Section_J_Att_009_-_Past_Performance_Questionnaire.pdf

RFP No. 140P8621R0011 Section J - Attachment No. 009

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. 140P8621R0011 Section J - Attachment No. 009

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