B08_Attachment_7_Past_Performance_Questionnaire.doc

DOC document 94 KB Posted

Attached to
NOCA - EROSION BARGE WITH CRANE PURCHASE Federal contract opportunity
Solicitation number
140P8325Q0002
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document is a Past Performance Questionnaire (PPQ) related to RFQ #140P8325Q0002 for the purchase of an erosion barge with crane by the National Park Service, North Cascades National Park. The questionnaire requests the reference evaluator to provide ratings and comments on the offeror's performance in areas such as relationship with the client, overall management, quality control, ability to meet schedule, and customer satisfaction. The reference is also asked whether they would award another contract to the evaluated firm and if the firm was provided an opportunity to discuss any negative comments or ratings. The overall rating for the firm's performance is also requested. The related federal contract opportunity is for the design and manufacture of a barge and crane package to be used as an erosion control work platform on Ross Lake.

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Text version

Past Performance Questionnaire (PPQ)

RFQ #140P8325Q0002 - NOCA - EROSION BARGE WITH CRANE PURCHASE

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.

Firm Information

Project Title:

Location:

Description:

Company Name:
Contract Number:
Start Date:
Completion Date:
Initial Amount:
Final Amount:

Reference

Evaluator Name:
Company/Agency Name:
Address:
POC Email:

Position Held or Function in Relation to Project:

Ratings Overview

Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“O”
Outstanding
Performance greatly exceeded the contract requirements.
“A”
Above Average
Performance exceeded the contract requirements.
“S”
Satisfactory
Performance met the contract requirements.
“M”
Marginal
Performance met the minimum contract requirements but

Some material aspects of the contractor’s performance were less than satisfactory.

“U”
Unacceptable
Performance was poor and/or did not satisfy contract requirements.

Questionnaire

Please select the appropriate rating and provide supporting information for the following questions.

1. The relationship between the company and client’s/customer’s contract team:
O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

FORMCHECKBOX

2. Overall corporate management, integrity, reasonableness, and cooperative conduct:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

3. Quality control:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

4. Ability to meet the performance schedule:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes

FORMCHECKBOX

No

6. Would you award another contract to the company being evaluated? If no, please explain:

Yes

No

7. Was the customer satisfied with the final product and services? If no, please explain:
Yes

No

8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?

Yes

FORMCHECKBOX

No

9. Overall Rating

O

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

10. Comments

Signatures

Name
Date:

Signature

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