Past_Performance_Questionnaire.doc

DOC document 28 KB Posted

Attached to
Replace Two Chillers Federal contract opportunity
Solicitation number
140P5224Q0051
Issued by
Department of the Interior National Park Service Southeast Region

About this file

This document is a Past Performance Evaluation Questionnaire, which is used to gather information about a contractor's prior performance on a project. The questionnaire covers various aspects of the contractor's performance, including quality of work, timeliness, documentation, coordination, safety, budget, and any claims or litigation. The respondent is asked to provide ratings and comments on the contractor's performance in these areas, as well as an overall assessment of customer satisfaction and willingness to work with the contractor again. The information gathered in this questionnaire can be used to evaluate a contractor's past performance and inform future contracting decisions.

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Text version

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

1. Name/Title, Firm Name & Address (City and State) which completed project:

2. Title of Project/Contract Number:

3. Description of Project which was completed:

4. Quality of Work:

Excellent Quality

Above Average Quality

Average Quality

Below Average Quality

Unsuccessful or Experienced Significant Quality Problems

5. Timeliness of Performance:

Completed Substantially Ahead of Schedule

Completed on Schedule with no Time Delays

Completed on Schedule with Minor Delays Under Extenuating Circumstances

OTHER (explain)

6. Documentation:

To what extent were reports, submittals and other required documentation accurate, complete?

Excellent Quality

Above Average Quality

Average Quality

Below Average Quality

Unsuccessful or Experienced Significant

Quality Problems

Remarks:

7. Coordination:

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

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks:

8. Overall Safety Program

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

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks:

9. Budget:

How well did the firm conform to the project budget? Did the contractor initiate unwarranted change orders or change order requests?

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks:

10: Claims/Litigation:

Was the contractor involved in any claims or litigation surrounding this project?

_______Yes ______No If yes, please explain.

Remarks:

11: Customer Satisfaction:

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

Exceptionally Satisfied Q____ C____S______

Highly Satisfied Q____ C____S______

Satisfied Q____ C____S______

Somewhat Dissatisfied(please explain) Q____ C____S______

Remarks:

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

Yes_________ No_________ Not Sure__________-

Remarks:

Other Remarks:

Use the space below to provide other information related to the contractor’s performance. This may include selection of subcontractors, flexibility in dealing with contract challenges, payment issues, their overall concern for the client’s interest, etc.

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