B08_ATTACHMENT_003_-_Past_Performance_Questionnaire.pdf
PDF 96 KB Posted
- Attached to
- GRSM ROOF REPLACEMENTS Federal contract opportunity
- Solicitation number
- 140P5326R0015
About this file
This is a Past Performance Questionnaire used to evaluate contractor performance during the source selection process for a federal contract opportunity.
The questionnaire is completed in two sections: offerors provide contractor identification information including name, address, contract number, initiation and completion dates, contract value with options, contract type (Fixed Price, FPI, etc.), and a description of contract requirements with the prime contractor name. The evaluating organization representative completes the evaluation section by providing their name, position (Project Manager, Contracting Officer Representative, or other), organization, phone number, and the number of months they monitored the contractor's performance. The evaluation comprises seven assessment categories using a standardized rating scale: Exceptional (EX), Very Good (VG), Satisfactory (S), Marginal (MG), Unsatisfactory (US), or Not Observed (N/O). These categories assess the contractor's quality of products and services, overall performance as General Contractor or A/E, technical requirements fulfillment, schedule adherence, cost control and budget management, customer satisfaction and responsiveness, and an overall assessment. Completed questionnaires should be emailed to Marilia_Mateo@ios.doi.gov by the desired response date of May 22nd, 2026. The information is classified as Source Selection Information under FAR 2.101 and 3.104 and must be protected accordingly.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| QUESTIONS_0003.docx | DOCX document | |
| Sol_140P5326R0015_Amd_0003.pdf | ||
| Sol_140P5326R0015_Amd_0002.pdf | ||
| ATTACHMENT_008_Cosby_Picnic_Pavilion_Images_0002.pdf | ||
| ATTACHMENT_011_Greenbrier_Picnic_Pavilion_Images_0002.pdf | ||
| ATTACHMENT_005_Cades_Cove_Map_0002.pdf | ||
| ATTACHMENT_007_Cosby_Picnic_Pavilion_Map_0002.pdf | ||
| ATTACHMENT_006_Cades_Cove_Images_0002.pdf | ||
| ATTACHMENT_009_Elkmont_Kiosk_Map_0002.pdf | ||
| ATTACHMENT_012_Twins_Creek_Images_0002.pdf | ||
| ATTACHMENT_010_Elkmont_Kiosk_Images_0002.pdf | ||
| Sol_140P5326R0015_Amd_0001.pdf | ||
| B03_ATTACHMENT_002_-_Wage_Rate_Determination.pdf | ||
| B04_ATTACHMENT_004_-_Construction_Contract_Administration.docx | DOCX document | |
| Sol_140P5326R0015.pdf | ||
| A04__ATTACHMENT_001_-_Statement_of_Work.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this questionnaire and email to: Marilia_Mateo@ios.doi.gov
Desired Response Date: May 22nd, 2026
When complete, the information in this form is SOURCE SELECTION INFORMATION {FAR 2.101 & 3.104 and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
1 CONTRACTOR NAME & ADDRESS
2. CONTRACT NO:
3. CONTRACT INITIATION DATE:
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
4. COMPLETION DATE:
la: NAME OF PRIME CONTRACTOR
5. CONTRACT VALUE (with options):
6. TYPE OF CONTRACT (Fixed Price, FPI, etc.):
Pease add a continuation page if additional space is necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/CCR/Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE NO: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A-G) that best reflects your experience with this contractor.
EX= Exceptional S = Satisfactory US= Unsatisfactory
VG = Very Good MG = Marginal N/0 = Not Observed
A. Quality of Products and Services -Assess the contractor's conformance to contract requirements, specification, and standards of good workmanship (e.g. technical, professional, environmental, or safety and health standards). EX VG S MG US N/0
B. Performance -Assess the contractor's performance as the General Contractor or A/E (as appropriate) for the project. EX VG S MG US N/0
C. Technical Requirements -Assess the contractor's ability to fulfill the technical requirements of the contract. EX VG S MG US N/0
D. Schedule -Assess the timeliness of contractor against the schedule of activities.
EX VG S MG US N/0
E. Cost Control -Assess the contractor's ability to manage the contract budge and control costs.
EX VG S MG US N/0
F. Customer Satisfaction -Assess the contractor's responsiveness to customer concerns and user
"friendliness". EX VG S MG US N/0
G. Overall Assessment. EX VG s MG us N/0
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