Sol_Attach_7.pdf

Solicitation NO. R15PS00272

GSU Transformers and Associated Equipment Replacements

Attachment J-7 Past Performance Questionnaire

Glen Canyon Power Plant Middle River Division – Glen Canyon Unit – Arizona – Utah

Colorado River Storage Project

SOLICITATION R15PS00272 ATTACHMENT J-7

PAST PERFORMANCE

QUESTIONNAIRE

PERFORMANCE QUESTIONAIRE

Your assistance is requested in support of a source selection for the replacement of generator step up transformers and associated equipment at Glen Canyon Powerplant in Page AZ. The work consist of replacing 12 transformers, 2 spares, and associated equipment. The replacements will take place over 4 years.

Please complete this Questionnaire and mail, email or fax to:

USDOI Bureau of Reclamation Response Date: February 27, 2015 Attn: Richard Beeman (UC-841) 125 South State Street Salt Lake City, UT 84138-1147 email: rbeeman@usbr.gov fax (801) 524-3653

TO BE COMPLETED BY OFFEROR OR SUPPLIER

Name of company sending the request

(Information on the company this questionnaire is being sent to)

1. COmpany NAME & ADDRESS

2. CONTRACT NO.:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

1a: NAME OF PRIME CONTRACTOR: 5. CONTRACT VALUE (with options): $

6. TYPE OF CONTRACT (fixed price, CMP, FPI, etc.):

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

TO BE COMPLETED BY EVALUATING ORGANIZATION

REPRESENTATIVE

(Information of the performance of the company sending you this questionnaire)

8. EVALUATION:

a. Evaluator name, position (Project Manager/COR/Other) and organization:

b. Evaluator's Phone Number:

c. Months Performance Monitored by Evaluator:

Please circle response code for each topic (A-G) that best reflects your experience with this contractor.

EX=Exceptional S = Satisfactory US = Unsatisfactory

VS = Very Good MG = Marginal N/O = Not Observed

A. Quality of Products and Services - Assess the contractor's conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards.

Ex VG S MG US N/O

B. Performance - Assess the contractor's performance as the General Contractor for the project.

Ex VG S MG US N/O

C. Technical Requirements - Assess the contractor's ability to fulfill the technical requirements of the contract.

Ex VG S MG US N/O

D. Schedule - Assess the timeliness of the contractor against the schedule of activities.

Ex VG S MG US N/O

E. Cost Control - Assess the contractor's abilitiy to manage the contract budget and control costs.

Ex VG S MG US N/O

F. Customer Satisfaction - Assess the contractor's responsiveness to customer concerns and "user friendliness".

Ex VG S MG US N/O

G. Overall Assessment

Ex VG S MG US N/O