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PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER

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					              PAST PERFORMANCE QUESTIONNAIRE AND COVER LETTER

SAMPLE TRANSMITTAL LETTER AND
PAST PERFORMANCE EVALUATION QUESTIONNAIRE


Date: _________________

To: ______________________________________
_________________________________________
_________________________________________

       We have listed your firm as a reference for work we have performed for you as listed
below. Our firm will be submitting a proposal under a project advertised by the U.S. Army Corps
of Engineers, Kansas City District. In accordance with Federal Acquisition Regulations (FAR),
an evaluation of our firm's past performance will be completed by the Corps of Engineers. Your
candid response to the attached questionnaire will assist the evaluation team in this process.

        We understand that you have a busy schedule and your participation in this evaluation is
greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible.
Space is provided for comments. Understand that while the responses to this questionnaire
may be released to the offeror, FAR 15.306 (e)(4) prohibits the release of the names of the
persons providing the responses. Complete confidentiality will be maintained. Furthermore, a
questionnaire has also been sent to ____________________ of your organization. Only one
response from each office is required. If at all possible, we suggest that you individually answer
this questionnaire and then coordinate your responses with that of
________________________, to forge a consensus on one overall response from your
organization.

       Please send your completed questionnaire to the following address:

                                     U.S. Army Engineer District, Kansas City
                                     ATTN: CECT-NWK-C/John Akin
                                     601 East 12th Street
                                     Kansas City, Missouri 64016-2896

The questionnaires can also be e-mailed to john.h.akin@usace.army.mil.

If you have questions regarding the attached questionnaire, or require assistance, please
contact the Contract Specialist at (816) 389-3665. Thank you for your assistance.
                                   PAST PERFORMANCE QUESTIONNAIRE

You have been named as a reference for the Offeror in Part I, below, for Request for Proposal W912DQ-11-R-1050 to
provide time-sensitive disaster or emergency assistance construction activities related to flood control and water
diversion projects, including but not limited to stream bank and shoreline stabilization/protection, ecosystem/habitat
restoration and flood damage reduction. Please complete the information required in Part II, and rate the Offeror in
Part III, below, and return this questionnaire to the following address NO LATER THAN NOON Central Time, BY
SOLICITATION OFFER DUE DATE, 8 SEPTEMBER 2011.
          Department of the Army
          U.S. Army Corps of Engineers, Kansas City
          ATTN: CECT-NWK-C/John Akin
          601 E. 12th Street
          Kansas City, MO 64106
 The information you provide will be used in the awarding of a federal contract. Therefore it is important that your
 information be as factual and accurate as possible. We guarantee confidentiality of all the responses. Thank-you in
 advance for making this a Best Value Procurement.


                                                       Part I
    Contractor: (Check if Prime or
                                              Prime _______                     Subcontractor _______
    Subcontractor)

    Contract name and number:




    Description of work:




    Period of performance:

    Contract value:

    What was your involvement in this
    project?




                                                       Part II

    Your name:

    Your organization:

    Your phone number:

    Your position title:

    Actual contract completion date:
                               PAST PERFORMANCE QUESTIONNAIRE (cont.)

                                                     PART III

                         Please indicate the appropriate ratings and provide comments, below.

                                           Quality of Site Workmanship
    Outstanding                  Good                Satisfactory             Marginal             Unsatisfactory
The site                The site                The site                Problems were           Dissatisfied with the
workmanship was of      workmanship was of      workmanship was of      experienced with the    quality of the site
exceptional quality.    high quality.           satisfactory quality.   quality of the site     workmanship. Many
                                                                        workmanship.            problems were
                                                                                                encountered.


Comments:




                           Satisfaction with the overall performance of the Contractor
    Outstanding                 Good                 Satisfactory             Marginal             Unsatisfactory
Very happy overall      The contractor          The contractor          Not entirely happy      Do not recommend
with performance.       performed above         performed average,      with the contractor.    use of this contractor.
Only minor problems     average, with a minor   with the usual          There were more than
were encountered,       amount of problems      number of problems      the usual numbers of
and the contractor      noted. Contractor       noted. The              problems noted.
was very eager to       showed initiative in    Contractor showed       Would only
correct any problems.   resolving any           typical enthusiasm in   recommend this
Would highly            problems.               resolving any           contractor with
recommend this                                  problems.               reservations.
contractor to others.

Comments:
                                PAST PERFORMANCE QUESTIONNAIRE (cont.)

                                                      PART III

                         Please indicate the appropriate ratings and provide comments, below.

                        Timely performance of the site work performed (Schedule)
   Outstanding                Good              Satisfactory             Marginal           Unsatisfactory
Contractor             Contractor met the   Contractor came         Contract deadlines    Deadlines
completed the          contract schedule.   close to meeting the    sometimes             consistently missed
contract ahead of                           contract schedule.      dismissed.            with no corrective
schedule.                                                           Attempts at           actions taken by the
                                                                    regaining schedules   contractor.
                                                                    only partly
                                                                    successful.

Comments:




                                            Maintaining Budget
    Outstanding               Good               Satisfactory            Marginal           Unsatisfactory
Contractor found       Contractor            Contractor             Small cost-           Major cost-
innovative ways to     completed the job     completed the job      increasing contract   increasing contract
substantially cut      under budget, and     within, or just        modifications due     modifications.
costs or increase      there were no         under budget, and      to poor contractor    Contractor works
value to owner, and    contract              there were either no   oversight or poor     hard to generate
there were no          modifications.        or minor contract      planning.             extra cost
contract                                     modifications.                               modifications for
modifications due to                                                                      profit enhancement.
contractor problems.

Comments:

				
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posted:10/21/2011
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