Section_J_Att_008_-_Past_Performance_Questionnaire.pdf

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Attached to
ALMA FLOATING DOCK REPLACEMENT Federal contract opportunity
Solicitation number
140P8621R0016
Issued by
Department of the Interior National Park Service Pacific West Region

About this file

This document contains a past performance questionnaire for a contractor bidding on the ALMA Floating Dock Replacement project. The questionnaire requests information on up to five past or current contracts for the contractor, including contract details, agency points of contact, and ratings in quality, timeliness, and business relations. The related federal contract opportunity is for the ALMA Floating Dock Replacement project with the Department of the Interior National Park Service Pacific West Region. No other details are provided on the scope of work or response requirements for the project.

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Text version

RFP No. 140P8621R0016 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. 140P8621R0016 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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