Past_Performance_Questionnaire.pdf

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CRI OF 4477 ACRES OF RHMA AND GDTMA
Solicitation number
140L3623Q0053
Issued by

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This document contains two past performance questionnaires related to federal contracts with the Department of the Interior Bureau of Land Management. The first questionnaire concerns solicitation number 140L3623Q0053 for habitat restoration work involving Gage Dome and sage grouse in an area covering 1,444 acres. The second questionnaire is for solicitation number 140L3623R0016 regarding LiDAR data collection for the Blackfoot Watershed. Both questionnaires request ratings on a company's performance in areas such as relationship with the customer, management, quality control, schedule adherence, issues with cure notices or termination, willingness to award future contracts, and customer satisfaction. Respondents are asked to provide comments and signatures.

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Solicitation No: 140L3623Q0053 PROJECT DESCRIPTION: Gage Dome and Sage Grouse Habitat CRI

Department of Interior Past Performance Questionnaire (PPQ)

U.S. Department of the Interior, Bureau of Land Management is considering [Insert Company].

Your comments would be appreciated regarding this company’s past performance.

Firm Information Project Title:

Location:

Description:

Company Name: Contract Number:

Start Date: Completion Date:

Initial Amount: Final Amount:

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.

Solicitation No: 140L3623R0016 PROJECT DESCRIPTION: Blackfoot Watershed LiDAR

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 A S M U

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

O A S M U

3. Quality control: O A S M U

4. Ability to meet the performance schedule: O A S M U

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

Yes 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 No

9. Overall Rating O A S M U

10. Comments

Signatures Name Date:

Project Title:
Location:
Description:
Company Name:
Contract Number:
Start Date:
Completion Date:
Initial Amount:
Final Amount:
Evaluator Name:
CompanyAgency Name:
Address:
POC Email:
Position Held or Function in Relation to Project:
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Yes:
No:
6 Would you award another contract to the company being evaluated If no please explain:
Yes_2:
No_2:
7 Was the customer satisfied with the final product and services If no please explain:
Yes_3:
No_3:
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_4:
No_4:
9 Overall Rating:
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10 Comments:
Date:
[Insert Company}:
5:
Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain::

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