Section J Att 004 - Past Performance Questionnaire.pdf

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Attached to
NIKE SITE DEFERRED MAINTENANCE AT FORT BARRY
Solicitation number
140P8621R0013
Issued by

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This document contains a past performance questionnaire and details of a federal contract opportunity for repair and deferred maintenance work at the Nike Site at Fort Barry. The opportunity was solicited by the National Park Service Pacific West Region under solicitation number 140P8621R0013. Offerors were required to complete the past performance questionnaire included in the file and submit it with their technical proposals. The questionnaire addressed prior contract details and performance ratings on quality, timeliness, and business relations for government references. The federal contract opportunity involves repair and correction of deferred maintenance at the historic Nike Site located at Fort Barry to return it to a state of good repair.

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RFP No. 140P8621R0013 Section J - Attachment No. 004

PAST PERFORMANCE QUESTIONNAIRE

(OFFEROR: COMPLETE SECTIONS I AND II AND SUBMIT WITH THE TECHNICAL PROPOSAL)

I. CONTRACT IDENTIFICATION

CONTRACTOR NAME: CONTRACT NO.:

CONTRACTOR ADDRESS: CONTRACT TYPE:

FIRM-FIXED-PRICE

COST REIMBURSEMENT

OTHER

ACTIVE COMPLETED

ROUTINE COMPLEX

DATES OF PERFORMANCE: AWARD AMOUNT $

TOTAL WITH MODS $

PROJECT DESCRIPTION:

RFP No. 140P8621R0013 Section J - Attachment No. 004

II. AGENCY (CUSTOMER) IDENTIFICATION

AGENCY (CUSTOMER) NAME:

POC NAME/TITLE/PHONE:

***Government Use Only – The following to be completed by Technical Evaluation Panel***

III. PAST PERFORMANCE RATING

Rating Scale: E = Excellent. Considerably surpassed requirements/expectations.

G = Good. Surpassed requirements/expectations.

S = Satisfactory. Met requirements/expectations F = Fair. Met some requirements/expectations U = Unsatisfactory. Did not meet requirements/expectations

1. QUALITY:

(circle applicable rating)

a. Conformance with contract requirements E G S F U

b. Quality of workmanship (including subcontractors) E G S F U

c. General oversight by project manager and superintendent E G S F U

d. Coordination with and control of subcontractors E G S F U

e. Compliance with Davis-Bacon wage rate and labor usage requirements E G S F U

f. Avoidance of accidents/safety violations E G S F U

2. TIMELINESS:

a. Adherence to project delivery schedules E G S F U

b. Submission of change proposals E G S F U

c. Response to technical direction and change orders E G S F U

d. Response to correction of identified problems E G S F U

e. Submission of timely/accurate/complete billings E G S F U

f. Submission of materials/other submittals E G S F U

3. BUSINESS RELATIONS:

a. Flexibility and cooperativeness in resolving problems E G A M U

b. Tenacity and innovativeness in resolving problems E G A M U

c. Relationships with subcontractors, including prompt payment E G A M U

d. End user was satisfied with services performed E G A M U

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