Past Performance.docx

SECTION A: CONTRACTOR INFORMATION – TO BE COMPLETED BY OFFEROR before forwarding it to the Evaluator

1. Contractor’s Name and Address:

2. Point of Contact:

3. Phone Number:

4. Contract Number: Contract Type:

5. Project Title:

6. Period of Performance:

**Section B: (To Be Completed By Evaluation Respondent)** Please complete Section B of this Questionnaire and e-mail or fax it to the Contract Specialist listed below or to the Contractor. NOTE: The information that you provide on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

1. Respondent’s Company Name & Address:

2. Respondent’s Name:

3. Phone Number: Fax Number:

E-Mail:

4. Contract Number: Contract Type:

5. Award Amount: Final Amount:

FOR OFFICIAL USE ONLY

SOURCE SELECTION SENSITIVE – SEE FAR 3.104

Evaluation Respondent, please e-mail the subject form to Mr. Nelson Crawford, U.S. Fish & Wildlife Service, via e-mail (Nelson_Crawford@ fws.gov.).

A

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

6. Project Title:

7. Period of Performance:

D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

was only

marginally

effective.

1. Developed realistic progress schedules and completed the project within 1 2 3 4 5 6 N/A the established schedule. COMMENTS/REMARKS:

2. Provided experienced superintendent, managers, and supervisors, with 1 2 3 4 5 6 N/A the technical and administrative abilities to meet requirements. COMMENTS/REMARKS:

Evaluation Respondent, please e-mail the subject form to Mr. Nelson Crawford, U.S. Fish & Wildlife Service, via e-mail (Nelson_Crawford@ fws.gov.).

3. Adequately controlled performance of subcontractors. 1 2 3 4 5 6 N/A

COMMENTS/REMARKS:

4. Provided effective quality control which resulted in a quality finished product. 1 2 3 4 5 6 N/A

5. Provided submittals in a timely manner. Submittals were 1 2 3 4 5 6 N/A well researched and clearly identified the proposed item. COMMENTS/REMARKS:

6. Identified problems as they occurred. Suggested approaches to resolving problems. 1 2 3 4 5 6 N/A Displayed initiative and cooperation in solving problems. Provided adequate information and pricing for change orders and negotiated them in good faith.

Evaluation Respondent, please e-mail the subject form to Mr. Nelson Crawford, U.S. Fish & Wildlife Service, via e-mail (Nelson_Crawford@ fws.gov.).

7. Provided timely resolution of punch list items and closeout documentation. 1 2 3 4 5 6 N/A

8. Were any change order required? Yes or No If so, who initiated them?

9. Did the contract contain any warranty clauses? Yes or No If invoked, was the contractor responsive and responsible? Yes or No

8. Was the contractor assessed liquidated damages? YES NO (If Yes, briefly explain the circumstances)

9. Based on the contractor’s overall performance, would you rehire this contractor? YES NO

OVERALL PERFORMANCE RATING 1 2 3 4 5 6

Rater/Evaluator:

Signature: Date:

Phone Number: Date:

Evaluation Respondent, please e-mail the subject form to Mr. Nelson Crawford, U.S. Fish & Wildlife Service, via e-mail (Nelson_Crawford@ fws.gov.).