Attachment _ Past Performance Questionnaire.pdf

Attachment – Past Performance Questionnaire

Complete one set of forms for at least three (3) projects identified in your firm’s SF 330 Section F, Example Projects Which Best Illustrate Proposed Team’s Qualifications For This Contract.

Additional space or blank sheets may be added to answer any question.

A. GENERAL INFORMATION

A-E FIRM TO BE EVALUATED:

Firm Name:

Address:

DUNS Number:

Project Title: _____________________________________

Description of Project:

Description of A-E Firms’ Responsibilities:

Contract Number: ______________________ Dollar Amount: ______________________

Contract Period of Performance: _______________________

The A-E Firm performed as the __ Prime Contractor __ Sub-Contractor/Consultant/Team Member

Percent of work performed by A-E Firm:

B. EVALUATOR INFORMATION:

Evaluator’s Company or Agency Name:

Company or Agency Address:

Evaluator’s Name:

Title of Evaluator:

Telephone:

E-mail:

C. PERFORMANCE INFORMATION: Choose the appropriate rating that most accurately describes the A/E’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ALL RATINGS OF Marginal or Unsatisfactory under Narrative Summary.

Definitions

For Past Performance Questionnaire Only

Exceptional (5)

-Performance meets or met contractual requirements and exceeds or exceeded many of your company’s expectations. The contractual performance reflects or reflected few minor problems and corrective actions taken by the contractor appear to be highly effective or corrective actions taken were effective.

Very Good (4)

-Performance meets or met contractual requirements and exceeds or exceeded some of your company’s expectations. The contractual performance reflects or reflected some minor problems and corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective.

Satisfactory (3)

-Performance meets or met contractual requirements. The contractual performance reflects or reflected some minor problems. Corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective.

Marginal (2)

-Performance does or did not meet some contractual requirements. The contractual performance reflects or reflected serious problems(s) for which the contractor has not yet identified acceptable corrective actions or did not provide acceptable corrective actions.

Unsatisfactory (1)

-Performance does or did not meet most contractual requirements and recovery is not likely or did not occur. The contractual performance contains or contained serious problem (s) for which the contractor’s corrective actions appear ineffective or were ineffective.

N/A

-Not applicable or rater has not observed performance in this area.

Place an “X” in the appropriate column using the definitions matrix.

Item

Past Performance Factors to be rated

Ex ce pt io na l (

5)

Ve ry

G oo d (4

Sa tis fa ct or y

(3

M ar gi na

2)

U ns at is fa ct or y

(1

N /A

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.

ce pt io na

G oo d (4

Sa tis fa ct or y

(3

M ar gi na at is fa ct or y

(1

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.

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):

ce pt io na

G oo d (4

Sa tis fa ct or y

(3

M ar gi na at is fa ct or y

(1

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

Number of A/E Design Errors & Omissions on Project: ______________ Increased Project Cost Due to A/E Design Errors & Omissions: ______________

NARRATIVE SUMMARY REGARDING PERFORMANCE:

Item COMMENTS

Item COMMENTS

D.SEND COMPLETED QUESTIONAIRE, VIA EMAIL, TO:

Dario Rissone, Contracting Officer Email: dario.rissone@va.gov mailto:dario.rissone@va.gov