Section_J__Attachment_03_Past_Performance_Questionnaire_.doc

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BALLY BUILDING HVAC REPLACEMENT Federal contract opportunity
Solicitation number
140P4221Q0052
Issued by
Department of the Interior National Park Service Northeast Region

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Past Performance Questionnaire Solicitation Title & No.:

Name of Contractor:

Reference Contract / Project

a. Name of project:

b. Location of project:

c. Approximate completion date:

d. Approximate contract dollar amount:

e. Brief description of project and services provided:

Reference Questions

Rating
Definition
Excellent
The reference was extremely satisfied with the contractor’s performance.
Good
The reference was very satisfied with the contractor’s performance.
Satisfactory
The reference believes the contractor’s performance was neither good nor bad but was satisfactory.
Poor
The reference was very dissatisfied with the contractor’s performance.
Failed
The reference was extremely dissatisfied with the contractor’s performance.

Please rate the contractor’s performance on the above listed project:

a. Quality of the contractor’s work:

b. Contractor’s ability to meet the contractual schedule:

c. Did contractor have any/many change orders

d. Contractor’s ability to manage the project documentation (the paperwork):

e. Contractor’s ability to quickly and adequately address issues that may have arisen after delivery or contract closeout:

f. Overall rating of the Contractor’s performance:

Contractor’s Strengths and Weaknesses a.

Please describe the Contractor’s performance strengths:

b.

Please describe the Contractor’s performance weaknesses:

Additional reference comments:

Reference’s Printed Name:

Title:

Reference’s Signature:

Date:

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