Attachment_4_V2_21_Mar.xlsx

XLSX spreadsheet 18 KB Posted

Attached to
Base Civil Engineer Services Federal contract opportunity
Solicitation number
FA4814-16-R-0005
Issued by
Department of the Air Force Air Mobility Command

About this file

From the source

Attachment 4 V2

View the file

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PS Form

Past Performance Being Evaluated: To Be Completed by Offeror
Performance Task Area:
Performance Rating:
Performance Task Description:
Performance Location:
Contract Title Performance was Accomplished Under:
Contract/Project # Performance was Accomplished Under:
Contract Award Cost:
Contract Award Date:
Contract Completion Date:
Prime Contractor:
Customer Rep Name:
Customer Rep phone #:
Customer Rep email:
Past Performance : To Be Completed by Customer
Customer Rep Name:
Customer Rep phone #:
Customer Rep email:
ExceptionalVery GoodSatisfactoryMarginalNot Satisfactory
Quality of Service
(1) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship
(2) The Contractor provided full staffing with qualified personnel appropriate to the effort performed
(3) The Contractor provided equipment, and materials that were appropriate to the effort performed
Overall Quality of Service Rating
Management
The Contractor had control of the work site and his subcontractor at all times
The Contractors on site manager ensured all his the activities were well managed and met Gov Standards
The Contractors Site manager addressed any issues in a timely manner
The Contractor was cooperative in addressing issues and worked well with the government, subcontractors, other contractors not under his/her control, and customers.
Overall Management Rating
Quality
The CTR followed his companies QC plan
The CTR had the design drawing/specifications on hand at the job site
The CTR followed the design drawing/specifications or formally requested a deviation in writing before using an alternate approach
The CTR ensured all work was accomplished to industry standard or better
The CTR self identified work that did not meet standard and corrected it without government direction
Overall Quality Rating
Schedule
The CTR met the schedule to design and construct the project
Overall Schedule Rating
Cost
The CTR did not submit extraneous claims for additional compensation
The CTR fairly priced any modifications
Overall Cost Rating
Communications
The CTR outlined his schedule in advance and kept the customer and inspector updated on activities
The CTR identified any foreseeable issues with the customer and the government in advance
The CTR was open and honest in communications
The CTR answered questions in a timely manner
Overall Communications Rating
Safety
The CTR carefully followed all safety regulations
The CTR kept a clean and organized work site
Overall Safety Rating
Environmental
The CTR ensured his work was conducted in accordance with all environmental laws and regulations
Overall Project Execution Rating
Additional Comments:

&"Arial Black,Regular"&14Client Customer Feedback Survey

PS Sample

Past Performance Being Evaluated: To Be Completed by Offeror
Performance Task Area:

Performance Task Description:

Performance Location:
Contract Title Performance was Accomplished Under:
Contract/Project # Performance was Accomplished Under:
Contract Award Cost:
Contract Award Date:
Contract Completion Date:
Prime Contractor:
Customer Rep Name:
Customer Rep phone #:
Customer Rep email:
Past Performance : To Be Completed by Customer
Customer Rep Name:
Customer Rep phone #:
Customer Rep email:
ExceptionalVery GoodSatisfactoryMarginalNot Satisfactory
Quality of Service
(1) The Contractor provided a product or service that conformed to contract requirements, specifications, and standards of good workmanship
(2) The Contractor provided full staffing with qualified personnel appropriate to the effort performed
(3) The Contractor provided equipment, and materials that were appropriate to the effort performed
Overall Quality of Service Rating
Management
The Contractor had control of the work site and his subcontractor at all times
The Contractors on site manager ensured all his the activities were well managed and met Gov Standards
The Contractors Site manager addressed any issues in a timely manner
The Contractor was cooperative in addressing issues and worked well with the government, subcontractors, other contractors not under his/her control, and customers.
Overall Management Rating
Quality
The CTR followed his companies QC plan
The CTR had the design drawing/specifications on hand at the job site
The CTR followed the design drawing/specifications or formally requested a deviation in writing before using an alternate approach
The CTR ensured all work was accomplished to industry standard or better
The CTR self identified work that did not meet standard and corrected it without government direction
Overall Quality Rating
Schedule
The CTR met the schedule to design and construct the project
Overall Schedule Rating
Cost
The CTR did not submit extraneous claims for additional compensation
The CTR fairly priced any modifications
Overall Cost Rating
Communications
The CTR outlined his schedule in advance and kept the customer and inspector updated on activities
The CTR identified any foreseeable issues with the customer and the government in advance
The CTR was open and honest in communications
The CTR answered questions in a timely manner
Overall Communications Rating
Safety
The CTR carefully followed all safety regulations
The CTR kept a clean and organized work site
Overall Safety Rating
Environmental
The CTR ensured his work was conducted in accordance with all environmental laws and regulations
Overall Project Execution Rating
Additional Comments:

Sheet3

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