Attachment 5 - PP Questionnaire.docx

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WATER AND WASTEWATER TREATMENT PLANT OPERATIONS
Solicitation number
HSCEDM-12-R-00011
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Attachment 5 - Past Performance Questionnaire

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HSCEDM-12-R-00011 Questions —
HSCEDM-12-R-00011 Questions.docx DOCX document
Attachment 3 - QASP.docx DOCX document
Attachment 1 - PWS.docx DOCX document
Attachment 2 - Permit.pdf PDF
Attachment 4 - DOL Wage Determination.pdf PDF

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SOLICITATION - HSCEDM-12-R-00011

ATTACHMENT 5 - PAST PERFORMANCE QUESTIONNAIRE

I.CONTRACT IDENTIFICATION
A.CONTRACTOR_____________________________________________
B.CONTRACT NO._____________________________________________
C.CONTRACT TYPE_____________________________________________
D.PERIOD OF PERFORMANCE_____________________________________
E.ACTUAL OR ESTIMATED

CONTRACT TOTAL _____________________________________________

(Including all possible option periods)

F. DESCRIPTION OF REQUIREMENT ________________________________

II. AGENCY IDENTIFICATION

NAME OF GOVERNMENT ACTIVITY

(Include point of contact/phone #/ fax #/address)

III. ASSESSMENT OF CONTRACTOR PERFORMANCE

Please rate the contractor’s performance in the following categories on a scale of 0 to 5 as follows:

0 = Unsatisfactory 1 = Marginal 2 = Satisfactory 3 = Good 4 = Very Good 5 = Excellent Also, please provide an explanation in support of each rating in the space provided.

A.QUALITY OF SERVICE: Please rate/explain the quality of the contractor’s service; were they any major work issues.
0 1 2 3 4 5 (Circle one)
B.TIMELINESS OF PERFORMANCE: Please rate/explain the timeliness of the contractor’s performance, adherence to contract schedules, including completing work efforts and reports on time.
0 1 2 3 4 5 (Circle one)

C. BUSINESS RELATIONS: Please rate/explain the contractor’s management abilities relative to its use of personnel and subcontractors to meet the requirement, cooperation of personnel and subcontractors during performance, turnover of personnel and subcontractors, ability to solve performance problems.

0 1 2 3 4 5 (Circle one)

D.COMMITMENT TO CUSTOMER SATISFACTION: Please rate/explain the contractor’s communications with the Government staff, response to technical directions, maintenance and reporting of problems, effectiveness of contractor interface with Government staff.
0 1 2 3 4 5 (Circle one)

E. COST CONTROL: Please rate/explain the contractor’s cost control capabilities and accuracy of any projected cost changes. 0 1 2 3 4 5 (Circle one) F. TECHNOLOGY: Please rate/explain the contractor’s manner and effectiveness in ensuring that information technology systems kept pace with leading edge technology.

0 1 2 3 4 5 (Circle one) G. INNOVATION: Did this contract require the contractor to use innovative technical approaches? YES NO (Circle) Additional information or comments: _________________________________ H. Would you recommend selection of this contractor again? YES NO (Circle) Additional information or comments: _________________________________

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