PAST_PERFORMANCE_QUESTIONNAIRE.docx
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- Attached to
- Repair of Failed Wall - McDowell Road Fort Mason
- Solicitation number
- P15PS01955
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Past Performance Questionnaire
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PAST PERFORMANCE QUESTIONNAIRE
(OFFEROR TO COMPLETE SECTIONS I AND II - REFERENCE TO COMPLETE SECTIONS III AND IV - REFERENCE TO SUBMIT COMPLETED FORM TO CONTRACTING OFFICER)
I. CONTRACT IDENTIFICATION
CONTRACTOR OR SUBCONTRACTOR NAME:
CONTRACT NO:
CONTRACTOR OR SUBCONTRACTOR ADDRESS:
CONTRACT TYPE:
|_| FIRM-FIXED-PRICE
|_| COST REIMBURSEMENT
|_| OTHER: (specify)
|_| ACTIVE |_| COMPLETED
|_| ROUTINE |_| COMPLEX
DATES OF PERFORMANCE:
AWARD AMOUNT: $
TOTAL WITH MODS $
PROJECT DESCRIPTION:
II. AGENCY (CUSTOMER) IDENTIFICATION
AGENCY (CUSTOMER) NAME:
POC 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 |
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. 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. End user was satisfied with services performed |
| E G S M U |
IV. COMMENTS
Required for ratings of C (Considerably Surpassed Requirements) or D (Did Not Meet Requirements)
| Item No. |
| Comment |
| Technical Evaluation Panel Member: |
| Date: |
P15PS01955 PMIS: 173060
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