Past Performance Reference Questionnaire.pdf

Source Selection Plan RFP 47PF0020R0040

PAST PERFORMANCE REFERENCE QUESTIONNAIRE

CONTRACTOR:________________________________________

FIRM/KEY PERSONNEL:_________________________________

Reference Information:

Name:________________________________________________ Company:_____________________________________________ Telephone Number:_____________________________________ Title: _________________________________________________ Contract Number: ______________________________________ Location of Contract Performance: _________________________ Completion Date: ______________________________________ Length of time contractor employed: ________________________ Estimated price/cost for services: __________________________ Type of space/building: __________________________________ Type of Contract: ______________________________________ Actual Square Footage: _________________________________ New Construction: _____________________________________ Number of Stories of Bldg: _______________________________ Rehabilitation: __________________________________________

Questions: (Some questions may not apply to roles)

BUDGET

1. Did the contractor complete the project within the original contract budget? If not, what was the reason for the difference in actual costs for the project?

Poor Fair Good Very Good Excellent N/A Comments:

GSA, Region 5 Public Buildings Service Acquisition Management Division 47 May 12, 2020

SCHEDULE

2. Did the contractor cause any delays to the original project schedule? If so, what was the reason for delays?

STAFFING

3. Did the contractor staff the job adequately? Were key personnel adequately qualified for their positions?

ADMINISTRATION

4. How responsive and responsible was the contractor in administrative areas? (e.g.

submitting reports, documenting progress/problems, filing correspondence, tracking changes, responding to Requests for Information (RFI’s), processing payments, etc.)

SAFETY

5. Did the contractor address safety issues? (Developed a good safety plan, followed it, enforced it with subcontractors, posted OSHA information, etc.)

Acquisition Management Division 48 May 12, 2020

PROJECT MANAGEMENT

6. Did the prime contractor manage the subcontractors effectively? (Coordinate work, update them on changes, pay promptly, address work if performance was poor, etc.)

How well did the contractor demonstrate sensitivity to client/tenant concerns (coordination issues, debris, noise, fumes, inconveniences, disruptions within the occupied spaces, etc.)?

PERFORMANCE

7. Overall, how would you rate the contractor’s performance? How would you describe the quality of work? If you had a chance, would you hire the contractor again? Why or why not?

Would you like to make any additional comments, positive or negative, concerning the Offeror’s past performance on your contract(s)?

Acquisition Management Division 49 May 12, 2020

Instructions for Questionnaire

Dear Respondent, The United States General Services Administration would like to thank you for taking the time to assist us in the selection of a 8(a) General Contractor for our Project. Please complete the questionnaire to the best of your ability. We ask that you keep your responses to this questionnaire confidential. The information you provide on this questionnaire will not be shared with the Offeror.

When completed, please send a scanned or electronic copy of the questionnaire to the following e-mail addresses:

anna.vanko@gsa.gov daniel.ramirez@gsa.gov

We ask you to include the following information in the subject line of the e-mail:

Solicitation No. 47PF0020R0040

If you are unable to e-mail the questionnaire, please mail the completed questionnaire to:

U.S.General Services Administration Attention:

Daniel R. Ramirez and Anna Vanko 230 S. Dearborn St Suite 3500 Chicago, IL 60604

If mailed, the questionnaire shall be placed in a sealed envelope with an original signature of the Respondent to the questionnaire across the envelope seal. Include the following statement on the envelope:

Confidential - Information enclosed is for the sole use of the Government.

We ask the questionnaire be returned ON or BEFORE Close of Business August 25, 2020.

We appreciate your time and efforts in assisting us in serving the American public.

Acquisition Management Division 50 May 12, 2020 mailto:anna.vanko@gsa.gov mailto:daniel.ramirez@gsa.gov