Past Performance Questionnaire .docx

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Attached to
Structures, Hydraulics and Geotechnical Engineering Training
Solicitation number
DTFH61-11-R-00004
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Attachment C. Past Performance Questionnaire 2 pages

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File Type Posted
DTFH61-11-R-00004 - Amendment 2.pdf PDF
Amendment 1.docx DOCX document
http //www.nhi.fhwa.dot.gov/resources/docs/nhi_style_standards_guide_v_1_04_2009.pdf PDF
RFP - DTFH61-11-R-00004.docx DOCX document
RFP-DTFH61-11-R-00004- Price Template Attachment E.xlsx XLSX spreadsheet
http //www.fhwa.dot.gov/aaa/pdfs/frm4220_44.pdf PDF
sf33.pdf PDF
Synopsis.docx DOCX document

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Attachment C

Past Performance Questionnaire

To be completed by the reference and returned to the offeror in a sealed envelope for submission to the Government with their offer.

Offeror’s Name:________________________________________________

Solicitation: DTFH61-11-R-00004

Reference’s Name: ______________________________________________

Person/Point of Contact: ____________________________

Telephone: ________________E-Mail: ______________________________

Please rate the offeror in each of the following areas. Note there is room for comments where you deem favorable or negative remarks would be helpful to our evaluation.

LowHigh
1. Quality of Performance:
1
2
3
4
5

This area deals with compliance with contract requirements, use of appropriate staff, and technical excellence.

LowHigh
2. Timeliness of Performance:
1
2
3
4
5

This area deals with the contractor’s ability to meet milestones and delivery schedules. Includes responsiveness to technical direction and completion of efforts timely.

Low High
3. Price/Cost Control:
1
2
3
4
5

This area deals with the contractor’s ability to control costs during performance, including appropriate budgetary estimates, accurate billings, relationship of proposed, negotiated and actual costs; claims; change order issues.

LowHigh
4. Customer Satisfaction
1
2
3
4
5

This area deals with the contractor’s commitment to customer satisfaction and their cooperative and reasonable businesslike behavior. This includes effective management, responsiveness to contract requirements, honesty and integrity, prompt notification of problems, flexible and proactive qualities and effective subcontract selection and management.

General Information: Please provide answers to the following questions.

5. Has the contractor ever been given a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years? [ ] YES [ ] NO If yes, please explain.

6. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? [ ] YES [ ] NO If yes please explain.

7. Based on the contractor’s overall performance, would you award them another contract?

[ ] YES [ ] NO If no, please explain.

8. Have you discussed any adverse past performance problems with the contractor and given them an opportunity to comment? Do you file past performance information in a database that the Government’s Contracting Officer may search? Please explain.

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