Past_Performance_Questionnaire.doc

DOC document 100 KB Posted

Attached to
APIS Dock Rehab Federal contract opportunity
Solicitation number
140P6422R0002
Issued by
Department of the Interior National Park Service Midwest Region

About this file

This document contains a past performance questionnaire and federal contract opportunity solicitation. The National Park Service is seeking proposals for dock rehabilitation work at Apostle Islands National Lakeshore in Bayfield, Wisconsin. The project scope involves removing and replacing decking, joists, skirt boards, and deteriorated crib members as delineated in the drawings, as well as removing and reinstalling cleats and placing scour stone. The solicitation number is 140P6422R0002. The contract is set aside 100% for total small businesses with a NAICS code of 237990 and size standard of $39.5 million. The type of contract is firm-fixed price expected to be awarded in summer 2022 for completion within 365 days. Proposals are due by July 22, 2022. The past performance questionnaire is to be completed by offerors and references for projects within the last five years to be submitted with proposals and will be evaluated.

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Site_Visit_Sign-In_Sheet_0002.pdf PDF
Sol_140P6422R0002_Amd_0001.pdf PDF
Project_Specifications.pdf PDF
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Sol_140P6422R0002.pdf PDF
Wage_Determination.pdf PDF
Limitations_on_Subcontracting_Worksheet.pdf PDF
Attachment_-_Drawings.pdf PDF
Technical_Questionnaire_PDF.pdf PDF
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Attachment_-_Submittal_List.pdf PDF
Past_Performance_Questionnaire_PDF.pdf PDF
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Attachment_-_Addendum_to_Specifications.pdf PDF
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Text version

Department of Interior

Past Performance Questionnaire (PPQ)

U.S. Department of the Interior, National Park Service is considering the company listed below in Section A for a project opportunity - Your comments would be appreciated regarding this company’s past performance.

Instructions:

1) The offeror is to complete only the information in Section A, then send the entire past performance questionnaire to project owner/evaluator for completion.

2) The project owner/evaluator (or reference) is to complete Section B, then send the entire past performance questionnaire back to the offeror to be provided with their complete proposal package, which will then be reviewed for evaluation.

3) The past performance questionnaire must be received by the contracting point of contact by the date and time specified in the solicitation (or any amendments). Please note that for electronic submissions, offerors should consider and account for potential delays in transmissions between when an electronic submission is submitted and when an electronic submission is received. Late past performance questionnaires will not be accepted.

4) One past performance questionnaire is to be used for each past performance project submitted. The offeror may submit between 3-5 past performance questionnaires for this solicitation. Past performance projects must have been completed within five years of the completion of performance of the evaluated contract or order.

Section A

Project Title:

Location:

Description:

Company Name:
Unique Entity ID/Cage Code:
Owner/Project Manager Name:
Email Address:
Start Date:
Completion Date:
Initial Amount:
Final Amount:

Section B

Evaluator

Evaluator Name:
Company/Agency Name:
Address:
POC Email:

Position Held or Function in Relation to Project:

Ratings Overview

Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.

“O”
Outstanding
Performance greatly exceeded the contract requirements.
“A”
Above Average
Performance exceeded the contract requirements.
“S”
Satisfactory
Performance met the contract requirements.
“M”
Marginal
Performance met the minimum contract requirements but

Some material aspects of the contractor’s performance were less than satisfactory.

“U”
Unacceptable
Performance was poor and/or did not satisfy contract requirements.

Questionnaire

Please select the appropriate rating and provide supporting information for the following questions.

1. The relationship between the company and client’s/customer’s contract team:
O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

FORMCHECKBOX

2. Overall corporate management, integrity, reasonableness, and cooperative conduct:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

3. Quality control:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

4. Ability to meet the performance schedule:

O

FORMCHECKBOX

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

5. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes

FORMCHECKBOX

No

6. Would you award another contract to the company being evaluated? If no, please explain:

Yes

No

7. Was the customer satisfied with the final product and services? If no, please explain:
Yes

No

8. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?

Yes

FORMCHECKBOX

No

9. Overall Rating

O

A

FORMCHECKBOX

S

FORMCHECKBOX

M

FORMCHECKBOX

U

10. Comments

Evaluator Signature

Name

Date:

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