B08_Att_09_Solit_PSP_Vol_I_PastPerf_REQD.pdf
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- Solicitation number
- 140P2026R0101
About this file
This is a Past Performance Questionnaire template used by the National Park Service Denver Service Center for federal contract source selection evaluations.
The questionnaire is completed in two stages: the offeror completes Sections A and B providing company information and details of a past project being submitted as evidence of project experience, then transmits to a reference; the reference completes Sections C and D providing their evaluation and returns to the contracting officer listed in Section E. Section A requires standard offeror information including company name, address, UEI number, and point of contact. Section B requires comprehensive contract information for the past project including project title, contract number, contract type, awarded and final prices, award and completion dates, period of performance, project location, client/owner name, and a brief description of work scope. Section C captures reference information including name, title, organization, phone number, email, signature, and date. Section D contains the evaluation framework assessing contractor performance across six rating areas: Quality (workmanship, quality control adherence, technical submittals); Schedule and Time Management (milestone achievement, responsiveness, timeliness, issue resolution); Cost Control (site condition management, modification pricing, invoice accuracy, subcontractor payment); Management (project oversight, subcontractor coordination, safety, location factors, owner relationships, problem-solving); Small Business Subcontracting and Labor Standards (regulatory compliance, small/disadvantaged business utilization, subcontracting plan adherence); and Regulatory Compliance (building and life safety codes). Each area uses a five-point rating scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory) with detailed definitions, and references request supporting comments. Section E identifies return requirements to the contracting officer or contract specialist with submission deadline and contact information.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
SOLICITATION NO. 140P20XXRXXXX
INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.
Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.
Notice to Contractor
Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.
This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.
The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.
A. OFFEROR INFORMATION
Company Name Company Street Address Address City City State State Zip Code XXXXX Unique Entity Identifier (UEI) Number / SAM
XXXXXXX
Point of Contact Name, Email, Phone
B. CONTRACT INFORMATION FOR PAST PROJECT (PROJECT SUBMITTED UNDER PROJECT
EXPERIENCE)
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 Period of Performance XX/XX/XXX – XX/XX/XXX Project Location Park or Street address, City, State Client / Owner Company Brief description of the contract & work effort:
Scope of work description
C. REFERENCE:
Name First, Last Position / Title Title Organization Agency or Company Phone Number XXX-XXX-XXXX Email Address Email Signature Signature Date XX/XX/XXXX
D. EVALUATION
Rating Definition
Exceptional 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 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 Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
Marginal Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.
Unsatisfactory Performance does 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 appear or were ineffective.
Evaluation Area Rating Quality Quality of workmanship (including subcontractors)? Choose an item.
Quality of and adherence to quality control plan? Choose an item.
Quality of informational and technical submittals? Choose an item.
Overall Quality Rating Choose an item.
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? Choose an item.
Responded to owner requests in a timely manner? Choose an item.
Informational and technical submittals submitted timely? Choose an item.
Promptly addressed scheduling issues? Choose an item.
Overall Schedule (& Time Management) Rating Choose an item.
Cost Control Addressed differing & unforeseen site conditions so as to minimize additional costs? Choose an item.
Provided fair and reasonable pricing for contract modifications? Choose an item.
Submitted accurate and complete invoices? Choose an item.
Promptly paid subcontractors and suppliers? Choose an item.
Overall Cost Control Rating Choose an item.
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? Choose an item.
Coordination with and control of subcontractors? Choose an item.
Avoidance of accidents & safety violations? Choose an item.
Addressed location factors (especially remote locations)? Choose an item.
Maintained good working relationship with owner representatives? Choose an item.
Demonstrated flexibility, innovativeness and cooperation in resolving potential problems? Choose an item.
Overall Management Rating Choose an item.
Small Business Subcontracting (& Labor Standards) Met regulatory and contractual labor standards? Choose an item.
Successfully contracted with small and socio-economically disadvantaged businesses? Choose an item.
Quality and adherence to applicable subcontracting plans? Choose an item.
Overall Small Business Subcontracting (& Labor Standards) Rating Choose an item.
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? Choose an item.
Overall Regulatory Compliance Rating Choose an item.
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: Choose an item.
Overall Comments:
E. RETURN:
Return by Time / Date Name CO or CS name Title Contracting Officer / Contract Specialist Organization National Park Service – Denver Service Center Email First_Last@nps.gov
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