Tab_13_Attachment_8_Past_Performance_Questionnaire.docx
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- Attached to
- Cutter Lateral Reach 22B Federal contract opportunity
- Solicitation number
- R16PS01019
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Attachment 8 Past Performance Qu3estionnaire
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PERFORMANCE QUESTIONNAIRE
R16PS01019: Cutter Lateral Reach 22B
Your assistance is requested in support of a source selection. Please be aware that the procurement office must receive them by the response date below.
Please complete this Questionnaire and mail or email to:
USDOI Bureau of Reclamation Response Date: Friday July 15, 2016 Attn: Monica Burgio (UC-863) 125 South State Street, Room 8100 email: mburgio@usbr.gov phone: (801) 524-3780
TO BE COMPLETED BY OFFEROR
| 1. CONTRACTOR 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
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.
| A = Acceptable |
| U = Unacceptable |
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.
| A |
| U |
B. Performance - Assess the contractor's performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
| A |
| U |
C. Technical Requirements - Assess the contractor's ability to fulfill the technical requirements of the contract.
| A |
| U |
D. Schedule - Assess the timeliness of the contractor against the schedule of activities.
| A |
| U |
E. Cost Control - Assess the contractor's ability to manage the contract budget and control costs.
| A |
| U |
F. Customer Satisfaction - Assess the contractor's responsiveness to customer concerns and "user friendliness".
| A |
| U |
G. Overall Assessment
| A |
| U |
Additional Comments:
Solicitation No. R16PS01019 Cutter Lateral Reach 22B
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