Past_Performance_Quesionnaire_1_page.pdf
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- Attached to
- MACA-ROOF REPAIR & REPLACEMENT BLDG. 055
- Solicitation number
- 140P5323Q0036
About this file
This document is a past performance questionnaire for a contractor seeking a federal contract opportunity for roof repair and replacement services. The opportunity is solicitation number 140P5323Q0036 from the Department of the Interior National Park Service Southeast Region for work on Building 055. The past performance questionnaire requests information on the contractor's name and address, up to six past contract details including number, initiation and completion dates, value, type of contract, and description of requirements. An evaluating organization representative is asked to provide their name, position, and months of performance monitoring before circling a performance rating code for quality, performance, technical requirements, schedule, cost control, customer satisfaction, and overall assessment. Relevant details include a desired response date for the past performance questionnaire and the opportunity being for roof repair and replacement services under solicitation 140P5323Q0036 from the National Park Service Southeast Region.
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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 .