EQWPSA210008 Past Performance Questionnaire 2021 04 16.docx

GSA Solicitation No.

PAST PERFORMANCE QUESTIONNAIRE

Please complete and submit this reference directly to the GSA Contracting Specialist (roy.hardy@gsa.com) and the GSA Contracting Officer (melissa.martel@gsa.com) no later than Friday, April 23, 2021 at 3:00 PM ET.

PROJECT: Quarterly Linearity Testing & Preventive Maintenance for the CEMS and Opacity Monitors.

Past performance based on historic records and work performed by contractor, knowledge of the GSA system, reports submission, response to issues and performance of all tasks included in scope of work.

This evaluation considers the quality of the offeror’s past performance on similar projects, including (but not limited to) quality of service, timeliness, and technical performance.

Section 1 – To be completed by the Contractor / Please submit to 2-3 references.

Contractor’s Name:

Address:

Telephone Number:

Point of Contact (POC):

Role of the POC:

Section 2 – To be completed by the Reference Please complete the following questionnaire on behalf of the contractor listed in Section 1. Only the project listed shall be considered for this evaluation. For each question below, select the rating that best describes the Contractor’s performance. Please provide a narrative explanation where appropriate; any narrative comments are greatly appreciated. If the contractor has completed other work for your agency/organization in the last five (5) years, you may note that as additional comments.

The completed questionnaire should be emailed directly to the Contracting Office to ensure the confidentially of your responses. Your responses will be reviewed solely for the purposes of a past performance evaluation and no one other than the selection committee will see your response.

Name of Respondent:

Title/Company Name:

Role of Respondent on the Project being Referenced:

Telephone:

Email:

If you have additional comments to provide, please add them at the end of the attached questionnaire. Thank you, in advance, for your time and providing GSA with this valuable feedback.

QUALITY

1. Overall, how well did the quality of the work conform to the contract requirements?

Excellent - 5 4 3 2 1 - Poor

BUDGET

2. Overall, how was the contractor’s performance with regards to budget?

Excellent - 5 4 3 2 1 - Poor

3. Was the project completed within the original contract budget? Yes No If not, please provide the reason for actual cost differences. (e.g. owner driven changes, differing site conditions, errors and omissions, etc…)

4. Was change order work pricing determined fair and responsible? Yes No If there were issues with change order pricing, please explain.

SCHEDULE

5. Overall, how was the contractor’s performance with regards to schedule?

Excellent - 5 4 3 2 1 - Poor

6. Did the contractor complete the project within the original contract schedule? Yes No If not, what were the reasons for changes to the schedule?

MANAGEMENT & STAFFING

9. How well did the prime contractor manage his subcontractors? (e.g. Coordinating trades, updating subs on changes to the SOW, prompt payment, performance issues, etc…)

Excellent - 5 4 3 2 1 - Poor

10. How effective was the Contractor at communicating with key project stakeholders?

Excellent - 5 4 3 2 1 - Poor

11. How well did the Contractor demonstrate sensitivity to client/tenant concerns? (e. g. Coordination issues, site cleanliness, noise, etc…)

Excellent - 5 4 3 2 1 - Poor

ADMINISTRATION

12. How responsive and responsible was the contractor in administrative areas? (e.g. Documenting progress, responding to RFI’s, processing payments, tracking changes, etc.)

Excellent - 5 4 3 2 1 - Poor

OVERALL

13. How would you rate this Contractor’s overall performance?

Excellent - 5 4 3 2 1 - Poor