F. SOLICITATION ATTACHMENT 04 - Past Performance Questionnaire for General Contractor - Revision 02 dated June 29, 2023.pdf

SOLICITATION ATTACHMENT 04

PAST PERFORMANCE QUESTIONNAIRE FOR GENERAL CONTRACTOR

INSTRUCTIONS: The Offeror is responsible for the completion of Section 1 of the Past Performance Questionnaires for each

Similar Project. After completing Section 1 of the Past Performance Questionnaire for each Similar Project, the Offeror shall distribute the Past Performance Questionnaires to the References who will complete Section 2. Each Reference, after completion of

Section 2, shall submit the completed Past Performance Questionnaire directly to the GSA Contracting Officer and Contracting

Specialist not later than 10:00 AM Mountain Time, July 27, 2023.

Past Performance Questionnaires shall be submitted directly to:

Rhonda Widick, Contracting Officer at rhonda.widick@gsa.gov

Christie VandenDries, Contract Specialist at christie.vandendries@gsa.gov

Email subject lines should reference “Solicitation No. 47PJ0023R0041, Dunseith ND LPOE.”

A SIMILAR PROJECT means a project that meets all of the following:

• Construction was substantially completed within 15 years prior to the submission deadline for Phase 1 proposals;

• Construction of a commercial building that as at least 15,000 gross square feet;

• Construction included the construction of site utilities, storm drainage, grading, roads, and security; and

• Construction contract cost at award was greater than or equal to $25 million.

SECTION 1 – TO BE COMPLETED BY THE OFFEROR

Name of Offeror/Firm:

Contract Number:

Was the Offeror the Prime Contractor:

Place of Performance (City and State):

Period of Performance (include start date and substantial completion date):

Was the delivery method DB or IPD:

Gross Square Footage of Commercial Building Construction:

Contract Value at initial award: $

Total Contract Value (including modifications): $

Briefly describe all construction work performed under this contract (address construction of site utilities, storm drainage, grading, roads, and security):

Continued on next page mailto:rhonda.widick@gsa.gov mailto:christie.vandendries@gsa.gov

Section 2 – TO BE COMPLETED BY THE REFERENCE NOTE: If the offeror holds or has held other contracts with your agency/organization in the last 15 years, that meet the Similar Project definition, please complete separate evaluation forms for those contracts as well.

Name of Respondent/Title:

Firm Name:

Address:

Phone:

Fax:

Email:

Performance Information: Please check the level of the Offeror’s overall performance in each of the past performance categories listed below.

Check “N/A” if the factor does not apply to the contract being rated. If any portion of the contract performance was performed by subcontractors, please include the subcontractor’s performance on the same chart.

KEY: Poor – A Poor rating indicates the Offeror/Firm completely failed to meet the requirements.

Marginal – A Marginal rating indicates the Offeror/Firm failed to meet some of the contract requirements.

Average – An average rating indicates the Offeror/Firm met the contract requirements.

Very Good – A Very Good rating indicates the Offeror/Firm exceeded some of the contract requirements.

Excellent – An Excellent rating indicates the Offeror/Firm significantly exceeded the contract requirements.

PAST PERFORMANCE CATEGORY Poor Marginal Average Very

Good

Excellent N/A

Quality of workmanship

Reasonable and cooperative behavior and commitment to customer satisfaction

Identification/correction of deficient work in a timely manner

Effectiveness of management

Timely performance of contract requirements

Overall Rating of the Contractor’s Performance

Continued on next page

1. Would you award to this contractor again? YES NO

2. Could you provide another contact for further information? YES NO

Remarks: (Please provide detailed facts concerning specific events/actions to justify your rating. Attach additional pages if necessary):