Attachment_J-3__Past_Performance_Questionnaire_PMO.pdf

RFP Number TBD

Past Performance Questionnaire

Attachment J-3

Source Selection Sensitive_ See FAR 3.104

PAST PERFORMANCE QUESTIONNAIRE

(Date of Letter)

(Name and Address of proposed offeror’s customer) Attention: (Name and Designation of Customer’s Contract Manager or Appropriate Contact)

Subject: DOT/FTA Project Management Oversight, Request for Proposal (RFP) (TBD)

Dear (Contact Name):

We are currently responding to a DOT/FTA solicitation for Project Management Oversight requirements.

The DOT/FTA is placing increased emphasis in its procurements on past performance as an evaluation factor. The DOT/FTA is requiring that clients of entities responding to this RFP be identified and their participation in the evaluation process be requested. In the event you are contacted for information on work we have performed, you are hereby authorized to respond to those inquiries

We have identified our work for your agency as a past performance reference. Per the solicitation instruction, please complete the enclosed Past Performance Questionnaire and return the signed, completed document to the DOT/FTA Contracting Office listed below, No Later Than 3:00 p.m.

December 11, 2013.

Preferable Method of Transmission is via email to the Sr. Contract Specialist, Saul Simmons, by

Adobe PDF file to: 2019PROJECTMANAGEMENTOVERSIGHT@dot.gov

In the event you are contacted for information on work we have performed either on this effort or other efforts, you are hereby authorized to respond to those inquires. Your cooperation with this effort is greatly appreciated. Please direct any questions to (Name and Phone Number of Offeror’s Point-of- Contact).

In order to maintain the integrity of this process, please DO NOT return the questionnaire to us. Return it to DOT/FTA at the point of contact as listed above.

Sincerely, (Name of Signer)

(Designation of Signer) cc:

mailto:2019PROJECTMANAGEMENTOVERSIGHT@dot.gov

PAST PERFORMANCE QUESTIONNAIRE AND INSTRUCTIONS

Instructions:

▪ Sections I and II shall be completed by the Offeror/Major Subcontractor, and provided to the assessor (Government personnel or entity that had experience with the

Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, shall verify Sections I through III, complete the questionnaire, and submit to the Contracting

Office. The Offeror shall also submit with its proposal (by the closing date of the

Solicitation), copies of Sections I, II, and III of all questionnaires as provided to assessors.

▪ Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

▪ Sections III through VII to be completed in their entirety by the assessor.

Message to the assessor: Responses to the following questionnaire will be used to evaluate the past performance of Offerors responding to solicitation number TBD for DOT/FTA

Project Management Oversight requirement. You are requested to rate the offerors performance in each area. In efforts to expedite receipt of the requested information, the

Contracting Office respectfully requests that you do not mail hard copies.

Instead, please e-mail the completed questionnaire(s) to:

2019PROJECTMANAGEMENTOVERSIGHT@dot.gov with the Offerors name and solicitation number TBD in the email subject title, No Later Than 3:00 p.m. TBD.

This form contains Source Selection Information when completed. See FAR 3.104.

mailto:2019PROJECTMANAGEMENTOVERSIGHT@dot.gov

Evaluation Definitions

The following definitions should be used in your assessment of Contractor performance.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements to the

Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the

Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE

(N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

I. Solicitation Data (for the proposed effort) (to be completed by Offeror/ Major Subcontractor) Solicitation Number XXXXXX-XX-XXXX Project/Requirement Enter Project Name/Requirement Title Customer/Agency Enter Project Office Project/Requirement Description

Enter succinct Project/Requirement Description

II. Current or Historical Contract Information (to be completed by Offeror/ Major Subcontractor)

Assessor: The performance data submitted by the Offeror is correct or incorrect.

CONTRACTOR NAME &

ADDRESS:

Contract No Type of Contract

Initial Final Contract Value

Period of

Performance/Delivery

Schedule

Project/Requirement

Description

Please select from the following as it applies to this contract:

Contracting Role PRIME SUBCONTRACTOR Termination History Convenience Default N/A

III. Assessor Information (to be validated by Assessor)

Assessor Name Title Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

✓ Role Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other:

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. Please Provide a Narrative

Explanation For Any Ratings Of 1 or 2.

1 2 3 4 5 6

NOT

APPLICABLE

(N/A)

UNSATISFACTORY MARGINAL SATISFACTORY VERY

GOOD

EXCEPTIONAL

Performance information not recent or relevant as defined in the

Solicitation.

Unable to provide assessment.

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the

Contractor’s corrective actions were ineffective.

Performance

MEETS

SOME

contractual requirements.

The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the

Contractor were only somewhat effective.

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the

Contractor were effective.

Performance

EXCEEDS

SOME

contractual requirements to the

Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

Performance

EXCEEDS MOST

contractual requirements to the

Government’s benefit.

The performance of areas being assessed was accomplished with few minor issues or concerns.

1. CUSTOMER SATISFACTION

a. Customer would have no reservations in awarding another contract to the contractor.

1 2 3 4 5 6

2. QUALITY

a. Contractor provided effective quality control and/or inspection procedures to meet contract requirements.

1 2 3 4 5 6

b. Contractor provided well researched and clearly identified submittals that matched contract requirements.

1 2 3 4 5 6

c. Contractor completed all work with good workmanship and in conformance with the specifications.

1 2 3 4 5 6

d. Contractor corrected deficiencies in a timely manner and pursuant to their quality control plan.

1 2 3 4 5 6

3. TIMELINESS

a. Contractor met established project schedules to complete the project on time.

1 2 3 4 5 6

b. Contractor provided timely cost/technical proposals. 1 2 3 4 5 6

c. Contractor submitted the progress schedule and progress reports as required.

1 2 3 4 5 6

d. Contractor provided on-time submittals as required. 1 2 3 4 5 6

e. Contractor provided timely resolution of all punch list items. 1 2 3 4 5 6

4. RESPONSIVENESS

a. Contractor acted promptly to resolve problems, ensuring compliance with contract requirements and project oversight regulations.

1 2 3 4 5 6

b. Contractor was reasonable and cooperated to resolve problems, attended meetings as needed, and maintained communication with the government to keep the project on schedule or minimize the delay.

1 2 3 4 5 6

c. Contractor identified problems as they occurred, suggested approaches to the problems; displayed initiative to solve problems and performed as a Team Member.

1 2 3 4 5 6

d. Contractor responded to warranty issues within the time frames specified in the contract.

1 2 3 4 5 6

5. SUBCONTRACTS AND MANAGEMENT

a. Contractor provided experience/qualified managers, and supervisors with the technical and administrative abilities needed to meet contract requirements.

1 2 3 4 5 6

b. Contractor hired quality subcontractors and effectively managed and coordinated their work.

1 2 3 4 5 6

c. Contractor hired, maintained and replaced as necessary qualified personnel and subcontractors/suppliers.

1 2 3 4 5 6

d. Contractor ensured the project manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule.

1 2 3 4 5 6

e. Contractor ensured site superintendent, and quality control representative were consistently present on site when work was performed.

f. Contractor paid employees/subcontractor/suppliers as required. 1 2 3 4 5 6

6. CHANGE/COST CONTROL

a. Contractor responsive to contract changes and provided accurate, reasonable and supportable cost proposals.

1 2 3 4 5 6

b. Contractor demonstrated the ability to control costs and/or design projects or modifications within the magnitude specified.

1 2 3 4 5 6

c. Contractor validated subcontractor cost proposals prior to submission to the Government.

NARRATIVE SUMMARY:

1. What were the contractor’s greatest strengths in the performance of the contract?

2. What were the contractor’s greatest weaknesses in the performance of the contract?

3. Please provide any additional comment concerning the contractor’s performance.

4. GOVERNMENT CONTRACTS ONLY: Has or was this contract partially or completely terminated for default or convenience or are there any pending terminations?

Yes No Default Convenience Pending Termination

If yes, please explain.

5. Were there any performance issues regarding the contractor’s work? If yes, please explain.

5. Has a cure notice been issued against the contract?

Yes No

If yes, please explain why and provide the date that the cure notice was issued.

If Applicable, Narrative Explanation For Any Ratings Of 1 or 2

NARRATIVE SUMMARY:

Assessor’s RESPONDENT INFORMATION (to be completed by respondent)

EVALUATED BY:

(Signature) (Date)

(Typed or Printed Name)

(Title)

(Phone Number)

(Address)