Attch_7__Past_Perf_Questionnaire_Const_HAZMAT.docx

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Attached to
CONSTRUCTION HAZMAT & AML RESPONSE IDIQ Federal contract opportunity
Solicitation number
140L0624R0010
Issued by
Department of the Interior Bureau of Land Management National Office

About this file

This document is a Past Performance Questionnaire related to Solicitation 140L0624R0010 for Construction Hazardous Material and Abandoned Mine Land Response. The Questionnaire requests information about the contractor's past performance on a specific contract, including details on the project title, contract number, contract type, awarded and current/final pricing, contract dates, project location, and a brief description of the scope of work.

The Questionnaire evaluates the contractor's performance across several areas: quality, schedule and time management, pricing and payments, management, and regulatory compliance. The reference is asked to provide an overall recommendation on whether they would recommend the contractor for similar contracts. The completed Questionnaire is to be returned to the Contracting Officer by November 11, 2024.

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Text version

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION 140L0624R0010

CONSTRUCTION HAZARDOUS MATERIAL AND ABANDONED MINE LAND RESPONSE

A. CONTRACTOR INFORMATION

Company Name
Company
Street Address
Address
City
City
State
State
Zip Code
XXXXX
DUNS Number
XXXXXXX
Point of Contact
Name, Email, Phone

B. CONTRACT INFORMATION

Project Title
Title
Contract Number
XXXXXXXXXX
Contract Type
Firm Fixed Price / Time & Materials / Cost Reimbursable / Other
Awarded Contract Price
$X, XXX, XXX
Current / Final Price
$X, XXX, XXX
Contract Award Date
XX/XX/XXXX
Contract Completion Date
XX/XX/XXXX
Project Location
Street address, City, State
Client / Owner
Company
Brief description of the contract & work effort:
Scope of work description

C. REFERENCE:

Name

Position / Title

Organization

Phone Number

Email Address

Signature

Date

D. EVALUATION

Rating
Definition
Exceptional (EX)
Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
Very Good (VG)
Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
Satisfactory (S)
Performance met contractual requirements. The element being assessed contained some minor problems for which corrective actions taken by the contractor were satisfactory.
Marginal (M)
Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective action.
Unsatisfactory (U)
Performance did not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions were ineffective.

Not Applicable (NA)

The element does not pertain to the subject project as a result of specific contract and/or project requirements.

Evaluation Area
Rating

Quality

Quality of workmanship (including subcontractors)?

Quality of and adherence to quality control plan?

Quality of informational and technical submittals?

Overall Quality Rating

Comments: (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.)

Schedule & Time Management

Met project schedule milestones and/or deadlines?

Responded to owner requests in a timely manner?

Informational and technical submittals submitted timely?

Promptly addressed scheduling issues?

Overall Schedule & Time Management Rating

Comments: (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.)

Pricing and Payments

Minimized additional costs when addressing differing & unforeseen site conditions?

Provided fair and reasonable pricing for contract modifications?

Submitted accurate and complete invoices?

Promptly paid subcontractors and suppliers?

Overall Pricing and Payment Rating

Comments: (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.)

Management

General oversight by project manager and superintendent?

Coordination with and control of subcontractors?

Avoidance of accidents & safety violations?

Addressed location factors (especially remote locations)?

Maintained good working relationship with owner representatives?

Demonstrated flexibility, innovativeness, and cooperation in resolving potential problems?

Overall Management Rating

Comments: (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.)

Regulatory Compliance

Met building and life safety codes?

Met regulatory and contractual labor standards?

Overall Regulatory Compliance Rating

Overall Recommendation:

Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:

Overall Comments:

E. RETURN:

Return by
11 November 2024
Name
Greetchen Jeremie
Title
Contracting Officer
Organization
Bureau of Land Management, National Operations Center, OC664
Email
gjeremie@blm.gov

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