ATTACHMENT J.2.3.pdf

Solicitation #AB1330-10-RP-0005 – Page 1

ATTACHMENT J.2.3

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION #AB1330-10-RP-0005

RECOVERY--CONSTRUCTION OF NOAA'S LA JOLLA LABORATORY

REPLACEMENT PROJECT

LA JOLLA, CALIFORNIA

Instructions to Offerors: Past performance of offerors will be evaluated to determine the extent to which offerors have successfully performed projects of similar scope. Offerors shall complete Section A for each project of similar scope completed or substantially completed (95-99%) over the last five years. Past performance information and questionnaires shall also be submitted for all proposed major subcontractors.

A copy of Section A for each project submission and shall be included with the proposal. The questionnaire shall be submitted to references to return to the Contract Specialist.

SECTION A - PROJECT REFERENCE

TO BE COMPLETED BY OFFEROR FOR EACH SIMILAR PROJECT/CONTRACT

COMPLETED OR SUBSTANTIALLY COMPLETED

Providing Reference for: Offeror/Firm Name:

Contract Number:

Contract Title:

Location:

Type of Contract:

Contract Award Date:

Contract Performance Period:

Contracting Activity: (Name, Mailing Address, Phone Number, & Email Address)

Solicitation #AB1330-10-RP-0005 – Page 2

SECTION B - REFERENCE QUESTIONNAIRE

TO BE COMPLETED BY CLIENT/CUSTOMER REFERENCE

AND SUBMIT TO AGENCY

Please complete Section B of this questionnaire based on the following guidance. Handwritten responses are sufficient as long as legible. Please provide candid responses as the information you provide will be used in the awarding of a federal contract. Therefore, it is important that your information be as factual, accurate, and complete as possible. Your input is important to us and responses are needed by January 12, 2010 for inclusion in the evaluation process.

Name of Prime Contractor Performing the Contract (as shown on the contract documents):

Original Contract Amount: $ Final Contract Amount: $ Original Completion Date:

Final Completion Date:

Owner/Customer Point of Contact: (Include Name, Position Title, Current Phone Number, Mailing Address, Email Address, & Fax Number)

Was Offeror the Prime Contractor or Subcontractor

Prime _________ Subcontractor ___________

Was this work with a

Commercial/Private ____ Federal Gov't ____ Local/State Gov't ____ entity

Percentage of work performed by Offeror:

Provide a description of the contract scope of work as it relates to the evaluation criteria. Definition of “relevant" or “similar” project is defined as new or renovating construction of a biological research laboratory, hospital, research institution/laboratory with construction costs greater than $50 million AND a description of the work performed by the Offeror (if offeror performed work as a subcontractor). (Attach additional sheets if necessary). Description shall be in sufficient detail for the Government to determine relevancy to this project. Description shall provide specific details and shall not restate the criteria.

Provide any information on problems encountered and the corrective actions taken:

Key Personnel Assigned:

(Project Manager, On-site Superintendent, etc.)

Were they assigned for Duration of Project?

_____ Yes _____ No If No, please explain

Solicitation #AB1330-10-RP-0005 – Page 3

Other information the Customer Client deems necessary for the Government’s evaluation of past performance in terms of customer satisfaction, such as any negative past performance information that will assist the Government in fairly and accurately evaluating the company's past performance (e.g., why liquidated damages were assessed, resolution of claims, or why performance evaluation was marginal, etc.):

Liquidated Damages Assessed the Offeror: Yes _____ No _____

If Yes, please explain.

Any Claims Filed Under the Contract: Yes _____ No _____

If Yes, please explain.

Customer Evaluation of Work Performed: (Along with the completion of the information noted below, please attach any specific work or performance evaluation(s), letters of appreciation/commendation, letters of recommendation, etc. as evidence of customer satisfaction.)

When responding to the items listed below, choose the letter that most accurately describes the contractor's performance or situation. For any Outstanding, Good, or Unsatisfactory rating, please provide an explanatory narrative in the remarks column. This narrative need not be lengthy just detailed. Other comments are optional. If an item is not applicable choose "N/A". If more space is required use additional pages.

TYPE OF EVALUATION: FINAL INTERIM (____% COMPLETE)

EVALUATION OF PERFORMANCE ELEMENTS

CHECK ONE FOR EACH ELEMENT: O = OUTSTANDING; S = SATISFACTORY; M = MARGINAL;

U=UNSATISFACTORY; N/A = NOT APPLICABLE

QUALITY CONTROL O S M U N/A

REMARKS

QUALITY OF WORKMANSHIP

ADEQUACY OF THE CQC PLAN

IMPLEMENTATION OF THE CQC PLAN

QUALITY OF QC DOCUMENTATION

ADEQUACY OF SUBMITTALS

ADEQUACY OF QC TESTING

USE OF SPECIFIED MATERIALS

IDENTIFICATION/CORRECTION OF DEFICIENT WORK IN A TIMELY

MANNER

EFFECTIVENESS OF MANAGEMENT O S M U N/A

COOPERATION AND RESPONSIVENESS

MANAGEMENT OF RESOURCES/PERSONNEL

COORDINATION AND CONTROL OF SUBCONTRACTOR(S)

EFFECTIVENESS OF JOB-SITE SUPERVISION

COMPLIANCE WITH LAWS AND REGULATIONS

PROFESSIONAL CONDUCT

Solicitation #AB1330-10-RP-0005 – Page 4

REVIEW/RESOLUTION OF SUBCONTRACTOR'S ISSUES

REASONABLENESS OF MODIFICATIONS/CHANGES

READILY/REASONABLY ADDRESS RIPPLE EFFECT SUCH AS TIME

EXTENSIONS, EXTENDED OVERHEAD, ETC.

TIMELY PERFORMANCE O S M U N/A

ADEQUACY OF INITIAL PROGRESS SCHEDULE

ADHERENCE TO APPROVED SCHEDULE

RESOLUTION OF DELAYS

SUBMISSION OF UPDATED AND REVISED PROGRESS SCHEDULES

SUBMISSION OF COSTING INFORMATION, I.E., CHANGES, CLAIMS,

ETC.

COMPLETION OF PUNCHLIST ITEMS

WARRANTY RESPONSE

COMPLIANCE WITH SAFETY AND LABOR STANDARDS O S M U N/A

ADEQUACY OF SAFETY PLAN

IMPLEMENTATION OF SAFETY PLAN

COMPLIANCE WITH DAVIS-BACON

KNOWN VIOLATIONS OF SAFETY, LABOR, AND/OR

ENVIRONMENTAL LAWS

OVERALL RATING (X appropriate block)

OUTSTANDING SATISFACTORY MARGINAL UNSATISFACTORY

If given a choice, would you award a contract to this firm again?

_______YES _______ NO Explain:

SURVEY COMPLETED BY: (Survey shall be completed by the contracting agent and/or their representative responsible for the construction contract administration, or from the facility owner/user and must be submitted directly to the Agency by email to the address noted below.)

CLIENT/CUSTOMER FIRM/ORGANIZATION NAME TELEPHONE NUMBER

EMAIL ADDRESS FAX NUMBER

CLIENT/CUSTOMER NAME (PRINT) TITLE

CLIENT/CUSTOMER SIGNATURE DATE

Solicitation #AB1330-10-RP-0005 – Page 5

QUESTIONNAIRE MUST BE SUBMITTED DIRECTLY TO THE AGENCY BY:

EMAIL TO: Ms. Judi M. Jzyk, Contract Specialist

DOC/NOAA/WAD

judi.m.jzyk@noaa.gov

OR

FAX 206/527-7126

All information will be treated confidentially under source selection procedures. Receipt of this information is due by January 12, 2010. To obtain confirmation of receipt of this information, please call 206/526-6039.

mailto:judi.m.jzyk@noaa.gov