Past_Performance_Questionnaire.doc
DOC document 55 KB Posted
- Attached to
- STARR SPRINGS CAMPGROUND IMPROVEMENTS Federal contract opportunity
- Solicitation number
- L15PS00561
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Past Performance Questionnaire
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| L15PS00561_-_Clauses_ _Provisions_Final.docx | DOCX document | |
| Specifications_-_Starr_Springs.pdf | ||
| Plans_-_Starr_Springs.pdf |
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PAST PERFORMANCE QUESTIONNAIRE
Solicitation#L15PS00561 – Starr Springs Campground Please complete this Questionnaire and e-mail or fax to Contract Specialist, e-mail: lgunn@blm.gov FAX: 435-865-3099
We are currently in the process of preparing our quote for the Bureau of Land Management, Solicitation Number L15PS00561. As part of our quote, we have listed you as a reference on our performance for this type of work. Your input on our performance is therefore requested.
Please complete this Questionnaire and e-mail or fax to Contract Specialist, Leslie Gunn, at lgunn@blm.gov or Attn: Leslie Gunn at 435-865-3099. Questionnaire is due to Leslie Gunn no later than 5:00 pm on Wednesday, August 5, 2015.
Thank you.
Name of Contractor: ___________________________________ I. Current or Historical Contract Information
CONTRACT REFERENCED:
1. Contract or Identifying Number: ________________________________________________
2. Contract Value: _____________________________________________________________
3. Period of Performance: ______________________________________________________________________________
4. Brief description of items provided:
5. Name of Person Completing Questionnaire: _______________________________________ Agency/Company: ____________________________________________________________ Title: __________________________________ Phone: _____________________________
E-mail: _____________________________________________________________________ II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.
Evaluation Definitions – The following definitions should be used in the assessment of Contractor performance:
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
Question 1: What is your assessment of the Contractor’s ability to meet your requirements?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Performance
Comments, if any:
Questions 2: What is your assessment of the Contractor’s ability to provide products in a timely manner?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Timeliness
Question 3: What is your assessment of the Contractor’s overall quality of work?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Quality of Work
Question 4: What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Overall Work
PAGE
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