Past Performance Questionnaire.doc

140L6220Q0077 Hay Shelter PAST PERFROMANCE QUESTIONNAIRE DUE NLT: August 14, 2020, 2:00 PM MST

1. Contractor Name, Address & Phone Number:

2. Contract Number(s):

3. Awarded Contract Value:

4. Final Contract Value:

5. Period of Performance:

6. If there was a difference in awarded and final contract value, please explain why.

7. Type of Contract(s) Used: (Check all that apply)

[ ]FP

[ ]FPI

[ ]CR

[ ]T&M

[ ]Labor Hour

[ ]8(a) Direct

Award [ ]Sealed Bid

[ ]Negotiated

[ ]TO/DO

[ ]SB Set-Aside [ ]Competitive

[ ]8(a) Direct Award [ ]Requirements [ ]Sole Source [ ] Construction of Buildings [ ] Heavy/Civil Engineering

Construction [ ] Specialty Trade Construction [ ] Demolition

[ ] Service

8. Description of Requirement:

9. Ratings: Satisfactory: Performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor were satisfactory.

Unsatisfactory: Performance did not meet most contractual requirements and recovery was not likely in a timely manner. The contractual performance contained problems for which the contractor’s corrective actions appeared or were ineffective.

If the question is not applicable, please insert N/A following the question.

a. How would you describe the quality of the contractor’s management relationship with government counterparts, including ability to successfully resolve disagreements/disputes?

b. How timely and effective was the contractor when dealing with contract problem resolution issues?

c. How well did the contractor respond to emergency situations?

d. How was the contractor’s quality overall?

e. How well did the contractor adhere to the schedule?

f. Was the project completed in a timely manner?

g. How well did the contractor perform within contract costs?

h. How well did the contractor manage any subcontractors?

i. Were subcontractors paid in a timely manner?

j. Were materials paid in a timely manner?

k. Were submittals complete and provided in a timely manner?

l. Was this project performed in arctic conditions?

m. Were as-builts complete and submitted in a timely manner?

n. How well did the contractor correct building/construction problems?

o. How timely was completion of punch list items?

p. Were warranty issues addressed promptly?

q. How effectively were safety issues dealt with?

r. How effectively did the contractor manage the entire project?

s. How effectively did the contractor mobilize?

t. Did the contractor apply sufficient resources (personnel/facilities) for the project?

u. Did the contractor perform at least 25 percent of the work with its own employees?

10. COMMENTS:

11. Respondent’s Identification:

Name:

Position/Title:

Address & Phone Number:

Relationship and Time Involved with Program/Contract:

Date of Evaluation:

Block 1: Name, address and phone number of the contract being evaluated. Identify the specific division being evaluated if there is more than one.

Block 2: Contract number(s) used to evaluate performance.

Block 3: Contract value, including any option periods.

Block 4: Final contract value.

Block 5: Period of performance dates.

Block 6: If there was a difference between the awarded amount and the final contract value, please provide an explanation.

Block 7: Please check all that apply.

Block 8: Provide a description of the requirement.

Block 9: Ratings’ definitions and questions. Please check or indicate the appropriate rating.

Block 10: For any Unsatisfactory rating, please provide an explanation for the rating.

Block 11: Please provide your information as respondent. This information will not be shared with the contractor.