Past Performance Quesionnaire.pdf

PDF 86 KB Posted

Attached to
CAHA DUMPSTER SERVICE Federal contract opportunity
Solicitation number
140P5321Q0007
Issued by
Department of the Interior National Park Service Southeast Region

About this file

This document contains a past performance questionnaire for evaluation of contractor performance on a previous federal contract. It requests information on the contractor name and address, contract number, period of performance, value, type of contract, and description of contract requirements. Ratings are solicited for quality, performance, technical requirements, schedule, cost control, customer satisfaction, and overall assessment.

The related federal opportunity is a solicitation from the Department of the Interior National Park Service Southeast Region for dumpster service at CAHA. It provides the solicitation number but no further detail on required services, response date, incumbent, or value.

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Relevant Prior Experience 2 1 21.pdf PDF
SCA Wage Determination 15-4408.pdf PDF
2021 SOW Dumpster Service Contract 4 21 21.pdf PDF
Sol_140P5321Q0007.pdf PDF
Price Schedule 4 20 21.pdf PDF
CAHA Dumpster Locations.pdf PDF

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Text version

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

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