Attch 4 Past Performance Questionnaire Cathodic.docx
DOCX document 28 KB Posted
- Attached to
- Install Cathodic Telemetry Water Tanks Basewide Hurlburt Field Federal contract opportunity
- Solicitation number
- FA4417-11-R-0033
About this file
FA4417-11-R-0033 Attch 4 Past Performance Questionnaire Cathodic Telementry
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RESPONSES FOR CATHODIC TELEMENTRY.docx | DOCX document | |
| E4 - REVISED.pdf | ||
| FA4417-11-R-0033 - 0001.doc | DOC document | |
| E9 - REVISED.pdf | ||
| Site Visit Sign in Sheet and MFR FA4417-11-R-0033 Cathodic Telementry.pdf | ||
| Attch 2 Drawings Cathodic.pdf | ||
| Attch_5 _Financial_Institution_Ref_Sheet Cathodic.docx | DOCX document | |
| FA4417-11-R-0033 Solicitation Cathodic.pdf | ||
| Attch 1 Specifications Cathodic.pdf | ||
| Attch 3 Schedule of Wage Rates Cathodic.pdf |
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ATTACHMENT 4
FA4417-11-R-0033
Past/Present Performance Questionnaire
SECTION A: CONTRACTOR INFORMATION
1. Contractor’s Name and Address:
2. Point of Contact:
3. Phone Number:
4. Contract Number:
Contract Type:
5. Project Title:
6. Period of Performance:
SECTION B: RESPONDENT INFORMATION (To Be Completed By Evaluation Respondent)
1. Respondent’s Company Name & Address:
2. Respondent’s Name:
3. Phone Number:
Fax Number:
E-Mail:
4. Contract Number:
Contract Type:
5. Award Amount:
Final Amount:
6. Project Title:
7. Period of Performance:
C. FAX or Email COMPLETED QUESTIONNAIRE FORM TO: 1st Special Operations Contracting Squadron/LGCB, 350 Tully St, Bldg 90339, Hulburt Field, FL 32544-5810, Attention: Mary Hallmon, FAX : (850) 884-2041. mary.hallmon@hurlburt.af.mil
THIS FORM MUST BE RETURNED NO LATER THAN: The closing date and time of the solicitation.
D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| Unsatisfactory |
| Marginal |
| None |
| Satisfactory |
| Very Good |
| Exceptional |
Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.
| Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective. |
| No record of past performance or the record is inconclusive. |
| Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. |
| Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner. |
| Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner |
1. Developed realistic progress schedules and completed the project within 1 2 3 4 5 6 N/A the established schedule.
COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________
2. Provided experienced superintendent, managers, and supervisors, with 1 2 3 4 5 6 N/A the technical and administrative abilities to meet requirements.
COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________
3. Adequately controlled performance of subcontractors. 1 2 3 4 5 6 N/A COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________
4. Provided effective quality control which resulted in a quality finished product. 1 2 3 4 5 6 N/A COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________
5. Provided submittals in a timely manner. Submittals were 1 2 3 4 5 6 N/A well researched and clearly identified the proposed item.
COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________
6. Identified problems as they occurred. Suggested approaches to resolving problems. 1 2 3 4 5 6 N/A Displayed initiative and cooperation in solving problems. Provided adequate information and pricing for change orders and negotiated them in good faith.
COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________
7. Provided timely resolution of punch list items and closeout documentation. 1 2 3 4 5 6 N/A COMMENTS/REMARKS:__________________________________________________________________________________________________________________________________________________
8. Was the contractor assessed liquidated damages? YES NO (If Yes, briefly explain the circumstances)
9. Based on the contractor’s overall performance, would you rehire this contractor? YES NO
OVERALL PERFORMANCE RATING ___________________________________________________
Signature of Rater: ________________________________________________________ Date: ________________
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