Attachment F Past Performance Questionnaire
43 KB Posted
- Solicitation number
- VA26016R0001
About this file
VA260-16-R-0001 Attachments
Text of this file
ATTACHMENT F
PAST PERFORMANCE QUESTIONNAIRE (PAGE 1 OF 2)
PPQ provided for RFP VA260-16-R-0001
SECTION 1 -- TO BE COMPLETED BY THE OFFEROR AND PROVIDED TO THE PROJECT OWNER REFERENCE
Name of Firm Being Evaluated:
Project Title & Location:
Project Dollar Value:
Year Completed: __________________________________ Project Manager:
SECTION 2 -- TO BE COMPLETED BY THE CUSTOMER REFERENCE AND MAILED, HAND-DELIVERED OR FAXED DIRECTLY TO: Forms submitted by other than the project owner (i.e., by the offeror), will not be considered.
charlene.duncan@va.gov or 509-527-3473 (fax) (Please Verify Receipt by calling 509-524-1421) OVERVIEW: The firm shown above has submitted a proposal on a Veterans Administration solicitation and provided your name as a customer reference. Part of our evaluation process requires information on the firm's past performance. Your input is important to us and responses are required by (date & time) for inclusion in this evaluation. Your assistance is greatly appreciated.
In blocks below, please indicate your overall level of satisfaction with work performed by the firm shown in Section 1. Mark Not Applicable (N/A) for any areas that do not apply. Provide any additional comments on page 2.
| On this project, the firm: |
| Satisfaction |
Low High N/A
| 1. |
| Kept You Informed & Treated You as Important Member of the Team |
| 1 2 3 4 5 N/A |
| 2. |
| Displayed Flexibility in Responding to Your Needs |
| 1 2 3 4 5 N/A |
| 3. |
| Displayed Initiative in Problem Solving |
| 1 2 3 4 5 N/A |
| 4. |
| Resolved Your Concerns |
| 1 2 3 4 5 N/A |
| 5. |
| Completed Your Project Milestones on Time |
| 1 2 3 4 5 N/A |
| 6. |
| Managed the Project Effectively (including adequate Cost Controls) |
| 1 2 3 4 5 N/A |
| 7. |
| Managed their Work Force Effectively (including Subcontractors) |
| 1 2 3 4 5 N/A |
| 8. |
| Maintained an Effective Quality Control Program |
| 1 2 3 4 5 N/A |
| 9. |
| Provided Warranty Support |
| 1 2 3 4 5 N/A |
| 10. |
| Maintained Operational Continuity at Existing Facility During Project |
| 1 2 3 4 5 N/A |
| 11. |
| Minimized Adverse Construction Impacts on Ongoing Operations |
| 1 2 3 4 5 N/A |
| 12. |
| Your OVERALL Level of Customer Satisfaction |
| 1 2 3 4 5 N/A |
| 13. |
| Was payment withheld or liquidated damages assessed? (If yes, please describe below). |
| Yes......No......N/A |
PAST PERFORMANCE QUESTIONNAIRE (PAGE 1 OF 2)
14.
15.
Adherence to Subcontracting Plan Requirements. Note: The following questions are not applicable to small business subcontractors or to contracts that did not require a small business subcontracting plan.
a. If a subcontracting plan was required, did the firm comply with all requirements of the subcontracting plan in conjunction with this contract? If not, please explain.
b. Did the firm meet each of its subcontracting goals? If not, which goals were not met?
c. Did the firm exceed any of its subcontracting goals? If so, which goals were exceeded?
REMARKS: (Discuss strengths and weaknesses of the firm)
Your Name: ____________________________________ Phone Number:
Firm Name:
Relationship to this Project:
Other files
Show 40 more
Latest 50 of 55 listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
File details come from the government source that posted it. Updated .