Muskogee Fire Alarm Replacement Past Performance Questionnaire.docx

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Attached to
Fire Alarm System Replacement - Muskogee OK Federal contract opportunity
Solicitation number
47PH0621R0022
Issued by
General Services Administration Public Buildings Service Region 7

About this file

This document contains a past performance questionnaire and description of a federal contract opportunity for fire alarm system replacement services. The past performance questionnaire is tailored for a solicitation seeking replacement of the fire alarm system at a federal building in Muskogee, Oklahoma, and includes a section for clients to provide ratings and feedback on a contractor's previous work. The related federal contract opportunity involves replacing the existing fire alarm system with a new analog intelligent fire alarm and voice evacuation system, including demolition and removal of the old system. Bids are due by July 30, 2021 to the General Services Administration for this project located at a Public Buildings Service Region 7 property.

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Text version

PBS PAST PERFORMANCE QUESTIONNAIRE

CONTRACT INFORMATION (Contractor/Offeror to complete Blocks 1-4)

1. CONTRACTOR/OFFEROR INFORMATION

Firm Name:

Address:

Phone Number:
DUNS Number:

Contact Name:

Email Address:
Contact Phone Number:

2. GENERAL WORK INFORMATION

Other _____________ Prime Contractor Work performed as:

Major Subcontractor If a subcontractor, who was the prime (Name/Phone #):

3. CONTRACT INFORMATION

Contract / BPA Number:

Delivery / Task Order / Call Number (if applicable):

Contract Type:

Contract/Project Title: Contract Location:

Other (Please explain) Cost Reimbursement Firm Fixed Price

Award Date (mm/dd/yy):

Originally Scheduled Contract Completion Date (mm/dd/yy): Actual Completion Date (mm/dd/yy):

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

4. PROJECT DESCRIPTION (check all applicable)

Project involved:□ Occupied building□ Non-occupied building□ Multi-Story
□ Other _______________________________

Tasks involved: □ New Fire Alarm □ Fire Alarm Replacement □ Fire Alarm Installation

□ Fire Sprinkler Installation/Alteration □ Fire Alarm Alteration with Demolition

□ Fire Alarm Alteration without Demolition □ Design/Build Fire Replacement

□ Other _______________________________

INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE: PBS requires the Client to email the completed questionnaire directly to the Contracting Officer, Brenna.Lanphear@gsa.gov, no later than Friday, July 30, 2021, 4:00 p.m Central Time. PBS will not accept completed questionnaires sent from the Offeror. Handwritten responses are sufficient. All respondents will be contacted personally to verify their submission. The government reserves the right to verify any and all information on this form. The Client’s signature is confirmation allowing the General Services Administration to use the information contained herein as source selection information.

THIS PROPOSAL PACKAGE IS FOR THE MUSKOGEE FIRE ALARM SYSTEM REPLACEMENT

PBS Past Performance Questionnaire, tailored for 47PH00621R0022 June 2021 FOR OFFICIAL USE ONLY SOURCE SELECTION SENSITIVE INFORMATION, see FAR 3.104 and 2.101

TO BE COMPLETED BY CLIENT

CLIENT INFORMATION

Client Point of Contact Information Name: Title:

Phone Number: Email:

Address:

Describe your role in the project:

I confirm that the contract information provided on the first page is correct and complete. (Correct 1st page if necessary)

Client’s Signature: Date questionnaire was completed:

Instructions: Select the adjective rating that best reflects your evaluation of the contractor’s performance. Please briefly explain any score of Unsatisfactory or Marginal in the comments section.

The contractor…See rating descriptions on page 4

1. QUALITY
U M S VG E N
U M S VG E N

Provided professional quality work and the finished work compared favorably to the original intent of the project.

Displayed initiative to identify and correct problems or mistakes as they occurred, and demonstrated consideration for client/tenant concerns (cleanliness, noise, schedule coordination, etc).

2. SCHEDULE/TIMELINESS OF PERFORMANCE
U M S VG E N

Developed and met realistic progress schedules, managed schedule variances to remain on time, and submitted deliverables on time.

3. MANAGEMENT/ PERSONNEL/LABOR
U M S VG E N

Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel and subcontractors during the contract period, with limited turnover that did not negatively affect quality or schedule.

4. SAFETY/SECURITY
U M S VG E N

Maintained an environment of safety, adheres to its approved safety plan, and responded to safety issues. Maintained construction site security.

5. GENERAL
U M S VG E N

Was responsive to contract changes, and negotiated fair pricing for modifications.

6. CUSTOMER SATISFACTION
U M S VG E N

How would you rate the contractor's overall performance, including timely resolution of warranty defects after construction was completed?

7. SUMMARY

Would you award another contract to this contractor?
Yes

No

COMMENTS SECTION

Please provide additional information below, and attach additional pages if necessary.

Please provide an explanation of any rating of Unsatisfactory or Marginal (if applicable) and/or additional remarks.

Use the following adjective ratings and definitions in your evaluation of the Contractor’s performance.

RATING
DEFINITION
NOTE
(E) Exceptional
Performance met contractual requirements and exceeded many to the Government/Owner’s benefit. The contractual performance of the element being evaluated 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 exceeded requirements and were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone merits an Exceptional rating. There should have been NO significant weaknesses identified.
(VG) Very Good
Performance met contractual requirements and exceeded some to the Government’s/Owner’s benefit. The contractual performance of the element being evaluated 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 exceeded requirements and was of benefit to the Government/Owner. There should have been NO significant weaknesses identified.
(S) Satisfactory
Performance met all contractual requirements. The contractual performance of the element contained some minor problems for which corrective actions taken by the contractor were 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.

The contractor should not be given a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal
Performance did not meet some contractual requirements. The contractual performance of the element being evaluated reflected a serious problem for which the contractor did not identify corrective actions. The contractor's proposed actions were only marginally effective or were not fully implemented.
A Marginal rating is appropriate when one or two significant events occurred that the contractor had trouble overcoming, with negative effects.
(U) Unsatisfactory
Performance did not meet most contractual requirements and recovery was not accomplished in a timely manner. The contractual performance of the element contained serious problem(s) for which the contractor's corrective actions were ineffective.
An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming, with negative effects. A singular problem, however, could be of such serious magnitude that it alone merits an Unsatisfactory rating.
(N) Not Applicable
No information or did not apply to your contract
Rating will be neither positive nor negative.

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