ATTACHMENT - IV - Past Performance Questionnaire.docx

DOCX document 31 KB Posted

Attached to
Construct Prefabricated Modular Lab Federal contract opportunity
Solicitation number
12405B23R0018
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery

About this file

This document includes a past performance questionnaire for contractors to submit to references for a modular lab building construction project. The United States Department of Agriculture Agricultural Research Service is soliciting proposals for the construction of a approximately 2,100 square foot prefabricated modular lab building at its Sugarcane Research Lab location in Schriever, Louisiana. The solicitation number is 12405B23R0018. Contractors must be registered in the System for Award Management to be eligible to bid. The past performance questionnaire requires references to evaluate and rate contractors on factors such as quality of services, personnel, subcontractor management, business relations, timeliness of performance, financial controls, and customer satisfaction using definitions for ratings of excellent, very good, satisfactory, marginal, and unsatisfactory provided. References are to return the completed questionnaire to the contracting officer by July 9, 2023.

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OFFEROR: SUBMIT TO YOUR COMMERCIAL CLIENT OR GOVERNMENT AGENCY REFERENCES FOR PAST PERFORMANCE

PAST PERFORMANCE QUESTIONNAIRE

TO BE COMPLETED BY COMMERCIAL CLIENT'S TECHNICAL MANAGER or BUSINESS MANAGER or AGENCY'S CONTRACTING OFFICER REPRESENTATIVE (COR) or CONTRACTING OFFICER (CO) Please forward completed Past Performance Questionnaire to Huron Virden, Contracting Officer, at huron.virden@usda.gov. Please ensure delivery no later 1:00 p.m. Central on July 09, 2023.

1. Contractor Name:
2. Contract Number:
3. Contractor Address:
4. Contract Type:

____ Fixed-Price ____ Cost-Reimbursement ____ Other (Please Specify) ____________________

5. Client / Agency Name:

Address:

6. Client / Agency Point of Contact:

Name:

Title:

Phone:

E-mail Address:

7. Period of Performance:
8. Total Contract Value: $

9. Title of Project:

10. Please describe the work that was accomplished focusing on the scope and complexity of the work.:

11. Please describe whether the work was defined by the owner via a specification, statement of work, statement of objectives, partial/complete design document.

12. Did the Contractor encounter any noteworthy problems performing work? ________ If so, Please explain:

NOTE: Please use adjectival ratings from attached sheet

13. Evaluation Factor
14. Comments (Attach additional sheets, if necessary.)
15. Rating

a. Quality of Services Received

b. Personnel

c. Subcontractor Mgmt

d. Business Relations

e. Timeliness of Performance

f. Customer Satisfaction

g. Financial Controls

16. Would you select this firm in the future for the same or similar services? Please explain.

17a. Name of Preparer:
17b. Signature:
17c. Title:
17d. Date:

PAST PERFORMANCE RATING GUIDELINES

Summarize contractor performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, or Excellent. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”

Ratings
Quality of Services Received / Personnel

-Compliance w/contract requirements -Effectiveness of design -Quality of construction -Accuracy of reports -Appropriateness of personnel assignments -Technical excellence

Financial Controls

-Within budget -Current, accurate, complete billings -Relationship of negotiated prices to actual -Efficiencies -Change orders issued Timeliness of Performance

-Met interim milestones -Reliable -Responsive to technical direction -Completed on time Business Relations / Subcontractor Management

-Effective on-site management and personnel -Businesslike correspondence -Responsive to contract requirements -Prompt notification of problems -Reasonable / cooperative -Flexible -Proactive -Effective Small Business Subcontracting Program

Excellent
There were no quality problems
There were no Financial issues
There were no delays
Business relations and interaction were highly effective

Very Good

Any nonconformance experienced did not impact achievement of contract requirements Financial issues did not impact achievement of contract requirements Delays did not impact achievement of contract requirements

Business relations and interaction were usually effective

Satisfactory

Nonconformance required moderate agency involvement to ensure achievement of contract requirements

Financial issues required moderate agency involvement to ensure achievement of contract requirements
Delays required moderate agency involvement to ensure achievement of contract requirements

Business relations and interaction were somewhat effective

Marginal

Nonconformance required major agency involvement to ensure achievement of contract requirements

Financial issues required major agency involvement to ensure achievement of contract requirements
Delays required major agency involvement to ensure achievement of contract requirements

Business relations and interaction were marginally effective

Unsatisfactory
Nonconformance

compromised the achievement of contract requirements Financial issues compromised performance

Delays compromised achievement of contract requirements
Business relations and interaction were not effective and compromised achievement of contract requirements

G14PS000

Attachment H Past Performance Questionnaire

12405B23R0018 Past Performance Questionnaire

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