Past_Performance_Questionnaire_Services.docx
DOCX document 26 KB Posted
- Solicitation number
- 140P4221Q0067
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Past Performance Questionnaire
Instructions: Offeror to complete Sections A and B and transmit questionnaire to reference. Reference to complete Sections C and D and submit (via email) to the to the Contracting Officer listed in E.
1. Contractor Information
Company Name
City and State
DUNS Number
Point of Contact
1. Contract Information
Project Title
Contract Number
Contract Type
Awarded Contract Price
Current / Final Price
Period of Performance
Project Location
Client / Owner
Brief description of the contract & work effort:
1. Reference
| Name |
| First, Last |
| Position / Title |
| Title |
| Organization |
| Agency or Company |
| Phone Number |
| XXX-XXX-XXXX |
| Email Address |
| Signature |
| Signature |
| Date |
| XX/XX/XXXX |
1. Evaluation
| Rating |
| Definition |
| Exceptional |
| Performance met contractual requirements and exceeded many to the owner’s benefit. |
| Very Good |
| Performance met contractual requirements and exceeded some to the owner’s benefit. |
| Satisfactory |
| Performance met contractual requirements. |
| Marginal |
| Performance did not meet some contractual requirements. |
| Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. |
| Evaluation Area |
| Rating |
| Quality of workmanship (including subcontractors)? |
| Choose an item. |
| Contractor’s ability to meet the contractual schedule? |
| Choose an item. |
| Contractor’s ability to manage the project documentation? |
| Choose an item. |
| Promptly addressed scheduling issues? |
| Choose an item. |
| Responded to owner requests in a timely manner? |
| Choose an item. |
| Informational and technical submittals submitted timely? |
| Choose an item. |
| Provided fair and reasonable pricing for contract modifications? |
| Choose an item. |
| Submitted accurate and complete invoices? |
| Choose an item. |
| Coordination with and control of subcontractors? |
| Choose an item. |
| Avoidance of accidents & safety violations? |
| Choose an item. |
| Maintained good working relationship with owner representatives? |
| Choose an item. |
| Overall Ratings |
| Choose an item. |
| Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.): |
E. Return
| Return by |
| Same as Solicitation Closing Date/Time |
| Name |
| Jody Auerbach |
| Title |
| Contracting Officer |
| Organization |
| National Park Service |
| Jody_auerbach@nps.gov |
File details come from the government source that posted it. Updated .