Past_Performance_Quesionnaire_1_page.pdf

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Attached to
REPLACE BOARDWALK TO BEACH ACCESS Federal contract opportunity
Solicitation number
140P5323R0043
Issued by
Department of the Interior National Park Service Southeast Region

About this file

This document is a past performance questionnaire for a contractor seeking to replace a boardwalk to beach access under solicitation number 140P5323R0043 issued by the Department of the Interior National Park Service Southeast Region. The questionnaire requests information on the contractor's past performance on contracts such as quality, schedule, cost control and customer satisfaction to support a source selection. Evaluators are asked to provide ratings in these categories from exceptional to unsatisfactory based on their experience monitoring the contractor's past performance for at least three months. The contractor is also asked to provide details of up to five previous contracts including contract numbers, values, types, initiation and completion dates to evidence their capability to complete the boardwalk replacement per the requirements of this solicitation.

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PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this questionnaire and email to: (insert email) Desired Response Date: (insert response date)

When complete, the information in this form is SOURCE SELECTION INFORMATION (FAR 2.101 & 3.104 and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

1. CONTRACTOR NAME & ADDRESS:

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

Pease add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR’S NAME, POSITION (Project Manager/COR/Other) AND ORGANIZATION:

b. EVALUATOR’S PHONE NO: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please circle the response code for each topic (A-G) that best reflects your experience with this contractor.

EX = Exceptional S = Satisfactory US = Unsatisfactory

VG = Very Good MG = Marginal N/O = Not Observed

A. Quality of Products and Services – Assess the contractor’s conformance to contract requirements, specification, and standards of good workmanship (e.g. technical, professional, environmental, or safety and health standards). EX VG S MG US N/O

B. Performance – Assess the contractor’s performance as the General Contractor or A/E (as appropriate) for the project. EX VG S MG US N/O

C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract. EX VG S MG US N/O

D. Schedule – Assess the timeliness of contractor against the schedule of activities.

EX VG S MG US N/O

E. Cost Control – Assess the contractor’s ability to manage the contract budge and control costs.

EX VG S MG US N/O

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and user

“friendliness”. EX VG S MG US N/O

G. Overall Assessment. EX VG S MG US N/O

2. CONTRACT NO:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options):

6. TYPE OF CONTRACT (Fixed Price, FPI, etc.):

1a: NAME OF PRIME CONTRACTOR (if this questionnaire is for a team member on the SRI Ranch House project):

File details come from the government source that posted it. Updated .