Past Performance Reference Questionnaire 81320-47PE0220R0035.pdf

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DB Services for Underground Storage Tank (UST) Replacement at Sam Nunn AFC, ATL, GA
Solicitation number
47PE0220R0035
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Phone: Fax:

E-Mail:

I. Current or Historical Contract Information

CONTRACT REFERENCED:

1. Contract or Identifying Number: ________________________________________________

2. Contract Value: _____________________________________________________________

3. Period of Performance:

4. Brief description of services provided:

5. Name of Person Completing Questionnaire: _______________________________________

NAME OF OFFEROR:

Thank you.

Alternate POC e-mail address: _________________________________

Alternate POC phone number: _________________________________

Alternate POC name: ________________________________________ indicate another POC for the contacting officer to contact.

If you will not be available on the above date for verification of this past performance evaluation, please emailed from a corporate email account.

2020. Questionnaire must be submitted directly to the Contract Specialist on company letterhead rania.sanders@gsa.gov Please complete this Questionnaire and e-mail or fax to Contract Specialist, e-mail:

current contract listed below. Your input on our performance is therefore requested.

a reference on our performance for this type of service with your agency under the previous/ Building Service, Solicitation Number 47PE0220R0035. As part of our proposal, we have listed you as We are currently in the process of preparing our proposal for the General Services Administration, Public

PAST PERFORMANCE REFERENCE QUESTIONNAIRE

Questionnaire is due to Rania Sanders no later than 2:00 PM Eastern Standard Time on August 31, Agency/Company: ____________________________________________________________________

Title: ____________________________________ Phone: ____________________________________

E-mail: ______________________________________________________________________________

II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Evaluation Definitions –

The following definitions should be used in the assessment of Contractor performance.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE (N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Past Performance Evaluation

Question 1. Performance

What is your assessment of the Contractor’s ability to meet your requirements?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Performance

Comments, if any.

Questions 2 and 3. Timeliness

What is your assessment of the Contractor’s ability to provide products in a timely manner?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Timeliness

Ability to Resolve Timeliness Problems

Comments, if any.

Question 4. Quality of Workmanship

What is your assessment of the Contractor’s ability to meet requirements of workmanship (including quality of work and overall quality of the delivery of services?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A Quality of Work

Comments, if any.

Question 5. Overall Rating of Contractor’s performance

What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

Exceptional Very Good Satisfactory Marginal Unsatisfactory

General Comments:

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