Past_performance_Questionnaire_021117.docx

OFFEROR’S PAST PERFORMANCE FORM

NAME OF OFFEROR:

ADDRESS:

PHONE NUMBER INCLUDING AREA CODE:

Contract Information:

a. Contract Title and Location:

b. Client Agency/Company Name and Address:

c. Contract Information:

Contract Number: ________________________________________ Contract Type: ________________________________________ Contract Award Date: ________________________________________ Completion Date: ____________________________________________ Contract Cost at Award: _______________________________ Final Contract Cost at Completion: _______________________________ Annual Cost: _______________________________ Annual Level of Effort Provided: _______________________________

1. Provide a brief description of differences in original completion date and cost relative to final completion date and cost, if any exist:

2. Provide a description of the Quality of Service provided. Offeror to exhibit performance of qualified, experienced individuals in performance of the work. Quality assurance methods to attain or surpass defined project standards shall be discussed. Consistency in usage of quality assurance tools and methods will be considered.

3. Provide a description of the Timeliness of Performance: Offeror to exhibit examples of controlling activities to ensure timeliness and schedule adherence. All aspects of timeliness throughout the project will be considered.

4. Provide a description of the Business relations: Offeror to demonstrate understanding of the team needs and importance of customer goals. Cooperation and good working relationships maintained through all phases of a project will be considered. Offeror to demonstrate corrective actions taken to solve problems encountered during the course of a project, as well as resolution of project team disputes facilitated by the Offeror.

5. Provide description of Cost Control: Offeror to demonstrate how project budgets were controlled during the planning and design phases. Offeror to illustrate reasonableness of project change orders during the life of the contract and how the controls were implemented to attain this Forecasting, managing and controlling contract costs are elements of this subfactor. Expeditious review of contractor price proposals and response to requests for information should be demonstrated.

6. Indicate if the experience was as a prime or subcontractor. If experience was as a subcontractor, give name, telephone number and point of contact for prime contractor:

7. Provide point of contact, title and current phone number of client/end user who has firsthand knowledge of your performance on this project.