Past_Performance_Questionnaire.docx
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- Attached to
- Underground Utilities Locating Services
- Solicitation number
- W56ZTN-18-R-0009
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Past Performance Questionnaire
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| File | Type | Posted |
|---|---|---|
| A07_Amendment-0002_W56ZTN-17-R-0009.pdf | ||
| A07_W56ZTN-17-R-0009_AMENDMENT.pdf | ||
| SOLICITATION-W56ZTN-17-R-0009.pdf |
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ATTACHMENT 1
PAST PERFORMACE QUESTIONNAIRE
TO BE COMPLETED BY PROSPECTIVE CONTRACTOR’S CLIENT, FIRM OR GOVERNMENT AGENCY REFERENCE AND RETURNED TO MRS. BARBARA COUSINS, barbara.d.cousins.civ@mail.mil.
SECTION A
1. Name and Title of Reference
2. Signature of Reference
3. Date
4. Name of Client, Firm or Government Agency Reference
5. Telephone Number
6. Facsimile Telephone Number
7. Reference e-mail Address
8. Period of Performance/Length of Contract
9. Dollar Amount per Year
10. . Services Provided
11. Outcome of Contract
SECTION B:
PAST PERFORMANCE/EXPERIENCE FACTOR QUESTIONAIRE UNDERGROUND UTILITIES LOCATING SOLICITATION
Subfactor (a) QUALITY OF SERVICES
(1) Evidence of Compliance with Contract Requirements:
Question: Based on your experience with the contractor, to what degree do you think the contractor is or has complied with contract terms, conditions or requirements?
Contractor has had no contract compliance discrepancies (Excellent)
| Contractor has had 1-3 contract compliance discrepancies (Good) |
| Contractor has had 4-6 contract compliance discrepancies (Acceptable) |
| Contractor has had 7-9 contract compliance discrepancies (Marginal) |
| Contractor has had 10 or more contract compliance discrepancies (Poor) |
(2) Accuracy of reports, records, and tracking data:
Question: Based on your experience with the contractor the accuracy of the contractors’ reports, records, and tracking data?
| Contained no errors (Excellent) |
| Contained minor errors 1-2 errors (Good) |
| Contained minor errors 3-4 errors (Acceptable) |
| Contained minor errors 5-6 errors (Marginal) |
| Contained minor errors 7 errors (Poor) |
(3) Technical Excellence:
Question: Which statement best describes the contractor’s technical excellence?
| Contractor possesses excellent technical experience (Excellent) |
| Contractor possesses good technical experience (Good) |
| Contractor possesses acceptable technical experience (Acceptable) |
| Contractor possesses marginal technical experience (Marginal) |
| Contractor possesses unsatisfactory technical experience (Poor) |
(4) Quality Workmanship:
Question: Which statement best describes the contractor’s quality of workmanship?
| Contractor performed high quality work, which met or exceeded the (Excellent) contract requirements |
| Contractor performed good quality work, which met most if not all of the (Good) contract requirements |
| Contractor performed acceptable quality work, which met a good (Acceptable) portion of the contract requirements |
| Contractor performed marginal quality work, which met some (Marginal) portion of the contract requirements |
| Contractor performed unsatisfactory quality work, which met few of (Marginal) the contract requirements |
Subfactor (b) TIMELINESS OF SERVICE
(5) Timeliness of Service:
Question: Which statement best describes the contractor’s timeliness of performance?
| Contractor met 95% or greater scheduled and unscheduled services (Excellent) |
| Contractor met 90% - 94% of scheduled and unscheduled services (Good) |
| Contractor met 80% - 89% of scheduled and unscheduled services (Acceptable) |
| Contractor met 70% - 79% of scheduled and unscheduled services (Marginal) |
| Contractor met 69% or below scheduled and unscheduled services (Unsatisfactory) |
Subfactor (c) BUSINESS RELATIONS
(6) Evidence of Customer Satisfaction:
Question: Which statement best describes the level of customer satisfaction you received from the contractor?
| Contractor performed 95% or greater customer satisfaction (Excellent) |
| Contractor performed 90% - 94% customer satisfaction (Good) |
| Contractor performed 80% - 89% customer satisfaction (Acceptable) |
| Contractor performed 70% - 79% customer satisfaction (Marginal) |
| Contractor performed 69% or below customer satisfaction (Unsatisfactory) |
(7) Effective Management:
Question: Which statement would describe the contractor’s on site management?
| Contactor was proactive and highly effective in management of (Excellent) contract requirements | |
| Contractor was very effective in management of contractual requirements (Good) | |
| Contractor was effective in management of contractual requirements (Acceptable) | |
| Contractor was minimally effective in management of contractual (Marginal) requirements | |
| Contractor was not effective in management of contractual (Unsatisfactory) requirements |
(8) ) Reasonable and Cooperative Behavior:
Question: Which statement would best describe the contractor’s behavior?
| Contractor was extremely reasonable and highly cooperative (Excellent) |
| Contractor was very reasonable and highly cooperative (Good) |
| Contractor was reasonable and cooperative (Acceptable) |
| Contractor was somewhat reasonable and somewhat cooperative (Marginal) |
| Contractor was not reasonable or cooperative (Unsatisfactory) |
(9) Flexibility:
Question: Which statement would best describe the contractor’s flexibility?
| Contractor was extremely flexible (Excellent) |
| Contractor was very flexible (Good) |
| Contractor was flexible (Acceptable) |
| Contractor was somewhat flexible (Marginal) |
| Contractor was not flexible (Unsatisfactory) |
(10) Effective Conflict Resolutions:
Question: Which statement would best describe the contractor’s ability to resolve conflict?
| Contractor was able to resolve conflicts immediately and was able to provide (Excellent) immediate solutions | |
| Contractor was able to resolve conflicts quickly and was able to provide timely (Good) solutions | |
| Contractor was able to resolve conflicts and was able to provide solutions (Acceptable) | |
| Contractor was somewhat able to resolve conflicts and was somewhat able (Marginal) to provide solutions | |
| Contractor was unable to resolve conflicts or provide solutions (Unsatisfactory) |
(11) Ability to Handle Government Requests for Change:
Question: Which statement would best describe the contractor’s ability to respond to changes?
| Contractor was extremely receptive to government changes (Excellent) |
| Contractor was very receptive to government changes (Good) |
| Contractor was receptive to government changes (Acceptable) |
| Contractor was somewhat receptive to government changes (Marginal) |
| Contractor was not receptive to government changes (Unsatisfactory) |
Contractor Overall Rating
(Excellent)
(Good)
(Acceptable)
(Marginal)
(Unsatisfactory)
Comments (Optional)
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