ATT_2_PAST_PERFORMANCE_QUESTIONNAIRE.docx
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- Steel Bar Fabrication
- Solicitation number
- P17PS01286
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Past Performance Questionnaire
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PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offeror to complete Sections I and II and transmit questionnaire to reference listed in Section II Reference to complete Sections III and IV. The completed questionnaire shall be included in the Volume I submission by the offeror.
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 | $___________________ |
% SELF-PERFORMED ___________________
NOTE: Similar projects shall be greater than $500,000 and the contractor must have self-performed at 25% of the work.
PROJECT DESCRIPTION:
II. AGENCY (REFERENCE) IDENTIFICATION
AGENCY/CLIENT (REFERENCE) 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 | ||||
| E | G | S | M | U |
| c. General oversight by contractor | ||||
| 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 |
| 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 |
| c. Relationships with subcontractors | ||||
| E | G | S | M | U |
| d. Relationships with client | ||||
| E | G | S | M | U |
| e. End user was satisfied with services performed/items provided | ||||
| E | G | S | M | U |
4. SUMMARY RATING:
Would you use this contractor for the services/items acquired under this effort again?
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:
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