Attachment7-PerformanceEvalReferenceQuestionnaire.pdf
PDF 96 KB Posted
- Attached to
- GAOA Road 42 Asphalt Reclamation
- Solicitation number
- 1240BH21R0013
About this file
This document contains a performance evaluation reference questionnaire for a federal contract opportunity with the Department of Agriculture Forest Service R6-Pacific Northwest Region. The questionnaire is to be completed by references for contractors bidding on project number 1240BH21R0013 to perform full depth reclamation of existing asphalt and construct a new asphalt concrete surface on Road 42. The scope of work includes pulverizing and stabilizing the existing asphalt base, constructing the new running surface, restriping, replacing cattle guards and bridge surfaces, and upgrading an intersecting road. References must return the completed questionnaire by 4:00 PM PST on May 17, 2021 via fax or email provided, specifying the project name in the subject line. The questionnaire asks references to evaluate the contractor's workmanship, timeliness, management, and relationship with the contracting office on relevant prior projects.
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Text version
Performance Evaluation Reference Questionnaire shall be returned directly to the Contracting Officer, no later than 4:00 PM (PST) on 05/17/2021.
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 REFERENCE 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: GAOA Road 42 Asphalt Reclamation
This project is to perform Full Depth Reclamation (FDR) of existing asphalt and place an Asphalt Concrete (AC) surfacing on the finished FDR layer. The work includes pulverizing existing asphalt and mixing with existing base and added cement to make a stabilized base, constructing a new AC running surface on the prepared stabilized base, restriping, resetting cattle guards to new grade, removing and replacing asphalt running surfaces on two bridges that fall within project area, and upgrading intersecting road to meet new grade. The project also includes asphalt patching (skin and pothole patching) of Road 42 outside of the FDR section. 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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