Form B Past_Performance_Questionnaire.pdf
PDF 22 KB Posted
- Attached to
- Replace Security System: Maggie Walker Richmond VA Federal contract opportunity
- Solicitation number
- 140P4220R0034
About this file
This document contains a past performance questionnaire template for evaluation of contractors on prior federal contracts. The form requests identification of the contractor, contract number and type, award amount, project description, and agency customer details. It also includes a rating scale to evaluate quality, timeliness, and business relations on prior contracts. Quality criteria include conformance to requirements, workmanship, oversight, subcontractor coordination and compliance with labor laws. Timeliness criteria cover adherence to schedules, responsiveness, and timely submissions. Business relations criteria address flexibility, problem resolution, subcontractor relations, and end user satisfaction. Space is provided for additional comments.
The related federal opportunity is a solicitation to remove an existing security system and install a new fire and intrusion system, including monitoring equipment, at the Maggie Walker site in Richmond, Virginia for the National Park Service Northeast Region.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P4220R0034_Amd_0001.pdf | ||
| MAWA 215718 DRAWINGS 20-0504 FINAL.pdf | ||
| B03 DOL Wage Determination va7.txt | TXT text file | |
| MAWA 215718 SPECIFICATION 20-0504.pdf | ||
| FORM A.pdf | ||
| Sol_140P4220R0034.pdf |
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Text version
FORM B:PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offeror to complete Sections I and II and transmit questionnaire to reference listed in Section II Reference to complete Sections III and IV and transmit back to Contracting Officer (see contact information at bottom of form)
I. CONTRACT IDENTIFICATION
CONTRACTOR NAME: CONTRACT NO:
CONTRACTOR ADDRESS:
CONTRACT TYPE:
[ ] FIRM-FIXED-PRICE
[ ] COST REIMBURSEMENT
[ ] OTHER____________________________
[ ] ACTIVE [ ] COMPLETED
[ ] ROUTINE [ ] COMPLEX
DATES OF PERFORMANCE: AWARD AMOUNT $___________________
TOTAL WITH MODS $___________________
PROJECT DESCRIPTION:
II. AGENCY (CUSTOMER) IDENTIFICATION
AGENCY/CLIENT (CUSTOMER) NAME:
TITLE/PHONE:
III. PAST PERFORMANCE RATING
Rating Scale: E = Excellent. Considerably surpassed requirements/expectations.
G = Good. Surpassed requirements/expectations.
S = Satisfactory. Met requirements/expectations
M = Marginal. Met some requirements/expectations
U = Unsatisfactory. Did not meet requirements/expectations
1. QUALITY: (Circle applicable rating)
a. Conformance with contract requirements E G S M U
b. Quality of workmanship (including subcontractors) E G S M U
c. General oversight by project manager and superintendent E G S M U
d. Coordination with and control of subcontractors E G S M U
e. Compliance with Davis-Bacon wage rate and labor usage requirements
E G S M U
f. Avoidance of accidents/safety violations E G S M U
g. Ability to work in remote locations, if applicable E G S M U
2. TIMELINESS:
a. Adherence to project delivery schedules E G S M U
b. Submission of change proposals E G S M U
c. Response to technical direction and change orders E G S M U
d. Response to correction of identified problems E G S M U
e. Submission of timely/accurate/complete billings E G S M U
f. Ability to meet project schedule milestones E G S M U
g. Submission of materials/other submittals E G S M U
3. BUSINESS RELATIONS:
a. Flexibility and cooperativeness in resolving problems E G S M U
b. Tenacity and innovativeness in resolving problems E G S M U
c. Relationships with subcontractors, including prompt payment E G S M U
National Park Service Contact Information:
Contracting Officer:
Contract Specialist: Cary Atwood Cary_atwood@nps.gov
d. Relationships with owner’s representative E G S M U
e. End user was satisfied with services performed E G S M U
IV. COMMENTS
Provide any additional comments for items in Section III
Item No. Comment
POC SIGNATURE/DATE:
Please provide contact information where you may be reached during normal business hours:
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