Attachment J.2 Past Performance Questionnaire.docx

DOCX document 25 KB Posted

Attached to
Concrete Floors Rehabilitation in GPO Building D, Washington DC
Solicitation number
040ADV-23-Q-0073
Issued by

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This document is a past performance questionnaire for contractors bidding on Solicitation Number 040ADV-23-Q-0073 for concrete floor rehabilitation in Building D of the Government Publishing Office in Washington, DC. The opportunity involves rehabilitating concrete floors and requires contractors to have experience completing similar projects. Evaluators will assess bidders on criteria including quality, schedule, technical requirements, cost control, customer satisfaction, and likelihood of repeat business. The past performance questionnaire collects information on the contractor's name, prior contract details, and performance to help evaluate bids for the concrete floor rehabilitation work at the GPO building.

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040ADV-23-Q-0073-C0001 final.pdf PDF
BOQ.xlsx XLSX spreadsheet
RFQ final 10 23 23.pdf PDF

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Attachment J.2 Past Performance Questionnaire

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

U.S. Government Publishing Office Acquisition Services 732 North Capitol Street, NW Room A530, Stop: AS Washington, DC 20401

Email: Nataliya Holl at nholl@gpo.gov and Shawnita Hamm at shamm@gpo.gov

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY CONTRACTOR

1. CONTRACTOR’S NAME AND ADDRESS

3. CONTRACT NO.:

CONTRACT DATE:

4. PERIOD OF PERFORMANCE:

4. PACE OF PERFORMANCE:

5. COMPLETION DATE:

6. CONTRACT VALUE $

2. PROJECT NAME:
7. TYPE OF CONTRACT:
8. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:

Please add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

9. NAME AND ADDRESS OF EVALUATING ORGANIZATION:

EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other)

EVALUATOR’S PHONE NUMBER

MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please check the response code for each topic that best reflects your experience with this Contractor:
EX = Exceptional VG = Very GoodS = SatisfactoryMG = Marginal US = Unsatisfactory N/O = Not Observed
Quality of Products and Services- Assess the Contractor’s conformance to contract requirements.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Overall Performance- Assess the Contractor’s overall performance for the project.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Schedule- Assess the timeliness of the Contractor against the schedule of activities (as appropriate).
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Technical Requirements- Assess the Contractor’s ability and capacity to fulfill the technical requirements of the contract.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Cost Control- Assess the Contractor’s willingness and ability to manage the contract budget and control costs.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Subcontracting- Assess the Contractor’s success at complying with subcontracting goals.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Repeat Business- Assess the likelihood that you would want this Contractor to perform another contract for you in the near future.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O

List Contractor’s Weak Points:

List Contractor’s Strong Points:

List any other projects this Contractor has completed for you:

If an award fee contract, what was the average award fee % earned?

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