Section J Att 008 - Past Performance Questionnaire.pdf
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- Attached to
- REHAB CLOVER CREEK WASTEWATER TREATMENT PLANT
- Solicitation number
- 140P8620R0010
About this file
This document contains a past performance questionnaire for contractors bidding on a solicitation to rehabilitate the Clover Creek Wastewater Treatment Plant, dump stations, and vault toilets. The solicitation is number 140P8620R0010 issued by the Department of the Interior National Park Service Pacific West Region. The past performance questionnaire requires contractors to provide details of relevant prior contracts, including award amounts, dates of performance, project descriptions, and agency points of contact. Contractors must also have their past performance rated on quality, timeliness, and business relations based on a scale of Excellent, Good, Acceptable, Marginal, Unacceptable, or Neutral.
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Text version
RFP No. 140P8620R0010 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. 140P8620R0010 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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