B08_Attachment_7_Past_Performance_Questionnaire.docx

DOCX document 48 KB Posted

Attached to
INSTALL OF NEW AUTOMATIC SECURITY GATE Federal contract opportunity
Solicitation number
140G0124Q0164
Issued by
Department of the Interior US Geological Survey Office of Acquisitions and Grants

About this file

The document is a Past Performance Questionnaire that is to be completed by the client or government agency references of the offeror. It requests information on the contractor's performance, including quality of services, personnel, subcontractor management, business relations, timeliness, customer satisfaction, and financial controls. The questionnaire provides rating guidelines for evaluating the contractor's performance in these areas.

The related federal contract opportunity is for the installation of new automatic security gates, compatible card readers, vehicle sensing loops, and other applicable hardware/software at the U.S. Geological Survey's Eastern Ecological Science Center in Laurel, MD. The project is estimated to be between $250,000 and $350,000 and is set aside for small businesses. The NAICS code is 238990 with a size standard of $15.0 million. A site visit may be arranged, and the deadline for quote packages is June 28, 2024, with questions due by June 21, 2024. The award will be made to the offer that provides the best value to the government, considering past performance equal to price.

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Text version

OFFEROR: SUBMIT TO YOUR COMMERCIAL CLIENT OR GOVERNMENT AGENCY REFERENCES FOR PAST PERFORMANCE

PAST PERFORMANCE QUESTIONNAIRE

TO BE COMPLETED BY COMMERCIAL CLIENT'S TECHNICAL MANAGER or BUSINESS MANAGER or AGENCY'S CONTRACTING OFFICER REPRESENTATIVE (COR) or CONTRACTING OFFICER (CO) Please forward completed Past Performance Questionnaire to Dayna Parkin, Contracting Officer, at dparkin@usgs.gov. Please ensure delivery no later than close of business on August 13, 2019

1. Contractor Name:
2. Contract Number:
3. Contractor Address:
4. Contract Type:

____ Fixed-Price ____ Cost-Reimbursement ____ Other (Please Specify) ____________________

5. Client / Agency Name:

Address:

6. Client / Agency Point of Contact:

Name:

Title:

Phone:

E-mail Address:

7. Period of Performance:
8. Total Contract Value: $

9. Title of Project:

10. Please describe the work that was accomplished focusing on the scope and complexity of the work.:

11. Please describe whether the work was defined by the owner via a specification, statement of work, statement of objectives, partial/complete design document.

12. Did the Contractor encounter any noteworthy problems performing work? ________ If so, Please explain:

NOTE: Please use adjectival ratings from attached sheet

13. Evaluation Factor
14. Comments (Attach additional sheets, if necessary.)
15. Rating

a. Quality of Services Received

b. Personnel

c. Subcontractor Mgmt

d. Business Relations

e. Timeliness of Performance

f. Customer Satisfaction

g. Financial Controls

16. Would you select this firm in the future for the same or similar services? Please explain.

17a. Name of Preparer:
17b. Signature:
17c. Title:
17d. Date:

PAST PERFORMANCE RATING GUIDELINES

Summarize contractor performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, or Excellent. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”

Ratings
Quality of Services Received / Personnel

-Compliance w/contract requirements -Effectiveness of design -Quality of construction -Accuracy of reports -Appropriateness of personnel assignments -Technical excellence

Financial Controls

-Within budget -Current, accurate, complete billings -Relationship of negotiated prices to actual -Efficiencies -Change orders issued Timeliness of Performance

-Met interim milestones -Reliable -Responsive to technical direction -Completed on time Business Relations / Subcontractor Management

-Effective on-site management and personnel -Businesslike correspondence -Responsive to contract requirements -Prompt notification of problems -Reasonable / cooperative -Flexible -Proactive -Effective Small Business Subcontracting Program

Excellent
There were no quality problems
There were no Financial issues
There were no delays
Business relations and interaction were highly effective

Very Good

Any nonconformance experienced did not impact achievement of contract requirements Financial issues did not impact achievement of contract requirements Delays did not impact achievement of contract requirements

Business relations and interaction were usually effective

Satisfactory

Nonconformance required moderate agency involvement to ensure achievement of contract requirements

Financial issues required moderate agency involvement to ensure achievement of contract requirements
Delays required moderate agency involvement to ensure achievement of contract requirements

Business relations and interaction were somewhat effective

Marginal

Nonconformance required major agency involvement to ensure achievement of contract requirements

Financial issues required major agency involvement to ensure achievement of contract requirements
Delays required major agency involvement to ensure achievement of contract requirements

Business relations and interaction were marginally effective

Unsatisfactory
Nonconformance

compromised the achievement of contract requirements Financial issues compromised performance

Delays compromised achievement of contract requirements
Business relations and interaction were not effective and compromised achievement of contract requirements

G14PS000

Attachment H Past Performance Questionnaire

140G0124Q0164 Attachment E Past Performance Questionnaire

File details come from the government source that posted it. Updated .