8.- Past Performance Questionnaires.pdf

Past Performance Questionnaire Offeror Name:________________________ Contract Title:_______________________________ Contract Value:_______________________ Period of Performance:________________________ Client Name:_________________________ Client POC:_________________________________ Client Phone:_________________________ Client Email:________________________________

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 IN THE “REMARKS” SECTION BELOW OR IN A SEPARATE

DOCUMENT.

1 2 3 4 5 6

UNSATISFACTORY MARGINAL SATISFACTORY VERY GOOD EXCEPTIONAL NEUTRAL

Performance did not meet most contractual requirements. There were serious problems and the contractor's corrective actions were ineffective.

Performance did not meet some contractual requirements.

There were problems, some of a serious nature, for which corrective action was only marginally effective.

Performance met contractual requirements.

There may have been some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the government's benefit. There may have been a few minor problems, which the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the government's benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

No record of past performance or the record is inconclusive.

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

1 2 3 4 5 6 N/A

2. Home office participated in solving significant local problems. 1 2 3 4 5 6 N/A

3. Followed approved quality control plan. 1 2 3 4 5 6 N/A

4. Provided effective quality control and/or inspection procedures to meet contract requirements.

1 2 3 4 5 6 N/A

5. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

1 2 3 4 5 6 N/A

7. Identified problems as they occurred. 1 2 3 4 5 6 N/A

8. Suggested alternative approaches to problems. 1 2 3 4 5 6 N/A

9. Displayed initiative to solve problems. 1 2 3 4 5 6 N/A

10. Developed realistic progress schedules. 1 2 3 4 5 6 N/A

11. Met established project schedules. 1 2 3 4 5 6 N/A

12. Was responsive to contract changes. 1 2 3 4 5 6 N/A

13. Provided adequate project supervision. 1 2 3 4 5 6 N/A

14. Obtained consent of surety for increases in bonding as work-in-progress increased.

1 2 3 4 5 6 N/A

15. Paid subcontractors/suppliers in a timely manner. 1 2 3 4 5 6 N/A

16. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

1 2 3 4 5 6 N/A

17. Cooperated with Government personnel after award. 1 2 3 4 5 6 N/A

18. How would you rate the contractor's overall performance? 1 2 3 4 5 6 N/A

19. Was the contractor ever issued a cure or show cause notice under the referenced contract?

If yes, explain outcome in "remarks."

YES/NO

20. Is the contractor rated in CPARS? YES/NO

21. Would you award another contract to this contractor? If not, explain in "remarks” YES/NO

Please include any remarks/comments on outstanding performance:

Please include any remarks/comments on unsatisfactory performance:

Rev. Apr 2017 1

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

Attachment 7 USFWS PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm Name: CAGE Code: 0 Address: DUNS:

Phone Number: TIN:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of project work performed: 100% If subcontractor, who was the prime (Name/Phone #): N/A

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

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

Explain Differences:

4. Project Description:

Complexity of Work High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name:

Title:

Phone Number:

Email Address:

Rev. Apr 2017 2

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: USFWS REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE

AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE

COMPLETED QUESTIONNAIRE TO USFWS WITH THEIR PROPOSAL, AND MAY

DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON USFWS

SOLICITATIONS. PLEASE CONTACT THE OFFEROR FOR USFWS POC INFORMATION.

THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION

ON THIS FORM.

Rev. Apr 2017 3

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed 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 was a benefit to the Government/Owner. There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or 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. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

Rev. Apr 2017 4

(U) Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable

No information or did not apply to your contract

Rating will be neither positive nor negative.

Rev. Apr 2017 5

Contractor Information (Firm Name): ________________________________________________ Client Information (Name): ________________________________________________________

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:

a) Quality of technical data/report preparation efforts E VG S M U N

b) Ability to meet quality standards specified for technical performance E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance

E VG S M U

N

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E VG S M U

N

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

E VG S M U

N

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract

E VG S M U

N

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project? E VG S M U N

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication)

E VG S M U

N

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

E VG S M U

N

d) Overall customer satisfaction E VG S M U N

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force? E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N

c) Government Property Control E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N

e) Utilization of Small Business concerns E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines E VG S M U N

Rev. Apr 2017 6

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to government changes

E VG S M U N

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)? E VG S M U N

Contractor Information (Firm Name): ________________________________________________ Client Information (Name): ________________________________________________________

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client

E VG S M U N

c) If this is/was a government cost type contract, please rate the contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns)

E VG S M U N

d) Is the contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section. Yes No

e) If this is/was a government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

Yes No

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below. Yes No

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements. E VG S M U N

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

Rev. Apr 2017 7

d) In summary, provide an overall rating for the work performed by this contractor. E VG S M U N

Please provide responses to the questions above (if applicable) and/or additional remarks.

Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):

CODES

All construction accomplished pursuant to this contract shall comply with the most recent edition of applicable federal, state, and local laws, codes, and regulations including but not limited to the following (any exception must be approved in writing by the CO):

1. Executive Orders (EOs);

2. DOI Engineering Technical Letters;

3. DOI and USFWS instructions, manuals, handbooks, regulations; Instructions, manuals, handbooks, regulations, guidance, policy letters, and rules (including all changes and amendments);

4. American Society of Mechanical Engineers (ASME);

5. American National Standards Institute (ANSI);

6. National Association of Corrosion Engineers (NACE);

7. National Plumbing Code (NPC);

8. National Fire Protection Association (NFPA);

9. National Electrical Code (NEC);

10. International Building Code (IBC);

11. Applicable State Department of Transportation Standards (specific to the state where the work is being completed). Specification for Highways and Bridges (unless the CO directs the Contractor otherwise);

12. Life Safety Code;

13. Environmental Protection Agency (EPA) regulations;

14. National Environmental Policy Act (NEPA);

15. National Historic Preservation Act;

16. Endangered Species Act;

17. Clean Water Act;

18. Applicable State Department of Environmental Protection Regulations (MADEP);

19. Conservation Commission requirements for the local towns having jurisdiction of the work area;

20. DOI and USFWS Environmental Policy;

21. Architectural Barriers Act (ABA) Standards

22. USFWS Design Standards.

23. USFWS Safety Checklists