Attachment7-PastPerformanceReferenceQuestionnaire.pdf

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Attached to
Holiday Farm Fire BAER Guardrail Repairs
Solicitation number
1240BH21R0007
Issued by

About this file

This document contains a past performance reference questionnaire for a contractor seeking to provide guardrail repair services. The questionnaire asks a past client about the contractor's workmanship, timeliness, business relations, and overall satisfaction on projects involving removal and installation of damaged guardrail systems, guardrail sections, terminals, and bridge transition pieces. The related federal contract opportunity is soliciting these guardrail repair services for the Holiday Farm Fire in the Willamette National Forest in Oregon. Responses to the questionnaire are due by April 26, 2021 and should be faxed or emailed to the specified contracting officer.

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Past Performance Questionnaire shall be returned directly to the Contracting Officer, no later than 4:00 PM (PST) on 04/26/2021. Questionnaires must be received via Fax or Email as follows:

Please specify in the subject line – ATTN: JANET PAUL eFax: 866.230.8120

Email: sm.fs.conwest@usda.gov

PERFORMANCE EVALUATION QUESTIONNAIRE

Person completing questionnaire: ______________________________

Phone: _________________________

Email: _________________________

Firm’s name: _______________________________________________

NOTE: Information obtained may be shared with Contractor if requested, but the name of person providing information will be kept confidential.

Contractor: _______________________ Project: Holiday Farm Fire BAER Guardrail Repairs

The intent of this project is the removal of damaged guardrail systems, installing guardrail sections and terminals, installation of bridge transition pieces, and all work related to the construction of reinforced concrete retrofits and curbs on existing bridges. Has this contractor performed any of these services for you? If yes, which ones?

1. Did the contractor adhere to good standards of workmanship? Do you have specific examples of this?

2. Overall, to what extent were you satisfied with the contractor’s completed services?

_____ Extremely satisfied _____ Generally satisfied

_____ Generally dissatisfied _____ Extremely dissatisfied

3. Timeliness of performance:

a. Did the contractor comply with contract performance schedules? If no, were there mitigating circumstances?

b. Were they reliable?

c. Were they responsive to technical direction?

d. Any liquidated damages assessed?

4. Business relations:

a. Does the contractor have effective management?

b. Good working relationship with the Contracting Officer/technical representatives?

c. Are they reasonable, cooperative, and flexible?

d. Do they present effective recommendations for solutions to problems?

e. Do they show a businesslike concern for the Government’s (or landowner if the project was with a private firm) interests?

5. Any additional comments not addressed in Questions 1 – 5 above:

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