AG-9702-S-10-0009_Past Perf Ref Quest_Lead Design Firm--08 Mar 10.doc

Solicitation No. AG-9702-S-10-0009

Design-Build Angeles NF Supervisor’s Office

EROC-SW

PAST PERFORMANCE REFERENCE QUESTIONNAIRE – LEAD DESIGN FIRM

Past Performance Information:

Name and Address of Lead Design Firm being evaluated:

Contract Number/Delivery or Task Order Number, Title, & Location:

Evaluator: (The following information will assist in the analysis of the data. Information will be kept confidential.)

Name of Evaluator:

Company/Agency Name:

Address:

Phone Number:

Position held or function in relation to project:

Rating: Please evaluate the past performance using only the following ratings without variation. DO NOT RATE ON A “+” OR “-” SCALE. If a “+” or “-” is used, the rating without the “+” or “-” will be applied. If the rating is Below Average or Poor, please provide additional information in the appropriate block or in the remarks section of this form.

Please rate and provide any supporting information/comments for the following:

1. The relationship between the Lead Design Firm and client’s/customer’s contract team:

E AA A B P

2. The Lead Design Firm’s management and coordination of (sub)consultants:

E AA A B P

3. Overall corporate management, integrity, reasonableness and cooperative conduct:

E AA A B P

4. Quality of work:

E AA A B P

5. Quality control procedures and execution:

E AA A B P

6. Management and adherence to the performance schedule:

E AA A B P

7. Ability/actions to improve schedule problems, if applicable:

E AA A B P

8. Meeting cost limitations:

E AA A B P

9. Plans/Specs accurate and coordinated:

E AA A B P

10. Plans clear and detailed sufficiently:

E AA A B P

11. Suitability of design:

E AA A B P

12. Have any letters of reprimand, suspension of payment, or termination been issued? If yes, please explain:

Yes No

13. Would you award another contract to the party being evaluated? If no, please explain.

Yes No

14. Was the customer satisfied with the end product? If no, please explain.

Yes No

15. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?

Yes No N/A

16. Additional Remarks:

17. Overall rating for this firm:

E AA A B P

Signature of Evaluator Date

PLEASE NOTE: Contractors may be advised of adverse remarks and given the opportunity to respond in accordance with Federal Acquisition Regulation requirements.

When completed, please e-mail signed questionnaire to: cwallachiv@fs.fed.us