Attachment_0004_-_Past_Performance_Questionnaire.pdf

Revised 5/10/2012

PAST PERFORMANCE QUESTIONNAIRE FOR CONSTRUCTION & DESIGN BUILD

Denver Federal Center – Building 41 & 56 Egress Solicitation Number 47PJ0019R0077

Submit either by US Mail or Email Directly to:

Mail to: General Services Administration, Public Buildings Service Attn: Sarah Callies, Contract Specialist PO Box 25546, 8PQB Denver, CO 80225-0546

Email to: sarah.callies@gsa.gov

SECTION 1 - TO BE COMPLETED BY OFFEROR:

Name of Offeror / Contractor:

Was the Offeror/Contractor the Prime Contractor? Y___ N____

Contract Number:

Total Construction Contract Value (Including Modifications and Options):

Period of Performance:

Place of Performance:

Percentage of Work Completed by Contractor:

Description of Construction & Design Build Work Performed:

Gross Square Footage of Facility:

Briefly describe all work performed under this contract:

mailto:sarah.callies@gsa.gov

Relevance Confirmation (To be completed by Offeror)

Relevancy of Project - Building construction / design build projects of similar size (at least 20,000gsf)

Yes No

Egress reconfiguration of a building

Work performed in an tenant occupied and functioning office building or other factor that required phasing of the project components to maintain tenant occupancy

At least five of the following disciplines are part of the project- i) architectural, ii) structural, iii) HVAC, iv) plumbing, v) electrical, vi) fire alarm and (wet) sprinkler systems, vii) security, viii) data, and ix) telecommunications

Requirements for noise and dust control

Total contract construction value (including options and modifications) is in the range of $1,000,000 to $5,000,000.

SECTION 2 - TO BE COMPLETED BY THE REFERENCE:

Name of Respondent/Title:

First Name:

Address:

Phone:

Fax:

Email:

Thank you for your assistance! Please contact me directly at (303) 880-5133, if you have any questions or would like to offer additional information. Sarah Callies, Contract Specialist.

Is the information in Section 1 in the chart under Relevance Confirmation Correct? Y____N____

Performance Information: Please check the level of the Offeror’s overall performance in each of the business management factors listed below. Check “N/A” if the factor does not apply to the contract being rated.

EVALUATION FACTOR Poor Marginal Satisfactory Very Good

Excellent N/A

Contractor’s quality of workmanship

Contractor’s commitment to customer service

Contractor’s responsiveness to address issues in a timely manner.

Contractor’s ability to communicate with owner/stakeholders.

Contractor’s adherence to schedule

Contractor’s ability to work with project members (i.e architect, engineers, commissioning agent, etc.)

Overall rating of the contractor’s performance

YES NO

1. Would you work with this contractor again?

Additional Remarks: