S08_0040264523_Attachment_4_Past_Performance_Questionaire.pdf

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

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

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

(3) Title of Project/Contract Number: ________________________________________________________

(4) Description of Work:

(5) Complexity of Work: High________Medium_________ Routine___________

(6) Location of Work: ____________________________________________________________________

(7) Date of Award: _____________________________________________________________________

(8) Status: Active___________(Provide percent complete) Complete_________(Provide completion date)

(9) Name and telephone number of Owner’s Technical Representative:

QUALITY OF PRODUCT/SERVICE:

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

Excellent Good Satisfactory Marginal Unsatisfactory

Remarks:

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

Excellent Good Satisfactory Marginal Unsatisfactory

(12) To what extent was the contractor able to solve contract performance problems without extensive guidance from other counterparts?

Excellent Good Satisfactory Marginal Unsatisfactory

Remarks:

(13) How well did the contractor manage and coordinate subcontractors, supplies, and the labor force?

Excellent Good Satisfactory Marginal Unsatisfactory

Remarks:

CUSTOMER SATISFACTION:

(14) To what extent were the end users satisfied with:

TIMELINESS OF PERFORMANCE:

(15) To what extent did the contractor meet the required schedules?

(16) If given the opportunity, would you work with this contractor again?

Yes___________ No_______________ Not Sure___________

Other Remarks:

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

Quality Cost Schedule

Exceptionally Satisfied

Highly Satisfied

Satisfied

Somewhat Dissatisfied

Highly Dissatisfied

(17) 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:

Email: wendy_williams@nps.gov mailto:sherry_packard@nps.gov