Attachment_I_Past_Performance_Questionnaire.doc

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Attached to
Risk Management IDIQ
Solicitation number
140R8123R0003
Issued by

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This document is a past performance questionnaire template for a firm being considered for a risk management indefinite delivery/indefinite quantity (IDIQ) contract with the Bureau of Reclamation within the Department of the Interior. The questionnaire requests information on the firm's past contracts including contract number, type, title, award and completion dates, location, amounts, descriptions, and performance ratings in categories such as quality control and ability to meet schedules. It also asks if any issues occurred and whether the customer and evaluator would award to the firm again. The evaluator is prompted to provide their name, organization, and relationship to the evaluated project. The completed questionnaire is to be submitted via email by a specified date to the listed recipient for consideration under solicitation number 140R8123R0003 for risk management IDIQ contract services.

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Attachment I

RFP 140R8123R0003

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

U.S. Department of the Interior, Bureau of Reclamation, Lower Colorado Basin, is considering the firm listed below. Your comments would be appreciated regarding this firm’s past performance.

Past Performance Information:

Name and Address of Firm Being Evaluated:______________________________________

Contract No.:__________________ Type of Contract: _____________________ Project Title:___________________ Date of Award:_________________ Completion Date: _____________________ Location:______________________

Initial Amount:__________________ Final Amount: ________________________ Description:_________________________________________________________________

Evaluator: (The following information will assist in the analysis of the data.)

Name of Evaluator: ______________________________________ Company/Agency Name: ______________________________________ Address: ______________________________________ Phone Number: ______________________________________ Email Address: ______________________________________ Position Held or Function in Relation to Project: ______________________________________

Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“O”
Outstanding
Performance greatly exceeded the contract requirements.
“A”
Above Average
Performance exceeded the contract requirements.
“S”
Satisfactory
Performance met the contract requirements.
“M”
Marginal
Performance met the minimum contract requirements but

Some material aspects of the contractor’s performance were less than satisfactory.

“U”
Unacceptable
Performance was poor and/or did not satisfy contract requirements.

SOURCE SELECTION SENSITIVE WHEN COMPLETED

***NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS***

Please circle the appropriate rating and provide any supporting information/comments for the following:

1. The relationship between the firm and client’s/customer’s contract team:
O A S M U
2. Overall corporate management, integrity, reasonableness and cooperative conduct:
O A S M U
3. Quality control:
O A S M U
4. Ability to meet the performance schedule:
O A S M U
5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:
Yes No

6. Would you award another contract to the firm being evaluated? If no, please explain:

Yes No

7. Was the customer satisfied with the end product and services? If no, please explain:
Yes No

8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?

Yes No

9. Additional Remarks:

10. Overall rating for this firm:
O A S M U

Print Name

Signature of Evaluator Date

The questionnaire should be submitted via email to aamador@usbr.gov

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