191BWC24R0001_Past_Performance_Questionnaire.pdf

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South Bay International Wastewater Treatment Plant Expansion
Solicitation number
191BWC24R0001
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About this file

This document is a past performance questionnaire template for the South Bay International Wastewater Treatment Plant Expansion solicitation issued by the International Boundary and Water Commission. The solicitation seeks a progressive design-build contractor to rehabilitate and expand the existing wastewater treatment plant. Respondents are required to provide completed past performance questionnaires from previous clients as part of their proposals. The template collects information on the contractor's performance across various criteria such as quality, timeliness, cost controls, safety, and more. It also requests details of relevant prior projects and collects respondent information for evaluation.

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International Boundary and Water Commission United States and Mexico United States Section

Past Performance Questionnaire South Bay International Wastewater Treatment Plant Rehabilitation and Expansion Progressive Design-Build Solicitation No. 191BWC24R0001

RETURN ALL QUESTIONNAIRES TO:

Philip Johnson

(915) 832-4121 philip.johnson@ibwc.gov

Solicitation 191BWC24R0001 SBIWTP Rehabilitation and Expansion Progressive DB

Note: Past performance information is required for the Design-Builder, Designer Contractor, and Construction Contractor, as applicable. The Contractor shall ensure that a Past Performance Questionnaire is completed for each project used to demonstrate experience and past performance ratings in Volume II. Relevant past performance information is defined as work of a similar nature to that shown in the Solicitation and accomplished during the past 15 years.

Questionnaires are to be completed by the contracting authority (e.g., government agency, owners, and/or clients) responsible for the particular projects and furnished by the completing party directly to:

Philip Johnson Contracting Officer

(915) 832-4121 philip.johnson@ibwc.gov

Questionnaires provided by the Contractor will not be considered.

Notes for emailing:

• If using the form fields contained in this pdf, either sign the form electronically or scan Respondent Information (Page 16 of 17) page at a minimum resolution of 300 dpi in color.

• If filling out the form by hand, please scan the whole document at a minimum resolution of 300 dpi in color.

• Only pages 4 through 16/17 need be returned.

Definitions:

"Contractor" is the Company requesting completion of this questionnaire and whose performance on the past project will be evaluated.

"Reviewer/Respondent" is the contracting authority (e.g., government agency, owners, and/or clients) completing the questionnaire for evaluation of the requesting Contractor's past performance.

Instructions for Completing Past Performance Questionnaire

A. Questions 1 through 11 on page 4 shall be completed by the Contractor. All other parts of the questionnaire shall be completed by companies or agencies who hired the Contractor.

Contractors shall not fill out a questionnaire for themselves.

B. Indicate, based on the adjectives listed (using letter designation below), the Contractor’s performance on the identified program. Assessments should reflect only Contractor-liable performance. The following is a definition of the rating levels:

RATING DEFINITION NOTE

E

(Exceptional)

Performance meets contractual requirements and exceeds many requirements to the benefit of the Government.

The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

An exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an exceptional rating. Also, there should have been no significant weaknesses identified.

V

(Very Good)

Performance meets contractual requirements and exceeds some requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

A very good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government. There should have been no significant weaknesses identified.

S

(Satisfactory)

Performance meets minimum contractual requirements.

The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the Contractor were, or appear to be, satisfactory.

A satisfactory rating is appropriate when there were only minor problems, or major problems that the Contractor recovered from without impact to the contract. There should have been no significant weaknesses identified.

M

(Marginal)

Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions or the Contractor’s proposed actions appear only marginally effective or were not fully implemented.

A marginal is appropriate when a significant event occurred that the Contractor had trouble overcoming which impacted the Government.

U

(Unsatisfactory)

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the Contractor’s corrective actions were, or appear to be, ineffective.

An unsatisfactory rating is appropriate when multiple significant events occurred that the Contractor had trouble overcoming and which impacted the Government. A singular problem, however could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

N/A (Not

Applicable)

Self-explanatory. Use if you are unable to provide a rating for an area. Rating will be neither positive nor negative.

C. Please provide narrative explanations for your answers. Space for your narrative remarks is provided after each area. If more space is required, attach additional sheets.

D. In addition to completing the attached questionnaire for the identified program, please provide your comments on other programs for which your activity has contracts with this firm.

You are urged to supplement your own knowledge of the Contractor’s performance with the judgment of others in your organization.

CONTRACTOR COMPLETE THIS PAGE

CONTRACTOR

COMPLETE PAGES 4 AND 5

Past Performance Questionnaire Details:

Name of Respondent's Agency/Company: ___________________________________________ Title of Project to be Evaluated: ___________________________________________________

Offeror Teaming Details for Solicitation 191BWC24R0001 (must match Client Authorization Letter)

Name of Contractor Requesting Questionnaire: _______________________________________ The role of the Contractor on proposed team: _________________________________________ Name of Prime Contractor for 191BWC24R0001 Team: ________________________________

In the above referenced project, Contractor Being Reviewed was:

Prime Contractor (company submitting bid proposal to USIBWC) Subcontractor Other: ___________________________________________________

CONTRACTOR COMPLETE THIS PAGE

Business and Project Identification (This page to be completed by Contractor for project related to past performance)

1. Contractor's company name: ________________________________________________

2. Project title: ___________________________________________________________

3. Contract number: _________________________________________________________

4. Description of the project (size, scope, and features of work):

5. Period of performance (Original and Current/Actual): ____________________________

a. Original scheduled completion date: ____________________________________

b. Current or actual completion date: ______________________________________

c. Number of times it changed: __________________________________________

d. Primary causes of changes: ___________________________________________

e. If not complete, percentage of completion: _______________________________

6. Was Contractor the prime Contractor, subcontractor, or vendor: ___________________*

* Prime Contractor indicates that the Contractor held the contract. Subcontractor indicates that the Contractor provided services (designs, construction, surveying, testing, etc.) for the prime. Vendor indicates that the Contractor provided supplies, materials, equipment, etc. for the prime or a subcontractor.

7. Percentage of work physically performed by Contractor: __________________________

8. Total project dollar value (prime contract value): ________________________________

9. Contractor's original contract dollar value: _____________________________________

a. Current or actual value at time of completion: ____________________________

b. Number of times it changed: __________________________________________

c. Primary causes of changes: ___________________________________________

10. Location of project: _______________________________________________________

11. Specific role of Contractor on the project (please provide work task(s) performed):

12. Specific role of persons on this project identified as part of the proposed 191BWC24R0001 team (please provide name, project role, discipline, if applicable, and brief list of responsibilities):

REVIEWER COMPLETE THIS PAGE

REVIEWER/RESPONDENT

COMPLETE PAGES 7 THROUGH 16

REVIEWER COMPLETE THIS PAGE

Description of Contract (This and all additional pages to be completed by Reviewer/Respondent)

What function did the Contractor fill on this project? (Check all that apply)

Construction Architect-Engineer

Construction Management (CM) Vendor

Design-Build Other:

How was the Contract awarded? (Check all that apply)

Sealed Bid 8(a) Direct Award

Competitive Sole Source

Negotiated Small Business Set Aside

Task Order/Delivery Order Other:

How was the Contract paid? (Check all that apply)

Unit Price Line Items Time and Materials

Lump Sum Line Items Cost Plus

Lump Sum Contract Other:

Yes No N/A

1. Do you agree with the Contractor's response to 5.d. on page 5?

2. Do you agree with the Contractor's response to 9.c. on page 5?

3. Are all other details on page 5 accurate?

Please provide additional information to any “no” answers.

REVIEWER COMPLETE THIS PAGE

Complexity of Project

What was the complexity of project being reviewed: ___________________________________ For example: highly complex - multiple construction disciplines with a short time frame moderately complex - simpler construction with one or two difficult areas average - one or two construction disciplines with no problems simple - straight forward construction with nothing out of the average

Please indicate items that the Contractor performed as part of this project.

'Performed' indicates that items were constructed by Contractor, designed by Contractor, inspected by Contractor, or supplied by Contractor, depending upon role indicated on Page 5.

Type of Work Performed Type of Work Performed Excavation/earthwork (this excludes mass excavation) Facility improvements

Compacted backfill Increased plant capacity

Bypass system Headworks design

Pump systems Primary sedimentation design

Yard piping installation Secondary sedimentation design

Process piping installation Activated sludge design Mechanical equipment installation Pump station design

Electrical Odor control

Instrumentation and controls Solids processing

Dewatering Buildings

Utility excavation Standby power Structural cast-in-place concrete (this excludes curbs, gutters, slabs, parking lots, and roads)

Concrete coatings

Asphalt paving

Metal fabrication

REVIEWER COMPLETE THIS PAGE

Evaluation of Contractor's Performance

Ratings: E = Exceptional V = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not Applicable See page 3 for complete rating descriptions.

Quality

Quality E V S M U N/A

1. Overall quality of the project.

2. Key management/design/construction personnel qualifications to perform the requirements of project.

3. Quality of the subcontractor’s work.

4. Accuracy of the record keeping procedure and the ability to prepare accurate reports.

5. Procedures that ensured that the level of quality remained constant throughout the project.

6. Contractor's quality program in identifying, correcting, and preventing initial and recurring discrepancies.

7. Contractor's quality control manager was onsite during project work.

Comments: ____________________________________________________________________

Timeliness

Timeliness E V S M U N/A

1. Timeliness in completing the project.

2. Meeting project schedule and monitoring critical milestones.

3. Timeliness in completing reports or deliverables.

4. Provided a process for timely responses to requests for modifications.

5. Timeliness in providing all project documents.

REVIEWER COMPLETE THIS PAGE

Ratings: E = Exceptional V = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not Applicable

Cost Controls

Cost Control E V S M U N/A

1. Provided good products/materials, considering the price paid for the items.

2. Demonstrated financial stability during the project performance period.

3. Demonstrated reasonableness of proposed modification costs.

Business Relationships

Business Relationships E V S M U N/A

1. Cooperation in solving problems.

2. A good relationship with technical personnel.

3. A good relationship with contracting office personnel.

4. A good relationship with subcontractors.

5. Compliance with the terms of the contract.

Customer Satisfaction

Customer Satisfaction Yes No N/A

1. You, as the end user, were satisfied with the services performed.

2. You would be their advocate for future work.**

** Government reviewers should take this to mean the same as the CPARS recommendation that states "Given what I know today about the contractor's ability to perform in accordance with this contract or order's most significant requirements, I would/would not recommend them for similar requirements in the future."

REVIEWER COMPLETE THIS PAGE

Ratings: E = Exceptional V = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not Applicable

Management

Management E V S M U N/A

1. Adequate, qualified overall project management.

2. Management responsiveness and professionalism.

3. Site supervisor understood project scope and work.

4. Management kept crews busy, materials on site, and equipment in working order.

5. Contractor's ability to manage subcontractors.

6. Site supervisor was onsite during project work.

Technical

Technical E V S M U N/A

1. Met the general and detailed design scope of work/specification requirements.

2. Ensured the technical data and details submitted were acceptable.

3. Submittals were well researched and clearly identified the proposed item.

Environmental

Environmental E V S M U N/A

1. Met the general environmental requirements.

2. Adequacy of Contractor's environmental program, oversight, compliance, and management.

3. Contractor promoted environmental awareness.

REVIEWER COMPLETE THIS PAGE

Ratings: E = Exceptional V = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not Applicable

Design and Construction

Construction E V S M U N/A

1. Your satisfaction with the methods of construction.

2. The promptness and quality of completion of punch list items.

3. Your satisfaction with the response to warranty calls.

4. General housekeeping and site upkeep.

Safety

Safety E V S M U N/A

1. Contractor maintained the site in a safe manner.

2. There was a comprehensive safety plan in place that was enforced.

3. Any unsafe work methods, materials, or employees were removed or changed immediately.

4. Employees viewed safety equipment as a necessity.

5. Contractor promoted safety awareness.

6. Contractor utilized the Activity Hazard Analyses as a tool and considered input from the workers.

7. Contractor's safety officer was onsite during project work.

Safety Incidents Yes No N/A

1. Were there any injuries on this project?

2. Were there any accidents on this project?

Please provide additional information to any “yes” answers.

Comments: ____________________________________________________________________

REVIEWER COMPLETE THIS PAGE

Ratings: E = Exceptional V = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not Applicable

Financial Management

Financial Management Yes No N/A

1. Were there any instances where subcontractors were not paid?

2. Were any liens placed against the project?

3. To your knowledge, have any key personnel associated with this Contractor been indicted on any criminal charges within the past 10 years?

4. Did any submitted payrolls fail to meet minimum wage rates?

5. Did employees complain about not being paid?

Please provide additional information to any “yes” answers.

Comments: ____________________________________________________________________

General Information

General Information Yes No N/A

1. Has this Contractor demonstrated capability to work independently and without significant customer oversight?

2. Given a choice, would you use this Contractor again?

REVIEWER COMPLETE THIS PAGE

Ratings: E = Exceptional V = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not Applicable

Project Specific Questions

Design E V S M U N/A

1. Efficiency and sustainability incorporated into the final design.

2. The promptness and quality of completion of design deliverables.

3. Your satisfaction with the response to review questions and comments.

4. Designer's quality in eliminating design errors and omissions.

5. Designer's quality in capturing existing conditions to avoid construction conflicts.

6. Designer's quality in producing a constructable design.

Design Satisfaction Yes No N/A

1. Were you, as the end user, satisfied with the design?

2. Did the final design produce a project that remained within your construction budget?

3. Did the designer consider your input when making decisions about design alternatives?

4. Did the designer consider the cost of operation and maintenance in their design solutions?

5. Did the designer address design discrepancies, errors, and/or omissions promptly and without disputing?

6. If project involved a collaborative design and construction delivery method, was a reasonable firm-fixed price negotiated to proceed with construction of the project?

Please provide additional information to any “no” answers.

REVIEWER COMPLETE THIS PAGE

Ratings: E = Exceptional V = Very Good S = Satisfactory M = Marginal U = Unsatisfactory N/A = Not Applicable

Project Specific Questions

Coordination Required Yes No N/A

1. Did project involve coordination with multiple stakeholders? (For example, different government entities)

2. Did project involve coordination with owners for plant activities, such as ongoing maintenance or other projects, at the location?

3. Did project require plant to remain active during construction?

Coordination E V S M U N/A

1. Coordination with stakeholders and different government entities.

2. Compliance with requirements from other government entities (local/state/federal).

3. Coordination with plant staff to ensure plant remained active during construction.

4. Coordination with other contractors within the same project area.

Small Business Subcontracting E V S M U N/A

1. Compliance with Small Business Subcontracting Program.

2. Commitment to providing maximum practicable opportunity for subcontracting small businesses.

3. Success in achieving goals proposed in Contractor's Subcontracting Plan.

4. Compliance with reporting requirements for subcontracting plan.

REVIEWER COMPLETE THIS PAGE

Respondent Information

The following information will assist with the analysis of the data.

This information will be kept CONFIDENTIAL and will not be released to Contractor.

We recognize that your responses and comments are only your personal opinion and that they do not represent the opinion of your company or organization.

Name (please print): _____________________________________________________________

Signature: _____________________________________________________________________

Agency/company: ______________________________________________________________

Address: ______________________________________________________________________

Address: ______________________________________________________________________

Work phone number: ____________________________________________________________

Email address: __________________________________________________________________

Your role relative to the project/contract: ____________________________________________ (e.g., Contracting Officer, Inspector, Contract Administration, Buyer, Quality Assurance Evaluator, Other - explain)

Agency/Company's role relative to the Owner (Do not answer if you are Owner): _________________ (e.g., Prime Contractor, Subcontractor, Joint Venture Sponsor, Other - explain)

Length of involvement in project/contract: ___________________________________________

Date the questionnaire was completed: ______________________________________________

Do you know anyone else who can provide information regarding this Contractor’s performance?

Name: Phone:

Name: Phone:

Project Owner Information (Provide information if the Respondent is not the project owner) Agency/company: ______________________________________________________________

Address: ______________________________________________________________________

Address: ______________________________________________________________________

Work phone number: ____________________________________________________________

THANK YOU FOR COMPLETING THIS QUESTIONNAIRE.

REVIEWER COMPLETE THIS PAGE

Additional Remarks Use additional pages if necessary.

Instructions for Completing Past Performance Questionnaire
Offer Information
Business and Project Identification
Description of Contract
Complexity of Project
Evaluation of Contractor's Performance
Quality
Timeliness
Cost Control
Business Relationships
Customer Satisfaction
Management
Technical
Environmental
Construction
Safety
Financial Management
General Information
Design
Design Satisfaction
Coordination
Small Business Subcontracting
Respondent Information
Additional Remarks
Period of performance:
Original schedule:
Current or actual schedule:
Number of times it changed:
Primary causes of changes:
Current or actual completion date and if not complete percentage of completion:
Offeror_Type: [Prime Contractor]
Original project dollar value:
Current or actual value at time of completion:
Number of times it changed_2:
Primary causes of changes_2:
Location of Project:
Complexity: [Simple]
BoxCC1: Off
BoxCC2: Off
BoxCC3: Off
COST CONTROL:
BoxB1: Off
BoxB2: Off
BoxB3: Off
BoxB4: Off
BoxB5: Off
BoxCS1: Off
BoxCS2: Off
CUSTOMER SATISFACTION:
BoxM1: Off
BoxM2: Off
BoxM3: Off
BoxM4: Off
BoxM5: Off
MANAGEMENT:
BoxTT1: Off
BoxTT2: Off
BoxTT3: Off
TECHNICAL:
BoxE1: Off
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ENVIRONMENTAL:
BoxD1: Off
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BoxS1: Off
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BoxS7: Off
SAFETY:
BoxF1: Off
BoxF2: Off
BoxF3: Off
BoxF4: Off
BoxF5: Off
BoxG1: Off
BoxG2: Off
Project-Contract Number:
Percent of Work:
Contract dollar value at time of selection:
BoxCR1: Off
BoxCR2: Off
OtherDC1:
OtherDC2:
OtherDC3:
Paid1: Off
Paid4: Off
Paid2: Off
Paid5: Off
Paid3: Off
Paid6: Off
Award1: Off
Award2: Off
Award3: Off
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Award5: Off
Award6: Off
Award7: Off
Award8: Off
Fill1: Off
FINANCIAL MANAGEMENT:
Offeror1: Off
Offeror Other:
BoxQ1: Off
BoxQ2: Off
BoxQ3: Off
BoxQ4: Off
BoxQ5: Off
BoxQ6: Off
BoxQ7: Off
QUALITY:
BoxT1: Off
BoxT2: Off
BoxT3: Off
BoxT4: Off
BoxT5: Off
TIMELINESS:
Project title:
each team member 2:
each team member 3:
Description of Project:
Check1:
1:
0: Off
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0:
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9: Off
10: Off
Companyagency name:
Responses:
Additional:
Name:
Work Address 1:
Work Address 2:
Work phone number:
email:
Your role relative to the projectcontract:
Length of involvement in projectcontract:
Date the questionnaire was completed:
Name1:
Phone1:
Name2:
Phone2:
POCompany:
POWork Address 1:
POWork Address 2:
POWork phone number:
GENERAL INFORMATION:
BoxY1: Off
BoxY2: Off
BoxZ1: Off
BoxZ2: Off
BoxZ3: Off
BoxZ4: Off
BoxZ5: Off
BoxZ6: Off
BoxZ7: Off
BoxY3: Off
Company22:
Prime Contractor Company Name:
Offeror Role:
Company/Agency2:
BoxCR3: Off
BUSINESS RELATIONSHIPS:
BoxM6: Off
CONSTRUCTION:
BoxSI6: Off
BoxSI7: Off
SMALL BUSINESS SUBCONTRACTING:
COORDINATION:
BoxZ8: Off
DESIGN SATISFACTION:
DESIGN:
BoxDD1: Off
BoxDD2: Off
BoxDD3: Off
BoxDD4: Off
BoxDD5: Off
BoxDD6: Off
BoxDS1: Off
BoxDS2: Off
BoxDS3: Off
BoxDS4: Off
BoxDS5: Off
BoxDS6: Off

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