Attachment B PAST PERFORMANCE QUESTIONNAIRE.docx

Solicitation W912DR-10-R-0107, Attachment B, Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

Solicitation Number: ________________________

The contractor identified below has made an offer for the award of a contract by the U.S. Army Corps of Engineers, Baltimore District, in response to the referenced solicitation. This is a request for information about the past performance of the offeror, which the offeror has identified as being relevant to the referenced solicitation. The information provided below will be used in the evaluation of the offeror’s past performance. The information, once submitted by the offeror, will be treated confidentially and will not be released. It will be used only to evaluate this offeror for the referenced solicitation. Please have the person filing this form send responses back to the following email or physical address below:

Emdc.admin@usace.army.mil:

USACE

EMDC, Room 10500 Attn: Ms. Sophie Kagan 10 South Howard Street Baltimore, MD 21201

To ensure that the past performance form gets applied to the correct solicitation number (W912DR-10-R-0020. 0098 or 0107) please make sure it is clearly identified. If no solicitation number has been identified, the Past Performance Questionnaire will be disregarded. The Government will only accept this from the company and/or person filing the form. Information may be typed or legibly handwritten in ink.

Please evaluate the project performance for which the contractor was solely responsible. Do not allow factors beyond the control of the contractor, which resulted in performance delays or other problems, to affect the evaluation of the contractor’s performance.

Past Project Information:

Contractor:

Project Title and Location:

Evaluator:

Owner’s Name: _________________________________________________________________________ Name: _______________________________ Date: ____________________________________________ Phone No: ____________________ Email address: ____________________________________________Address:_______________________________________________________________________________

Position held of function in relation to project: ________________________________________________

The following is a definition of the rating system used:

Excellent: Performance met contractual requirements and exceeded many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good: Performance met contractual requirements and exceeded some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory: Performance met contractual requirements. The contractual performance of the element or sub-element contained some minor problems for which corrective actions taken by the contractor were satisfactory.

Marginal: Performance did not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflected a serious problem for which the contractor has not yet identified correction actions. The contractor’s proposed actions were only marginally effective or were not fully implemented.

Unsatisfactory: Performance did not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contained serious problem(s) for which the contractor’s corrective actions were not effective.

Ratings: In completing this questionnaire, please circle or somehow distinguish the letter corresponding to your rating, or N/A if you are unable to provide an evaluation: E=Excellent, VG=Very Good, S= Satisfactory, M=Marginal, U=Unsatisfactory Please provide clear and concise narrative explanations (both positive and negative) for your answers. This is especially important for any rating above or below satisfactory. Please rate and provide any supporting information for the following: (Use additional sheets as needed.).

Business Relations

1. The contractor’s overall corporate management, integrity, reasonableness, and cooperative conduct.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

2. The relationship between the contractor and the customer’s teams.

Rating: E ___, VG ___,S ___, M ___, U ___, N/A ___

Comments:

Management of Personnel

3. The contractor’s on-site management and coordination of subcontractors.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

4. The contractor’s compliance with labor standards.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

Quality of Work

5. The contractor’s quality control (CQC) system.

Rating: E ___,VG ___, S ___, M ___, U ___, N/A ___

Comments:

6. The contractor’s performance on delivery of quality work.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

7. The contractor’s compliance with safety standards and/or number of incidents.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

Schedule Performance

8. The contractor’s ability to meet the performance schedule.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

9. The contractor’s ability to manage and/or improve schedule problems.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

Cost Control

10. The contractor’s ability to provide the required work at a reasonable total price.

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

11. Did the contractor receive any of the following: Cure Notices; Show Cause; Letters of Reprimand; Suspension of Payments; or Termination? If Yes, please explain.

12. Would you award another contract to this contractor? In no, please explain.

13. Customer satisfaction with end product.

14. Was the contractor provided with an opportunity to discuss any negative performance ratings? If so, what were the results?

15. OVERALL RATING:

Rating: E ___, VG ___, S ___, M ___, U ___, N/A ___

Comments:

Additional Comments:

I certify that I, (_______________________________) am the person that has filled out this Past Performance Questionnaire.