Design_Firm_Past_Performance_Form.pdf

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Lock and Dam Tow Rail Design and Replacement
Solicitation number
W912ES18R0007
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Design Firm Past Performance Form

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Traveling Mooring Bitt System Rehabilitation Solicitation No. W912ES18R0007

PAST PERFORMANCE EVALUATION QUESTIONNAIRE: DESIGN FIRM (TAB C)

1. Lead Architect or Architect-Engineer/Name & Address (city and state):

2. Contractor/Name & Address Name & Address (if Design‐Build):

3. Type of Contract: Fixed Price Cost Reimbursement

Other (specify)

4. Title of Project/Contract Number:

5. Description of Work:

6. Complexity of Work: High Mid Routine

7. Location of Work:

8. Date of Award:

9. Status: Active (please provide percent complete) Complete (please provide date complete)

10. Name and telephone number of Owner’s Technical Representative:

QUALITY OF PRODUCT/SERVICE:

11 Please evaluate the contractor’s performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

Excellent

Above Average

Average

Below Average

Unsatisfactory

Remarks:

12. To what extent were the contractor’s reports and documentation accurate, complete, and submitted in a timely manner?

Excellent

Above Average

Average

Below Average

Unsuccessful

Remarks:

13. To what extent was the contractor able to solve contract performance problems without extensive guidance from Owner counterparts?

Excellent

Above Average

Average

Below Average

Unsatisfactory

14. How well did the contractor manage and coordinate subcontractors, suppliers, and the labor force?

Excellent

Above Average

Average

Below Average

Unsatisfactory

Remarks:

CUSTOMER SATISFACTION:

15. To what extent were the end users satisfied with:

Quality Schedule

Exceptionally Satisfied

Highly Satisfied

Satisfied

Somewhat Dissatisfied

Highly Dissatisfied

Remarks:

TIMELINESS OF PERFORMANCE:

16. To what extent did the contractor meet the required schedules?

Completed Substantially ahead of schedule

Completed on Schedule with no time delays

Completed with minor delays or experienced significant delays with extenuating circumstances

Experienced significant delays without justification

17. If given the opportunity, would you work with this contractor again?

Yes No Not Sure

Remarks:

18. Please use the space below to provide other information related to the contractor’s performance.

This may include the contractor’s selection and management of subcontractors, flexibility in dealing with contract challenges, their overall concern for the Owner’s interest, project awards received, etc.

19. Rating Official Information

Name

Title

Office

Telephone Number

Date

Signature of Rating Official

Thank you for your evaluation. Please submit this completed form by email to BOTH Jesse.L.Onkka@usace.army.mil AND Kevin.P.Henricks@usace.army.mil, or to the following address, to be received by :

U.S. Army Corps of Engineers, St. Paul District ATTN: Jesse Onkka 180 5th Street East, Suite 700 St. Paul, MN 55101

Other specify:
Location of Work_2:
Date of Award_2:
Active_2:
Complete_2:
Group3: Off
Project Name & Address:
Group4: Off
Description of Work:
Group5: Off
Text5:
Group6: Off
Remarks:
Remarks1:
Group7: Off
Remarks2:
Group8: Off
Remarks3:
Group9: Off
Group10: Off
Remarks4:
Group11: Off
Name_2:
Title_2:
Office_2:
Date_6:
Remarks5:
Group12: Off
Remarks6:
Remarks7:
Phone Number 2:
A&E Name & Address:
Construction Contractor Name & Address:

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