21R1010_Atch 3_PPQ.pdf

ATTACHMENT 3 - PAST PERFORMANCE QUESTIONNAIRE

FA486121R1010

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

A-E TITLE I & TITLE II SERVICES, NELLIS AFB NV

Instructions to firms:

(1) Firm is to complete Section 1 and forward form to customer.

(2) Customer is to complete Sections 2 through 6 and return to firm.

(3) Firm is to include completed form in its entirety with SF 330 package submission.

(4) Any adverse comments noted by customers are to be addressed by firm and submitted with SF 330 package.

SECTION 1: CONTRACT IDENTIFICATION

Firm Name:

Address:

Telephone Number:

Point of Contact:

Email Address:

Firm Cage Code:

Firm Tax ID Number:

Firm DUNS Number:

Contract Number:

Project Title:

Dollar Amount:

Contract Type:

Contract Period of Performance:

Performed As: Pr ime Contractor Sub-Contractor / Consultant /

Team Member Percent of Work Performed: ___________% Description of Project:

Description of A-E Firm’s Responsibilities:

Are there Contractor Performance Assessment Reporting System (CPARS) Evaluation or other Past Performance Reports available for this contract?

_____YES _____NO

FA486121R1010

FOR OFFICIAL USE ONLY

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

Customer or Agency Name:

Customer or Agency description (if applicable):

Geographic description of services under this contract, i.e. local, nationwide, worldwide, other commands:

SECTION 3: EVALUATOR IDENTIFICATION

Evaluator’s name:

Evaluator’s title:

Evaluator’s phone/fax number:

Evaluator’s email address:

Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by marking the performance scale indicated in the appropriate block.

* Please provide narrative summary for each item you indicated as “Did Not Meet” or “Exceeded” below.

ITEM FACTORS TO BE RATED Did Not Meet* Met Exceeded*

Design Services:

1 Overall skill level and technical competence of A-E’s personnel.

2 A-E’s ability to identify and resolve design issues expeditiously.

3 A-E’s responsiveness to design review questions.

4 A-E’s ability to effectively coordinate, integrate and manage their consultants/subcontractors/team.

5 A-E’s effectiveness and responsiveness in interfacing with the Client’s staff.

6 Overall accuracy, completeness and coordination of final design documents. (Quality) 7 A-E’s ability to provide detailed, accurate cost estimates.

8 A-E’s ability to meet contract schedule.

Follow-On Construction Support Services:

9 Thoroughness and timely review of construction submittals.

10 Timely resolution of construction design issues.

11 Overall quality, responsiveness and timeliness of A-E follow-on construction support services.

LEED (If Applicable):

12 Overall accuracy, completeness, timeliness and coordination of LEED documentation.

13 A/E’s ability and understanding of the overall LEED process.

FA486121R1010

FOR OFFICIAL USE ONLY

ITEM FACTORS TO BE RATED Did Not Meet* Met Exceeded*

BIM (If Applicable):

14 Overall accuracy, completeness, timeliness and coordination of BIM documentation.

15 A-E’s ability and understanding of the overall BIM process.

Owner’s Representative on Design/Build Projects (If Applicable):

16 Overall accuracy, completeness, timeliness and coordination of requirements documents and bridging documents.

17 A-E’s ability, thoroughness, timeliness and support as Owner’s

Representative throughout the project.

Overall:

18 How would you rate the A-E’s ability to control cost?

19 How would you rate the A-E’s overall management performance on this contract?

20 How would you rate the A-E’s overall technical/quality performance on this contract?

21 Would you use this A-E again? (If “No”, please comment in the

Narrative Summary) ___YES ___NO

SECTION 5 – NARRATIVE SUMMARY (if applicable)

ITEM COMMENTS

SECTION 6 – CUSTOMER ENDORSEMENT

Evaluator’s Signature Date