pastperformancesurvey.pdf

Source Selection Plan Template Attachment 4-4: TET Individual Evaluator Rating Sheet

PAST PERFORMANCE/PRIOR EXPERIENCE REFERENCE QUESTIONNAIRE

Item Requested Information Information Provided by Reference

A. Contractor Firm’s Name

Contractor Address

B. Contract Number

Task Order Number

Prime/Subcontractor [ ] Prime [ ] Subcontractor

If Subcontractor, Prime Contractor Name

C. Contract Type [ ] Competitive [ ] Sole Source

[ ] IDIQ Task Order [ ] Other:

[ ] Fixed Unit Price [ ] T&M/LH or Cost Reimbursement D. Task Order Type [ ] Fixed Price (Lump Sum) [ ] T&M/LH or Cost Reimbursement

E. Initial Performance Dates From: To:

Extensions From: To:

F. Initial Costs $

Equitable Price Adjustments $

Total $

G. Contract/Order Canceled Prior to Scheduled Completion Date?

[ ] Yes: [ ] Termination for Convenience or [ ] Default [ ] No

H. Brief Description of Project/Work (Attach additional pages if necessary)

I. Reference Organization / Agency Name

J. Reference Provider’s Name

Title

Address

Telephone

Email Address

Role in acquisition process

PAST PERFORMANCE/PRIOR EXPERIENCE REFERENCE QUESTIONNAIRE

Item Requested Information Information Provided by Reference

Extent of contact with vendor personnel (e.g.

Daily, weekly, etc.)

K. Reference Performance Questions

See Attached Customer Satisfaction Survey

L. Comments (Attach additional pages as necessary)

M. Customer Signature

Date Signed

CUSTOMER SATISFACTION SURVEY

Item How do you rate the Vendor? Excellent Very

Good Satisfactory Marginal Poor

a. What is the overall customer satisfaction?

b. How would you rate the quality control of design and construction and experience and capability utilizing BIM?

c. What was the level of responsiveness to the clients and needs and expectations?

d. How would you rate the professional technical capabilities?

e. What was the level of communications?

f. Was there effectiveness in forecasting and controlling costs?

g. What was the level of accuracy in forecasting and controlling schedules and experience/capability utilizing Primavera?

h Was the project staffed with competent staff?

i. How well did the contractor coordinate with and manage its subcontractors?

j. How successful was the contractor in resolving any problems encountered on the project?

Other comments:______________________________________________________________