Attachment_J5_-__Past_Performance_Questionnaire.pdf
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- Attached to
- GVIC FISH SCREEN REHABILITATION
- Solicitation number
- 140R4024R0024
About this file
This is a Past Performance Questionnaire template (Attachment 5) for solicitation #140R4024R0024 - GVIC Fish Screen Rehabilitation project from the Bureau of Reclamation's Upper Colorado Region. The questionnaire must be completed and submitted to Ana Fife (afife@usbr.gov) by November 15, 2024, with three sources required.
The questionnaire consists of two main sections: one to be completed by the offeror with basic contract information (contractor details, contract number, dates, value, and type), and another to be completed by the evaluating organization representative. The evaluation portion includes seven assessment areas: Quality of Products/Services, Performance, Technical Requirements, Schedule, Cost Control, Customer Satisfaction, and Overall Assessment. Each area is rated on a scale of Neutral, Exceptional, Satisfactory, or Unsatisfactory. The document shows that only the Technical Requirements section has been marked as "Exceptional" with all other rating fields remaining unchecked.
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Text version
BUREAU OF RECLAMATION 140R4024R0024
GVIC Fish Screen Rehabilitation UPPER COLORADO REGION
ATTACHMENT 5: PAST PERFORMANCE QUESTIONNAIRE
Solicitation # 140R4024R0024: GVIC Fish Screen Rehabilitation
Your assistance is requested in support of a source selection. This solicitation requests three (3) sources that must be received by the Acquisition Management Division no later than the date below.
Response Date: November 15, 2024 Please complete this Questionnaire Email to: afife@usbr.gov
Make sure to confirm that the Contracting Officer received the email.
Attn: Ana Fife Phone: (801) 524-3671 Subject: 140R4024R0024 – Past Performance Questionnaire
TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME:
ADDRESS:
CITY/ZIP:
1a: NAME OF PRIME CONTRACTOR:
2. CONTRACT NO.:
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. CONTRACT VALUE (with options): $
6. TYPE OF CONTRACT (Fixed Firm Price, CMP, FPI, etc.):
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION:
a. Evaluator name, position (Project Manager/COR/Other):
b. Organization Name:
c. Evaluator's Phone Number:
d. Evaluator’s email:
e. Months Performance Monitored by Evaluator:
*** See page 2 of 2 for additional questions ***
Please check the response for each topic (A‐G) that best reflects your experience with this contractor.
BUREAU OF RECLAMATION 140R4024R0024
GVIC Fish Screen Rehabilitation UPPER COLORADO REGION
A. Quality of Products and Services ‐ Assess the contractor's conformance to contract requirements, specifications and standards of good workmanship (e.g., technical, professional, environmental or health and safety standards.
☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory
B. Performance ‐ Assess the contractor's performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory
C. Technical Requirements ‐ Assess the contractor's ability to fulfill the technical requirements of the contract.
☐ Neutral ☒ Exceptional ☐ Satisfactory ☐ Unsatisfactory
D. Schedule ‐ Assess the timeliness of the contractor against the schedule of activities.
☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory
E. Cost Control ‐ Assess the contractor's ability to manage the contract budget and control costs.
☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory
F. Customer Satisfaction ‐ Assess the contractor's responsiveness to customer concerns and "user friendliness".
☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory
G. Overall Assessment
☐ Neutral ☐ Exceptional ☐ Satisfactory ☐ Unsatisfactory
Additional Comments:
File details come from the government source that posted it. Updated .