| Definition |
| Exceptional (EX) |
| Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective |
actions taken by the contractor were highly effective.
| Very Good (VG) |
| Performance met contractual requirements and exceeded some to the owner’s benefit. The |
element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
| Satisfactory (S) |
| Performance met contractual requirements. The element being assessed contained some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Marginal (M) |
| Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective action. |
| Unsatisfactory (U) |
| Performance did not meet most contractual requirements, and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s |
corrective actions were ineffective.
| Not Applicable (NA) |
| The element does not pertain to the subject project as a result of specific contract and/or project requirements. |
| Evaluation Area |
| Rating |
Quality
Quality of workmanship (including subcontractors)?
Quality of and adherence to quality control plan?
Quality of informational and technical submittals?
Overall Quality Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Schedule & Time Management
Met project schedule milestones and/or deadlines?
Responded to owner requests in a timely manner?
Informational and technical submittals submitted timely?
Promptly addressed scheduling issues?
Overall Schedule & Time Management Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Pricing and Payments
Minimized additional costs when addressing differing & unforeseen site conditions?
Provided fair and reasonable pricing for contract modifications?
Submitted accurate and complete invoices?
Promptly paid subcontractors and suppliers?
Overall Pricing and Payment Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Management
General oversight by project manager and superintendent?
Coordination with and control of subcontractors?
Avoidance of accidents & safety violations?
Addressed location factors (especially remote locations)?
Maintained good working relationship with owner representatives?
Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?
Overall Management Rating
Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):
Regulatory Compliance
Met building and life safety codes?
Met regulatory and contractual labor standards?
Overall Regulatory Compliance Rating
Overall Recommendation:
Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:
Overall Comments:
E. RETURN:
| Return by |
| 09July2025 - 1400 Mountain Daylight Time |
| Name |
| Kassandra Hicks and Lisa McKeon |
| Title |
| Contract Specialist and Contracting Officer |
| Organization |
| Bureau of Land Management, National Operations Center, OC664 |
| khicks@blm.gov and lmckeon@blm.gov |
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