Attch 5 - Past Performance Questionnaire.pdf

PDF 200 KB Posted

Attached to
Boiler Upgrade and Replacement Federal contract opportunity
Solicitation number
12905B24R0007
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Pacific West Area

About this file

This document contains a past performance questionnaire and details of a related federal contract opportunity. The past performance questionnaire is a template for agency customers to provide feedback on a contractor's previous work. The federal contract opportunity is a solicitation from the US Department of Agriculture to replace and upgrade a boiler system at its facility in Parlier, California. The contractor will provide all labor, equipment, materials and supervision to complete the work per plans and specifications. As a small business set-aside reserved for NAICS Code 238220 with a value between $500,000 and $1,000,000, the firm fixed price construction contract must be completed by October 31, 2024. Interested parties should monitor the site for release of the request for proposals and amendments.

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Text version

Research, Education, and Economics Agricultural Research Service

Past Performance Questionnaire

1. AGENCY PROVIDING FEEDBACK: _________________ ___________________

PROJECT NAME: ___________________________________________

CONTRACT NUMBER: ______________________________________________

PERIOD OF PERFORMANCE: CONTRACT TYPE (if applicable):

CONTRACT AWARD DATE: CONTRACT COMPLETION DATE:

AWARDED VALUE: CURRENT CONTRACT DOLLAR VALUE:

2. NAME OF INDIVIDUAL PROVIDING FEEDBACK:

EMAIL: PHONE NUMBER: _

ASSOCIATION WITH FIRM BEING RATED (including role):

3.ASSESS THE FOLLOWING AREAS: (Check the appropriate box for each assessment category)

4 ADDITIONAL COMMENTS:

Assessment Categories Unsatisfactory Marginal Satisfactory Very Good Exceptional N/A

a. QUALITY OF PRODUCT OR SERVICE

b. SCHEDULE

c. COST CONTROL

d. BUSINESS RELATIONS

e. MANAGEMENT OR BUSINESS RELATIONS

f. RELIABILITY

g. CUSTOMER SUPPORT

h. OVERALL PERFORMANCE

i. OTHER AREAS:

(1)

(2)

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