B08_Attachment_10_Past_Performance_Questionnaire.pdf
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- Attached to
- DEPO-REPLACE COMFORT STATION Federal contract opportunity
- Solicitation number
- 140P8524R0002
About this file
This document is a Past Performance Questionnaire for a federal contract opportunity. It provides a template for evaluating the past performance of a contractor on a previous federal contract. The questionnaire covers criteria such as quality of work, timeliness, and business relations, with ratings ranging from Excellent to Unacceptable. The related federal contract opportunity is for the demolition of an existing comfort station and construction of a new comfort station at Devils Postpile National Monument, with an estimated construction value between $1,000,000 and $5,000,000. The procurement is set-aside for Small Business concerns, with a NAICS code of 236220 and a small business size standard of $45.0 million. All questions must be submitted by April 10, 2024.
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Text version
RFP No. 140P8524R0002 Section J – Attachment No. 8
PAST PERFORMANCE QUESTIONNAIRE
(OFFEROR: COMPLETE SECTIONS I AND II AND SUBMIT WITH THE TECHNICAL PROPOSAL)
I. CONTRACT IDENTIFICATION
CONTRACTOR NAME: CONTRACT NO.:
CONTRACTOR ADDRESS: CONTRACT TYPE:
FIRM-FIXED-PRICE
COST REIMBURSEMENT
OTHER
ACTIVE COMPLETED
ROUTINE COMPLEX
DATES OF PERFORMANCE: AWARD AMOUNT $
TOTAL WITH MODS $
PROJECT DESCRIPTION:
RFP No. 140P8524R0002 Section J – Attachment No. 8
II. AGENCY (CUSTOMER) IDENTIFICATION
AGENCY (CUSTOMER) NAME:
POC NAME/TITLE/PHONE:
***Government Use Only – The following to be completed by Technical Evaluation Panel***
III. PAST PERFORMANCE RATING
Rating Scale: E = Excellent references are excellent in all respects G = Good references indicate good performance on past projects A = Acceptable references indicate acceptable performance on past projects M = Marginal references indicate marginal performance on past projects U = Unacceptable references indicate unacceptable performance on past projects N = Neutral no performance information was provided or available
1. QUALITY: (circle applicable rating)
a. Conformance with contract requirements E G A M U N
b. Quality of workmanship (including subcontractors) E G A M U N
c. General oversight by project manager and superintendent E G A M U N
d. Coordination with and control of subcontractors E G A M U N
e. Compliance with Davis-Bacon wage rate and labor usage requirements E G A M U N
f. Avoidance of accidents/safety violations E G A M U N
2. TIMELINESS:
a. Adherence to project delivery schedules E G A M U N
b. Submission of change proposals E G A M U N
c. Response to technical direction and change orders E G A M U N
d. Response to correction of identified problems E G A M U N
e. Submission of timely/accurate/complete billings E G A M U N
f. Submission of materials/other submittals E G A M U N
3. BUSINESS RELATIONS:
a. Flexibility and cooperativeness in resolving problems E G A M U N
b. Tenacity and innovativeness in resolving problems E G A M U N
c. Relationships with subcontractors, including prompt payment E G A M U N
d. End user was satisfied with services performed E G A M U N
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