Attach_G_-_Past_Performance_Q's.docx

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Repair Water Main and Fire Suppression at Santa Rosa Island Tower
Solicitation number
FA282318R4011
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Attach G - Past Performance Questionnaire

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ATTACHMENT D

PAST PERFORMANCE QUESTIONNAIRE

Request for Proposal: FA2823-17-R-0004 Replace two 115KV Air Break Switches Bldg. 1751, FTFA 15-1188, Eglin AFB, FL 32542

1. Name of Contractor:

Contract or Identifying Number:

Title/Description of Contract:

2. Brief description of scope of work:

EVALUATION: Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

A. Did the contractor have any non-conformance issues? If so, what kind? ____________________________________________________________________________________

B. Did the contractor have adequate resources to complete the required performance? ____________________________________________________________________________________

C. Were there issues with the subcontractor’s testing lab and/or material suppliers? ____________________________________________________________________________________

D. Did the contractor submit required documents on time and answer questions in a timely manner? ____________________________________________________________________________________

AssessmentDefinition
Substantial Confidence (SC)
Based on the Offeror’s recent/relevant performance record, this customer has a high expectation that the Offeror will successfully perform the required effort for us again.

Satisfactory Confidence

(SAT)

Based on the Offeror’s recent/relevant performance record, this customer has a reasonable expectation that the Offeror will successfully perform the required effort for us again.

Limited Confidence

(LC)

Based on the Offeror’s recent/relevant performance record, this customer has a low expectation that the Offeror will successfully perform the required effort for us again.

No Confidence

(NC)

Based on the Offeror’s recent/relevant performance record, this customer has no expectation that the Offeror will successfully perform the required effort for us again.

Unknown Confidence (Neutral) (UC)
No recent/relevant performance record is available or the Offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned.

Based upon the assessment definitions above, indicate your assessment of the contractor’s performance on your contract described on Attachment A. Your assessment should consider the contractor’s performance in accordance with the contractual requirements. Circle all that apply.

CONTRACTOR’S NAME: __________________________ CONTRACT NO.: _______________________

01
Contractor developed realistic progress schedules & completed the project within the established schedule.
SC
SAT
LC
NC
UC
02
Contractor provided submittals in a timely manner. Submittals were well researched and clearly identified the proposed item.
SC
SAT
LC
NC
UC
03
Contractor provided timely and accurate payrolls with no known labor violations (Davis-Bacon Act) or labor claims.
SC
SAT
LC
NC
UC
04
Contractor provided experienced managers and supervisors, with the technical and administrative abilities needed to meet contract requirements.
SC
SAT
LC
NC
UC
05
Contractor hired quality subcontractors and effectively managed them.
SC
SAT
LC
NC
UC
06
Contractor identified problems as they occurred. Suggested approaches to problems. Displayed initiative and cooperation to solve problems. Provided adequate information and pricing for change orders and negotiated them in good faith.
SC
SAT
LC
NC
UC
07
Contractor provided effective quality control, which resulted in a quality-finished product.
SC
SAT
LC
NC
UC
08
Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain in comments section,
SC
SAT
LC
NC
UC
09
Would you hire this contractor again? If no, explain in comments section
SC
SAT
LC
NC
UC

OVERALL RATING: ______________________________

BRIEF EXPLANATION OF OVERALL RATING GIVEN:

ADDITIONAL COMMENTS

Name of Person Completing Evaluation:

Base/Company: Date:

Position Title/Grade: Phone:

Email: Fax:

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