J_6_Past_Performance_Questionnaire.pdf

PDF 728 KB Posted

Attached to
Kachess Dam Modification Phase 3 Yakima Project Federal contract opportunity
Solicitation number
140R1024R0002
Issued by
Department of the Interior Bureau of Reclamation

About this file

This document contains a past performance questionnaire template for a firm fixed price contract to modify Kachess Dam in Washington state. The Bureau of Reclamation Columbia-Pacific Northwest Regional Office is soliciting past performance information from references on Solicitation 140R1024R0002 for the Kachess Dam Modification Phase 3 Yakima Project. Respondents are asked to provide ratings and comments on the prime contractor or subcontractor's performance on similar past contracts over the past three years relating to quality, schedule, cost control, business relations, and management. Completed questionnaires must be sent directly to the contracting officer by the specified due date to be considered in the source selection process.

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Text version

PPQ-1

PAST PERFORMANCE QUESTIONNAIRE

Offerors are required to send the attached Past Performance Questionnaire (pages PPQ-2 through PPQ-5) to a minimum of three Federal Government clients for whom it has performed similar services in the past three years. If no Federal Government clients, then State and Local Government, then private concerns.

Completed Past Performance Questionnaires must be sent directly to the Contracting Officer by the individuals who completed the forms. They are not to be submitted with your technical proposal.

PPQ-2

Solicitation No.:

Solicitation Title:

Contractor Being Evaluated: ____________________________________________________________

Submitting Proposal as (select one) Prime Contractor Subcontractor

If submitting as Subcontractor, your prime contractor is _______________________________________

I. Background

The purpose of this questionnaire is to obtain past performance information relative to contracts that have previously be completed or are currently being performed by the contractor identified above. The company is a potential source for performing a Firm Fixed Price contract.

II. Instructions

Please complete the questionnaire based on the following guidance:

A. Handwritten responses are sufficient.

B. Please provide comments for all questions in which an Unsatisfactory, Marginal or Satisfactory rating is given and as appropriate for all other answers. Space for your comments is provided in each area. If more space is needed, attach additional sheets to the end of the questionnaire and reference the respective question.

C. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. In addition to completing the attached questionnaire for the program, we solicit your comments on other similar programs for which your office has contract with the contractor.

D. PLEASE SUBMIT YOUR COMPLETED QUESTIONNAIRE DIRECTLY TO:

U.S. BUREAU OF RECLAMATION

COLUMBIA-PACIFIC NORTHWEST REGIONAL OFFICE

ATTN: LANCE FLEMING

EMAIL – lfleming@usbr.gov

YOUR ASSISTANCE IN EVALUATING THE CONTRACTOR’S PAST

PERFORMANCE IS APPRECIATED. OUR GOAL IS TO SELECT THE BEST VALUE

TO THE GOVERNMENT. YOUR PAST PERFORMANCE EVALUATION IS A

CONSIDERATION IN DETERMINING THE BEST VALUE.

PAST PERFORMANCE QUESTIONNAIRE

140R1024R0002

Kachess Dam Modification Phase 3

PPQ-6

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Contractor Being Evaluated:
Prime Contractor: Off
Subcontractor: Off
If submitting as Subcontractor your prime contractor is:
B Federal AgencyOwner:
A Contractor being evaluated 1:
A Contractor being evaluated 2:
D Estimated Contract Amount:
F Describe Product Acquired:
E Period of Performance 1:
E Period of Performance 2:
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0Poor_3:
Comments:
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9 Were any cure or delinquency notices issued If so please explain:
Coonment:
Commens:
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