Past Performance Questionnaire RFP 47PF0019R0002.docx

Solicitation # 47PF0019R0002 HWSSC Ph.2 6th Floor Tenant Buildout

Past Performance Questionnaire Contract Identification:

Contractor Name:________________________________________________________________

Contract Number:_________________________________________________________________

Contract Value (including Modifications/Options):_________________________________________

GMP or Budget at Award:_____________________________________________________

GMP at Construction Start:____________________________________________________

Final Contract Value:_________________________________________________________

Date of Performance:_______________________________________________________________

Building Name, Address, City and State of Space Serviced:

Respondent Identification:

Name and Title:____________________________________________________________________

Project Owner:_____________________________________________________________________

Agency/Company:_________________________________________________________________

Address:_________________________________________________________________________

Telephone:_______________________________________________________________________

Project Description (including Program, Square Footage, Site Acreage, Project Schedule and Scope of Design and Construction Services:

The attached survey must be completed by the respondent identified above and emailed to GSA Contract Specialist anna.vanko@gsa.gov on or before 3:00pm Central Time, August 30, 2017.

Past performance references contacted will be evaluated with an adjectival rating, which in turn will be translated into a numerical score, as indicated in the survey. The ratings will then be averaged for a composite score.

Excellent Very Good Satisfactory Marginal Unsatisfactory N/A or No Response 5 4 3 2 1 0

Past Performance Survey Please check the level of the contractor’s overall performance in each of the business management factors listed as it pertains to the referenced project. Check “N/A” if the factor does not apply to the contract being rated. Please fill out in its entirety.

1. Quality, accuracy, and timeliness of required documentation

2. Identification and reporting of problems and potential problems

3. Communicating / interfacing with customer

4. Compliance with technical requirements

5. Compliance with contract schedule

6. Contractor’s on-site management

7. Coordination of subcontractors

8. Responsiveness to change orders/modifications to the contract

*Please comment on all Marginal and Unsatisfactory ratings given, or on any other ratings, as desired.

Did the contractor file any claims?____________ How many? _________ And why?________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Were liquidated damages assessed against the contractor due to late completion? __________

Describe the contractor’s overall performance under your contract________________________

Would you hire this contractor again? (Please circle one) Yes(5) or No(0)

Do you have any additional comments either negative or positive concerning the contractor’s performance under your contract?_________________________________________________

Thank you for your valuable input and assistance.

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