B08_Attachment_3_Past_Performance_Reference.docx

DOCX document 32 KB Posted

Attached to
Design and Install Fire Suppression & Alarm System Federal contract opportunity
Solicitation number
P17PS02556
Issued by
Department of the Interior National Park Service

About this file

3 - Past Performance Reference Form

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Other files attached to Design and Install Fire Suppression & Alarm System, newest first.
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B08_Combined_SynSol.pdf PDF
B08_Attachment_1_Scope_of_Work.pdf PDF
B08_Attachment_4_Park_Map.pdf PDF
B08_Attachment_2_SCA_WD.pdf PDF
Sol_P17PS02556.pdf PDF

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Text version

RFQ P17PS02556

Survey / Questionnaire Completed By:

Company / Agency / Organization

Name / Title of Reference

Telephone Number

E-mail Address

Signature

Conversation Information

Date of Call

Time of Call

Offeror Information

Company Name & Address

Project Title/ Contract Number

Description of Project for Which Reference is Requested (Include type of work/trades performed)

Complexity of Work (circle)
High
Medium
Low

Location of Work

Role on Project (circle)
Prime
Sub-contractor
Consultant

Contract Amount

Date of Award

Project Status

% Complete
Scheduled Completion Date
Actual Completion Date

1. QUALITY OF WORK

Evaluate performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

Excellent Quality

Above Average Quality

Average Quality

Below Average Quality

Unsuccessful or Experienced Significant Quality Problems & Issues

Remarks / Comments:

2. TIMELINESS OF PERFORMANCE

To what extent were contract performance requirements met? Consider contract performance period; were submittals provided in a timely manner; timely completion of punch-list items; submission of close out documents, i.e., “as-built drawings”. Timely / satisfactory response to warranty issues, etc.

Completed Substantially Ahead of Schedule

Completed on Schedule with no Significant Time Delays

Completed on Schedule with Minor Delays Under Extenuating Circumstances

Routinely failed to Schedule Perform Requirements

Remarks / Comments:

3. DOCUMENTATION QUALITY

To what extent were reports, submittals and other required documentation accurate, complete, comprehensive, and provided in a timely manner?

Excellent Quality

Above Average Quality

Average Quality

Below Average Quality

Unsuccessful / Extensive Quality Problems

Remarks / Comments:

4. COORDINATION

How well were sub-contractors, consultants, suppliers, and / or the labor force managed and coordinated? Or, if firm was a sub-contractor, how well did they respond to coordination efforts and work with other subs? Were there any problems and, if so, how were they handled and resolved?

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks / Comments:

5. GENERAL MANAGEMENT PRACTICES

How appropriate and effective were the firm’s general management and business practices? Consider such things as; did they provide quality, experienced managers and supervisors, technical and administrative personnel for the duration of the project; were appropriate personnel promptly available when needed, and responded in a prompt and acceptable manner to resolve problems, did they provide comprehensive, accurate price proposals, etc.

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks / Comments:

6. OVERALL SAFETY PROGRAM

How well did the contractor manage the construction project as it relates to general safety? Discuss any safety issues that arose during the course of the project.

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks / Comments:

7. BUDGET MANAGEMENT

How well did the contractor conform to the project budget? Did the contractor initiate unwarranted, unverifiable, change orders or change order requests, etc.?

Excellent

Above Average

Below Average

Unsuccessful

Remarks / Comments:

8. CLAIMS / LITIGATION

Was the contractor involved in any claims or litigation involving the project?

Yes (If “Yes”, please explain in remarks area below)

No

Remarks / Comments:

9. OVERALL CUSTOMER SATISFACTION

To what extent were the end users satisfied with: Quality? Cost? Schedule?

Quality
Cost
Schedule

Exceptionally Satisfied

Highly Satisfied

Satisfied

Somewhat Dissatisfied (please explain)

Dissatisfied (please explain)

Remarks / Comments:

10. YOUR RECCOMENDATION

If given the opportunity and the choice, would you work with this contractor again?

Yes

No

Not Sure

Remarks / Comments:

11. OTHER REMARKS / COMMENTS

Use the space below to provide other information related to the contractor's performance. This may include selection of sub-contractors / consultants, flexibility in dealing with contract challenges, payment issues, their overall concern for the client's interest (if applicable), project awards received, etc.

SOURCE SELECTION SENSITIVE WHEN COMPLETED - SEE FAR 2.101 AND 3.104

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