Section_J__attach_02__Past_Performance_Quesionnaire_1_page.pdf
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- Attached to
- REPAIR MAIN FERRY DOCK AT CAPE LOOKOUT
- Solicitation number
- 140P5323R0039
About this file
This document contains a past performance questionnaire template for evaluation of federal contractors. The one-page questionnaire requests information on the contractor name and address, contract number, initiation and completion dates, contract value and type from the offeror. The evaluator section rates the contractor's quality of products and services, performance, technical requirements, schedule adherence, cost control, customer satisfaction and provides an overall assessment on a scale of exceptional, very good, satisfactory, marginal and unsatisfactory. The related federal contract opportunity is a solicitation from the Department of the Interior National Park Service Southeast Region to repair the main ferry dock at Cape Lookout for $140P5323R0039. Details include the opportunity type, agency and location of work to be performed.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this questionnaire and email to: (insert email) Desired Response Date: (insert response date)
When complete, the information in this form is SOURCE SELECTION INFORMATION (FAR 2.101 & 3.104 and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME & ADDRESS:
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
Pease add a continuation page if additional space is necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR’S NAME, POSITION (Project Manager/COR/Other) AND ORGANIZATION:
b. EVALUATOR’S PHONE NO: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A-G) that best reflects your experience with this contractor.
EX = Exceptional S = Satisfactory US = Unsatisfactory
VG = Very Good MG = Marginal N/O = Not Observed
A. Quality of Products and Services – Assess the contractor’s conformance to contract requirements, specification, and standards of good workmanship (e.g. technical, professional, environmental, or safety and health standards). EX VG S MG US N/O
B. Performance – Assess the contractor’s performance as the General Contractor or A/E (as appropriate) for the project. EX VG S MG US N/O
C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract. EX VG S MG US N/O
D. Schedule – Assess the timeliness of contractor against the schedule of activities.
EX VG S MG US N/O
E. Cost Control – Assess the contractor’s ability to manage the contract budge and control costs.
EX VG S MG US N/O
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and user
“friendliness”. EX VG S MG US N/O
G. Overall Assessment. EX VG S MG US N/O
2. CONTRACT NO:
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. CONTRACT VALUE (with options):
6. TYPE OF CONTRACT (Fixed Price, FPI, etc.):
1a: NAME OF PRIME CONTRACTOR (if this questionnaire is for a team member on the SRI Ranch House project):
File details come from the government source that posted it. Updated .