Past_Performance_Questionnaire.pdf

PDF 490 KB Posted

Attached to
DEMIJOHN FLAT ARCH DISTRICT CRI Federal contract opportunity
Solicitation number
140L3623Q0064
Issued by
Department of the Interior Bureau of Land Management

About this file

This document is a past performance questionnaire for a company being considered for a contract with the Bureau of Land Management under solicitation number 140L3623Q0064. The contract is for work on the Demijohn Flat Archaeological District CRI project and involves general construction services. The evaluator is asked to provide ratings on a scale of outstanding, above average, satisfactory, marginal, or unacceptable for the company's past performance in areas such as relationship with client, management, quality control, and ability to meet schedules. The evaluator is also asked yes or no questions regarding any issues on prior projects and overall satisfaction, and given an opportunity to provide comments. No further details are provided on the specific requirements for the solicitation or terms of the potential award.

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Text version

Solicitation No: 140L3623Q0064 PROJECT DESCRIPTION: Demijohn Flats 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.

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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