Section J Att 008 - Past Performance Questionnaire.pdf

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MAINTENANCE OF UNIMPROVED ROADS AND SHOULDERS
Solicitation number
140P8620R0017
Issued by

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This document contains a past performance questionnaire and details of a federal contract opportunity for maintenance of unimproved roads and shoulders. The past performance questionnaire is to be completed by an offeror and submitted with a technical proposal in response to solicitation number 140P8620R0017 from the Department of the Interior National Park Service Pacific West Region. It requests information about a reference contract, including contract details, agency details, and ratings for quality, timeliness, and business relations on a scale of excellent, good, acceptable, marginal, unacceptable, or neutral. The federal contract opportunity is for maintenance of unimproved roads and shoulders and is identified as solicitation number 140P8620R0017 from the Department of the Interior National Park Service Pacific West Region.

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RFP No. 140P8620R0017 Section J - Attachment No. 008

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. 140P8620R0017 Section J - Attachment No. 008

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 references are excellent in all respects G = Good references indicate good performance on past projects A = Acceptable references indicate acceptable performance on past projects M = Marginal references indicate marginal performance on past projects U = Unacceptable references indicate unacceptable performance on past projects N = Neutral no performance information was provided or available

1. QUALITY:

(circle applicable rating)

a. Conformance with contract requirements E G A M U N

b. Quality of workmanship (including subcontractors) E G A M U N

c. General oversight by project manager and superintendent E G A M U N

d. Coordination with and control of subcontractors E G A M U N

e. Compliance with Davis-Bacon wage rate and labor usage requirements E G A M U N

f. Avoidance of accidents/safety violations E G A M U N

2. TIMELINESS:

a. Adherence to project delivery schedules E G A M U N

b. Submission of change proposals E G A M U N

c. Response to technical direction and change orders E G A M U N

d. Response to correction of identified problems E G A M U N

e. Submission of timely/accurate/complete billings E G A M U N

f. Submission of materials/other submittals E G A M U N

3. BUSINESS RELATIONS:

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

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

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

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

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