Responsibility Questionnaire.pdf

PDF 230 KB Posted

Attached to
Repair of Powerhouse Boilers 2 & 3 at FCI Herlong
Solicitation number
15BFA024B00000026
Issued by

About this file

This document is a Responsibility Questionnaire that appears to be used to evaluate the performance and capabilities of a contractor. The questionnaire covers the contractor's overall performance, adherence to schedule, quality control, business ethics, organizational structure, resources, and any legal issues. The government agency or company completing the questionnaire is asked to provide ratings in these areas as well as any positive or negative comments that could impact the government's ability to do business with the firm.

The related federal contract opportunity is for the Repair of Powerhouse Boilers 2 & 3 at the Federal Correctional Institution Herlong in Herlong, California. The solicitation is for a firm-fixed-price construction contract with an estimated value between $250,000 and $500,000. The work includes rebuilding and repairing two hot water boilers in the facility's Central Utility Plant. This is a 100% small business set-aside, and interested contractors must be registered in SAM.gov with the appropriate NAICS code. A pre-bid site visit is scheduled for October 29, 2024, but attendance is not mandatory.

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Text version

RESPONSIBILITY QUESTIONNAIRE

Contractor Name:

RATING

1 5/6 10 Poor Average Best

PERFORMANCE

& WORKLOAD

How would you rate their overall performance to date?

How would you rate the contractor’s adherence to contract delivery and/or performance schedule?

How would you rate the contractor’s quality control?

How would you rate the contractor’s efforts in fostering good business relations?

How would you rate the contractor’s meeting all the contract requirements?

Has the contractor required changes to the contract due to contractor problems?

Yes

No

Comments

BUSINESS

ETHICS

Based on your observations, do you believe the contractor to be ethical in their business relationship with your organization?

Are you aware of any ethics problems being experienced by the contractor?

ORGANIZATION

Does the contractor demonstrate good organizational structure?

Do you have recourse within the company if you are not satisfied with the on/off-site supervision? (Please explain under comments)

Are you aware of any organizational deficiencies with the contractor? (If yes, please explain under comments)

RESOURCES

Did the contractor demonstrate themselves to have sufficient financial resources?

Did the contractor demonstrate themselves to have sufficient qualified personnel resources?

LEGAL

Are you aware of any legal problems being experienced by the contractor?

GENERAL

If the work is complete, would you have the contractor come back for another contract if this contract were completed?

Do you have anything else you would like to add? Please attach any notes you may have in reference to this contractor, either positive or negative.

Print Name:_________________________________________________________________

Signature:___________________________________________________________________

Government Agency/Company Name:____________________________________________

PLEASE PROVIDE ANY COMMENTS EITHER POSITIVE OR NEGATIVE

THAT YOU BELIEVE COULD IMPACT THE GOVERNMENT’S ABILITY TO

DO BUSINESS WITH THIS

FIRM:

File details come from the government source that posted it. Updated .