A2_Past_Performance_Assessment.pdf

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Cultural Resources Assessment Surveys, JHK, Boydton VA
Solicitation number
W912PM16T0038
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Past Performance Assessment Sheet

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PAST PERFORMANCE ASSESSMENT SHEET

W912PM-16-T-0038

JHK Cultural Resource Assessment Surveys

For each project submission provide the following information:

Project Title:

Location:

Contract number:

If applicable, Task Order number:

Procuring activity:

Procurement point of contact and telephone number:

Date of Award:

Status: Active _________ (provide percent complete) Complete __________ (provide completion date)

Total cost:

Total cost of all modifications:

Indicate type of project (private sector, Government, planned unit development, etc.):

General description of project:

List the relevant criteria associated with this project:

For each project provide the following assessment:

QUALITY OF SERVICE:

Describe your company’s performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

TIMELINESS OF PERFORMANCE:

Describe your company’s timeliness of performance in the following areas:

Was the contract completed ahead of schedule or on time, if not why?

Did the award amount or delivery schedule change, if so why?

If any issues were identified, how were they resolved?

If a problem surfaced, what actions were taken to fix it?

CUSTOMER SATISFACTION:

Describe your company’s assessment of the customer’s satisfaction in relation to Quality, Cost, and Schedule.

SUBCONTRACTOR MANAGEMENT:

Describe your company’s assessment of how well subcontractors, suppliers, and the labor force were managed and coordinated?

What was the relationship between your company and subcontractors?

Did the subcontractors perform the bulk of the effort or just add breadth or depth on particular technical areas?

SAFETY:

Describe your company’s assessment in complying with safety standards and the effectiveness of your company’s safety program.

ADDITIONAL PROJECT INFORMATION:

Describe your company’s assessment on any weak/strong points identified throughout the project?

For each project, please provide the name, title, Government agency or commercial organization, email address and phone number of three current or previous Points of Contact. Persons identified below should be able to confirm your company’s assessment of this project and be able to answer any other questions the Government might have about the performance of this project (Do not refer Contract Specialist / or Contracting Officer, only those people that were involved throughout the duration of the project i.e. project manager / ACO).

Name: ______________________________________________________

Title: _______________________________________________________

Organization: ________________________________________________

Email address:________________________________________________

Phone: ______________________________________________________

Name: ______________________________________________________

Title: _______________________________________________________

Organization: ________________________________________________

Name: ______________________________________________________

Title: _______________________________________________________

Organization: ________________________________________________

TERMINATED PROJECTS:

Attach a list of any projects within the last three (3) years that have been terminated. Provide an explanation, as well as a Point of Contact (Name, organization, email, phone number) for each terminated project.

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