Attachment C Past performance questionnaire_.docx

DOCX document 15 KB Posted

Attached to
J046--Stormwater Contract-Stormwater services requirement for Culpeper National Cemetery
Solicitation number
36C78626Q0088
Issued by

About this file

This file is a Past Performance Questionnaire template designed to evaluate contractor performance on federal contracts. The questionnaire uses a 1-5 scale rating system where 1 represents unacceptable performance and 5 represents superior performance. It collects evaluator information including company name, contract number, type of work, contract period, and estimated contract award amount at the top of the form.

The questionnaire addresses seven key performance evaluation criteria: compliance with contractual terms and technical requirements, reasonableness and cooperation in resolving customer requests and complaints, flexibility in meeting customer requirements, adherence to contractual response times, invoice clarity and accuracy, overall performance rating, and likelihood of future contract award. Each question includes space for numerical ratings and optional comments. This template is intended to be completed by government representatives or contracting officers as part of the past performance evaluation process for the Culpeper National Cemetery stormwater services contract (Solicitation Number 36C78626Q0088), a small business set-aside RFQ issued by the Department of Veterans Affairs National Cemetery Administration for stormwater maintenance services with a base period plus four option years.

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Other files

File Type Posted
culpeper schedule 2.rtf RTF text file
revised stormwater culpeper.docx DOCX document
Culpeper Amend 1 QA.docx DOCX document
36C78626Q0088 amendment.docx DOCX document
Site Drawrings Culpeper Stormwater.pdf PDF
Attachment B Culpeper Schedule.rtf RTF text file
36C78626Q0088v3.docx DOCX document
Attachment A SOW Culpeper Stormwater.docx DOCX document
Attachment D Wage Determination Culpeper.docx DOCX document

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Text version

Past Performance Questionnaire

COMPANY: __________________________________

Contract Number: ______________________________________

TYPE OF WORK: ___________________________________________

CONTRACT PERIOD: __________________________________________________

ESTIMATED CONTRACT AWARD AMOUNT: _________________________________________

For the following questions, please choose the number on the scale from 1 to 5, which most accurately describes the Contractor’s performance on the contract referenced above.

1 --- unacceptable performance 2 --- marginally acceptable 3 --- fully acceptable or good 4 --- very good, with very few incidents 5 --- superior performance

1. Evaluate the company’s compliance with contractual terms and conditions and the technical requirements of the contract

1 2 3 4 5 NA

Comments:

2. Has the company demonstrated reasonable and cooperative behavior in resolving customer requests and complaints?

Comments:

3. Is the offeror flexible in satisfying the requirements of the customer?

1 2 3 4 5 NA

Comments:

4. To what extend did the company meet the response times in the contract?

5. Are invoices easily understood and do they accurately reflect charges?

6. Rate the company’s overall performance:

7. Would you award to this company again?

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