Appendix B - 1800 F CMC SOW_Key Personnel .docx.pdf
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- 47PB5426R0007
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This document is a Past Performance Reference Questionnaire used by the General Services Administration (GSA), Public Buildings Service to evaluate contractor and individual performance on federal projects.
References must submit completed questionnaires directly to Robert Jackson, Contracting Officer (robert.n.jackson@gsa.gov) by August 25, 2026. The form is divided into two main sections: Section 1 requires the contractor to provide project details including contractor name, evaluated individual name, project title, location, client/tenant, role description, total award amount, and performance dates. Section 2 is completed by the reference and collects reference firm information, contact details, and performance ratings across three primary evaluation areas. The questionnaire assesses Similar Project experience (project size, type, delivery method, space type, and whether the project involved federal building construction, major modernization, historic register work, costs exceeding $100 million, significant facade/window restoration, CMc delivery, buildings over 300,000 square feet, or constrained urban sites); Quality performance (qualifications, documentation quality, team and resource management, schedule compliance, risk mitigation, and problem resolution); and Business Relations (client relationships and willingness to work together again). The Overall Rating section requests a comprehensive performance assessment and opportunity for additional relevant information. All questions require narrative explanations, and references must indicate whether they can be contacted for clarifications.
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PLEASE HAVE THE REFERENCE COMPLETE AND SUBMIT DIRECTLY TO THE GSA
POINT OF CONTACT AS SHOWN BELOW NO LATER THAN 08/25/2026
NOTE TO REFERENCE RESPONDENT: Please complete the following questionnaire on behalf of the contractor proposing under this notification. The following information is requested based on your prior experiences with the firm named below. Please complete the questionnaire and email directly to the Contracting Officer below to maintain the confidentially of your responses. Your responses will be reviewed solely by the General Services Administration. Your input is valuable to our procurement process and we thank you for your time in completing this survey.
PLEASE SEND BY EMAIL DIRECTLY TO:
Attn: 1) Robert Jackson, Contracting Officer
General Services Administration, Public Buildings Service
Email: robert.n.jackson@gsa.gov
SECTION 1 – TO BE COMPLETED BY CONTRACTOR:
Contractor Name:
Evaluated Individual Name:
Project Title: Location: __________________
Client/Tenant: __________________
Description of Role:
Total Award Amount (including any Modifications): $
Dates of Performance: Start: Finish:
SECTION 2 – TO BE COMPLETED BY REFERENCE:
Reference Firm: ______________________________________________
Name of Reference Contact: ______________________________________
Position/Title of Reference Contact: _______________________________________
Reference Phone# / Email#: /
Is it okay to contact you for clarifications? Yes or No (Circle One)
Question Areas for Individual’s Past Performance:
1. SIMILAR PROJECT
2. QUALITY
3. BUSINESS RELATIONS
Performance Information:
Highlight or circle the term that most accurately describes the contractor’s performance in accordance with the following questions. In addition, check off the associated level of performance for each question.
Please provide a narrative explanation for each.
Please answer all questions and provide additional information in the comments section.
A. SIMILAR PROJECT
1. What was the size and project type?
Project Cost: $ Square Footage: GSF
Delivery Type: Traditional Design/Build CMc Other: (Circe or Insert Other)
Space Type: Office Other: (Circe or Insert Other)
Did the project contain?
● Construction in or of a Federal building;
● Major (significant work across multiple building systems) building modernization;
● Work in a building on the historic register;
● Construction cost greater than $100,000,000;
● Major (at least 50% of facade and windows included) façade and window restoration;
● CMc delivery method;
● Building size greater than 300,000 square feet; and
● An urban location with a constrained site with limited laydown and work area.
2. What was your role (reference firm) in the project?
3. Please describe the role of the individual on the project?
B. QUALITY
1. Were you satisfied that the individual was qualified with the necessary experience, training, and education needed for the performance of their work?
YES NO (Circle one)
Comments:
2. What quality were reports, submittals, and other produced documentation?
Excellent Very Good Acceptable Marginal Unacceptable N/A
3. How well did the individual manage their team and resources?
4. What was the individual’s record at completing their tasks within the allotted schedule timeframes?
5. Rate the individual’s record at identifying and implementing effective risk mitigation strategies to maintain contract performance, quality, schedule, cost, and contract requirements?
6. Rate the individual’s performance in dealing with problems and implementing corrective actions.
C. BUSINESS RELATIONS
1. Did the individual establish and maintain good working relationships with the client and others?
2. If Problems arose, please explain the actions taken by the individual.
3. Would you work with this individual again? State reasons why.
D. OVERALL RATING
1. Please rate the individual's Overall Performance. (Circle one)
2. If you know any further information that was not covered by this questionnaire, but you feel is important, please provide this information?
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