10. Past Performance Questionnaire (SS)_PRIME.rtf

Sect. J, Attachment

AOC PAST PERFORMANCE QUESTIONNAIRE – PRIME OFFEROR

SOLICITATION NO. AOCACB24R0025

(SOP 9-1, October 22, 2008) Sprinkler System Replacement for the John Adams Building (JAB)

The company listed below is preparing an offer on the above project for the Architect of the Capitol (AOC), Washington, DC. Your name has been provided as a customer reference regarding performance under a past contract with your agency/company. Your comments are considered Source Selection Sensitive; therefore, you are advised that your response will be safeguarded to the extent cited in the Federal Acquisition Regulation (FAR) 42.1503. FAR prohibits the release of past performance evaluations to other than other Government personnel and the company whose performance is being evaluated during the period the information may be used to provide source selection information.

This past performance questionnaire is being submitted by the contractor and you are requested complete it and return it to the Architect of the Capitol in care of Charvey Smith, Contract Specialist via e-mail at charvey.smith@aoc.gov on or before the proposal submission due date. While all elements below may not apply, please complete as much as possible.

Company/Individual Requesting Past Project Information:

Name:

Past Project Title On Which The Company Is Being Evaluated

Project Title :

Evaluator POC (for verification purposes)

Name: Agency/Company, POC Date:

Phone No.: Fax No.

AOC PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NO. AOCACB23R0032

(SOP 9-1, October 22, 2008)

E-mail Address:

Address:

Position held or function in relation to project:

Ratings: Please evaluate the contractor’s performance using the following ratings:

Please rate and provide supporting information for the following. If the rating is Outstanding or Unsatisfactory, please provide specific contract/job performance areas which were exceeded or not performed in accordance with the contract’s minimum requirements. (Use additional sheets as needed)

1. Performance in meeting delivery/completion schedules: _____________________________

Rating:

2. What did the contractor do to improve or resolve schedule problems, if any?

Rating:

3. The contractor’s quality control (CQC).

Rating:

4. The contractor’s performance in delivering quality work in accordance with the contract:

Rating:

5. The contractor’s ability to provide the required work at a reasonable total price to include forecasting/controlling costs.

Rating:

6. The contractor’s compliance with labor standards, if applicable.

Rating:

7. The contractor’s compliance with safety standards.

AOC PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NO. AOCACB23R0032

(SOP 9-1, October 22, 2008) Rating:

8. Has the contractor been given any of the following: Cure notice, show cause, letters of reprimand, suspension of payments, termination? If yes, please explain.

Rating:

9. Would you award another contract to this contractor? If no, please state reasons for not recommending this contractor additional work.

Rating:

10. Was the customer satisfied with the end product?

Rating:

11. The relationship between the contractor and owner’s contract team/Contracting Officer/COR/COTR?

Rating:

12. The contractor’s on-site management and coordination of subcontractors.

Rating:

13. The contractor’s overall corporate management, integrity, reasonableness and cooperative conduct.

Rating:

14. Has the contractor filed any modifications?________ How many?

And to what extent?

15. Has the contractor been provided an opportunity to discuss any negative performance ratings?

If so, what were the results?

16. Has the contractor demonstrated the ability to professionally handle unusual and adverse circumstances of the project as they arise?

If so, please describe and what were the results? ____________________________________

17. OVERALL RATING Rating:

18. Please provide any additional comments: