REFERENCE_QUESTIONNAIRE_PACKAGE_FY18.docx

REFERENCE QUESTIONNAIRE PACKAGE FY18

MULTI-FAMILY HOUSING PROGRAM APPRAISER

Instructions to Offeror/Subcontractor for sending Reference Questionnaire Forms:

Offeror: Prepare and send a reference questionnaire package for TWO to THREE relevant projects/contracts completed in the past 3 years. Please request replies from the Contracting Officer or Technical Representative (government), or Project Manager. It is your responsibility to follow-up and to encourage your references to send in their questionnaire. We request specific information regarding your responsibility and performance to enable Contracting Officer to perform due diligence.

Part 1 (to be completed by firm requesting reference)

1. Name/Title, Firm Name & Address (City and State):

2. Title of Project/Contract Number:

a. Contract __ or BPA __

3. Description of Work (Include type of service and number performed):

4. Location of Work:

5. Role on Project: Prime __ or Subcontractor/Subconsultant __

6. Contract Amount:

7. Date of Award:

8. Status (completed, in progress, cancelled):

Part 2 (to be completed by person providing reference) If the information provided in Part 1 is not accurate, please edit. Please return completed questionnaire (3 pages) via email to KarenD.Cooper@Mi.usda.gov. Note in subject: “MFH Appraiser Reference”. Thank you!

1. Reference is provided by:

2. Company/Agency:

3. Business Address:

4. Telephone Number:

5. E-Mail Address:

6. Relationship to Contract:

7. QUALITY OF WORK: Evaluate compliance, quality achieved, and overall technical expertise demonstrated.

__ Excellent Quality __ Above Average Quality __ Average Quality __ Below Average Quality __ Experienced Significant Problems Remarks:

8. TIMELINESS OF PERFORMANCE: Performance period requirements, deliverables.

__ Completed Substantially Ahead of Schedule __ Completed on Schedule with no Time Delays __ Completed on Schedule with Minor Delays Under Extenuating Circumstances __ OTHER (explain)_________________________________________________________

3. DELIVERABLES: To what extent were reports, submittals and other required documentation or deliverables accurate and complete?

__ Excellent Quality __ Above Average Quality __ Average Quality __ Below Average Quality

4. COORDINATION: How well did they respond to coordination efforts and work with others? Were there any problems and, if so, how were they handled?

__ Excellent __ Above Average __ Average __ Below Average

5. GENERAL MANAGEMENT PRACTICES: How well managed were the firm’s general business practices? Consider such things as management experience, technical and administrative personnel experience and quality, overall responsiveness, price proposal/quote.

__ Excellent __ Above Average __ Average __ Below Average

6. If given the opportunity, would you work with this firm again?

__ Yes __ No __ Not Sure

OTHER REMARKS: Use the space below to provide other information related to the contractor's performance. This may include selection of subcontractors or subconsultants, flexibility in dealing with contract challenges, payment issues, their overall concern for the client's interest (if applicable), project awards received, etc.

Questionnaire Page 3