Past_performance_questionnaire.docx

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

1. Contractor/Name & Address (City and State):

1. Type of Contract: Fixed Price_______ Cost Reimbursement________Other (Specify)_______________

1. Title of Project/Contract Number: ________________________________________________________

1. Description of Work: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Complexity of Work: High________Medium_________ Routine___________

1. Location of Work: ____________________________________________________________________

1. Date of Award: _____________________________________________________________________

1. Status: Active___________(Provide percent complete) Complete_________(Provide completion date)

1. Name and telephone number of Owner’s Technical Representative: _______________________________________________________________________________________

QUALITY OF PRODUCT/SERVICE:

1. Evaluate the contractor’s performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

Excellent

Good

Satisfactory

Marginal

Unsatisfactory

Remarks:

1. To what extent were the contractor’s reports and documentation accurate, complete and submitted in a timely manner?

Excellent

Good

Satisfactory

Marginal

Unsatisfactory

1. To what extent was the contractor able to solve contract performance problems without extensive guidance from other counterparts?

Excellent

Good

Satisfactory

Marginal

Unsatisfactory

1. How well did the contractor manage and coordinate subcontractors, supplies, and the labor force?

Excellent

Good

Satisfactory

Marginal

Unsatisfactory

CUSTOMER SATISFACTION:

1. To what extent were the end users satisfied with:

Completed Substantially Ahead of Schedule

Completed on Schedule with no Time Delays

Competed on Schedule with Minor Delays Under Extenuation Circumstances

Experienced Significant Delays without Justification

TIMELINESS OF PERFORMANCE:

1. To what extent did the contractor meet the required schedules?

Exceptionally Satisfied

Highly Satisfied

Satisfied

Somewhat Dissatisfied

Highly Dissatisfied

1. If given the opportunity, would you work with this contractor again?

Yes___________ No_______________ Not Sure___________ Other Remarks:

1. Use the space below to provide other information related to the contractor’s performance. This may include the contractor’s selection and management of subcontractors, flexibility in dealing with contract challenges, their overall concern for the Owner’s interest, project awards received, etc.

Remarks: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Send completed form to:

OR

Email: Amanda_jordan@nps.gov

OR

FAX 907-644-3802