Past_Performance_Survey.doc

HSCG84-14-R-QAU002

Facility HVAC and Mechanical Maintenance

Amendment A00002

TRACEN Petaluma and CAMSPAC

PAST PERFORMANCE QUESTIONNAIRE

Solicitation: HSCG84-14-R-QAU002

NAME OF CONTRACTOR REQUESTING THE REFERENCE:

The purpose of this questionnaire is to obtain information regarding the quality of the above named Contractor’s past performance relative to a contract, completed or in progress, at your company/agency. The U.S. Coast Guard is considering this Contractor for HVAC and Mechanical Maintenance Services at U.S. Coast Guard Training Center Petaluma. We would greatly appreciate your input regarding the quality of the Contractor’s past performance.

Handwritten responses are sufficient. It is requested that the individual(s) responsible for the administrative oversight of the project (e.g. facility engineer, COR, COTR, etc.) respond to this questionnaire. More than one copy of the questionnaire may be submitted if responses from more than one individual are appropriate.

Upon completion of the survey, please email to susan.b.lawson@uscg.mil. If you have any questions, please call Susan Lawson at 510-437-5942. We appreciate your efforts on our behalf.

CONTRACT NO. OR PROJECT TITLE:

PERIOD OF PERFORMANCE TO INCLUDE ALL OPTION PERIODS:

TOTAL PROJECT VALUE TO INCLUDE ALL OPTION PERIODS:

Please provide a brief description of the scope of this project so that we determine any similarities to this contract:

QUESTIONS

Please provide your comments on the Contractor’s performance in the following areas:

1.

How consistent is the Contractor in providing sufficient staffing?

Comments: _______________________________________________________________________________________________________________________________________________________________________________________________________________

2.

How effective is the Contractor in identifying potential problems and resolving them on his own?

Comments:

3.

How effectively does the Contractor respond to problems presented to him by owner and tenant representatives?

Comments: _______________________________________________________________________________________________________________________________________________________________________________________________________________

4.

Discuss the Contractor’s quality control of the project.

Comments: _______________________________________________________________________________________________________________________________________________________________________________________________________________

5.

Discuss the Contractor’s overall management of the project Comments: _______________________________________________________________________________________________________________________________________________________________________________________________________________

6.

If you had a choice, would you hire this Contractor again? Why or why not?

7.

In summary, would you describe the quality of the Contractor’s services and overall performance as:

a.

Exceptional – Based on the contractor’s performance under this project, the level of risk associated with this vendor is substantially less than the level expected from a competent vendor.

b.

Satisfactory – Based on the contractor’s performance under this project, the level of risk associated with this vendor is no more than the level expected from a competent vendor.

c.

Unsatisfactory – Based on the contractor’s performance under this project, the level of risk associated with this vendor is greater than the level normally expected from a competent vendor.

Your Name:

Your Position:

Company:

Telephone No:

Fax:

E-mail address:

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