Phase_1 _Past_Performance_Questionnaire.docx

DOCX document 24 KB Posted Jun 25, 2015

Attached to: GATE - 201049A, Sandy Hook Dispatch Center Replacement Federal contract opportunity
Solicitation number: P15PS00588
Issued by: Department of the Interior National Park Service National Office

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Phase 1 Past Performance Questionnaire

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Other files for this federal contract opportunity

Other files attached to GATE - 201049A, Sandy Hook Dispatch Center Replacement, newest first.
File	Type	Posted
Amendment__1 _201049A_Dispatch.doc	DOC document	Jul 9, 2015
Phase_2 _Draft_SF-1442.pdf	PDF	Jun 25, 2015
Request_for_Qualifications.doc	DOC document	Jun 25, 2015
Phase_2 _Draft_Clauses_ _Provisions.docx	DOCX document	Jun 25, 2015

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PHASE 1

PAST PERFORMANCE QUESTIONNAIRE

I. CONTRACT IDENTIFICATION

CONTRACTOR NAME:

CONTRACT NO:

CONTRACTOR ADDRESS:

CONTRACT TYPE:

[ ] FIRM-FIXED-PRICE

[ ] COST REIMBURSEMENT

[ ] OTHER____________________________

[ ] ACTIVE [ ] COMPLETED

[ ] ROUTINE [ ] COMPLEX

DATES OF PERFORMANCE:
AWARD AMOUNT	$___________________

TOTAL WITH MODS $___________________

PROJECT DESCRIPTION:

II. AGENCY (CUSTOMER) IDENTIFICATION

AGENCY/CLIENT (CUSTOMER) NAME:

TITLE/PHONE:

III. PAST PERFORMANCE RATING

Rating Scale:	E = Excellent. Considerably surpassed requirements/expectations.
G = Good. Surpassed requirements/expectations.
S = Satisfactory. Met requirements/expectations
M = Marginal. Met some requirements/expectations
U = Unsatisfactory. Did not meet requirements/expectations

1. QUALITY:

(Circle applicable rating)

a. Conformance with contract requirements
E	G	S	M	U

b. Quality of workmanship (including subcontractors)
E	G	S	M	U

c. General oversight by project manager and superintendent
E	G	S	M	U

d. Coordination with and control of subcontractors
E	G	S	M	U

e. Compliance with Davis-Bacon wage rate and labor usage requirements
E	G	S	M	U

f. Avoidance of accidents/safety violations
E	G	S	M	U

g. Ability to work in remote locations, if applicable
E	G	S	M	U

2. TIMELINESS:

a. Adherence to project delivery schedules
E	G	S	M	U

b. Submission of change proposals
E	G	S	M	U

c. Response to technical direction and change orders
E	G	S	M	U

d. Response to correction of identified problems
E	G	S	M	U

e. Submission of timely/accurate/complete billings
E	G	S	M	U

f. Ability to meet project schedule milestones
E	G	S	M	U

g. Submission of materials/other submittals
E	G	S	M	U

3. BUSINESS RELATIONS:

a. Flexibility and cooperativeness in resolving problems
E	G	S	M	U

b. Tenacity and innovativeness in resolving problems
E	G	S	M	U

c. Relationships with subcontractors, including prompt payment
E	G	S	M	U

d. Relationships with owner’s representative
E	G	S	M	U

e. End user was satisfied with services performed
E	G	S	M	U

IV. COMMENTS

Provide any additional comments for items in Section III

Item No.

Comment

POC SIGNATURE/DATE:

Please provide contact information where you may be reached during normal business hours:

File details come from the government source that posted it. Updated Nov 14, 2017.