Appendix D - Attachment A Contractor Performance Questionnaire Fillable.pdf

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GAOA Design-Build Construction, USDA, Forest Service, Daniel Boone National Forest, London Ranger District Office Compound, London, KY
Solicitation number
12445122R0041
Issued by

About this file

This document contains details for a federal solicitation seeking design-build construction services. The U.S. Forest Service is soliciting proposals to replace buildings and site work for the London Ranger District Office in London, Kentucky for a project budget of $5.4 million. Services required include demolishing existing buildings and constructing a new 7,500 square foot office, 4,000 square foot warehouse, 3,200 square foot covered storage building, and additional prefabricated storage structures. The project must achieve a third-party green building certification of at least LEED Silver or two Green Globes. Mass timber must be incorporated into the design of the office and warehouse buildings. A design-build project delivery method will be utilized. The NAICS code is 236220 and PSC code is Y1AZ. Responses to the Phase I solicitation are due September 15th, 2022. The contract award is targeted for fall 2022.

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ATTACHMENT 4: CUSTOMER SATISFACTION SURVEY

USDA-FOREST SERVICE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm Name:

Address:

Phone Number:

Email Address:

Point of Contact:

Contact Phone Number:

Sam Unique Identify Number:

NOTE: USDA-FOREST SERVICE REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO USDA-FS WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON USDA-FS SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO USDA-FS. PLEASE CONTACT THE OFFEROR FOR USACE POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM

2. Work Performed as: Prime Contractor Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Sub Contractor Joint Venture 0ther

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:

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

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

8. Client's Signature:

USDA-FS 12445122R0041

GAOA DB London RD

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT PERFORMANCE

(E) Exceptional Performance meets contractual An Exceptional rating is appropriate when requirements and exceeds many to the the Contractor successfully performed Government/Owner's benefit. The multiple significant events that were of contractual performance of the element benefit to the Government/Owner. A or sub-element being assessed was singular benefit, however, could be of such accomplished with few minor problems magnitude that it alone constitutes an for which corrective actions taken by the Exceptional rating. Also, there should have contractor was highly effective. been NO Significant weaknesses identified.

(VG) Very Good Performance meets contractual A Very Good rating is appropriate when the requirements and exceeds some to the Contractor successfully performed a Government's/Owner's benefit. The significant event that was a benefit to the contractual performance of the element Government/Owner. There should have or sub-element being assessed was been no significant weaknesses identified.

accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(S) Satisfactory A Satisfactory rating is appropriate when Performance meets minimum contractual requirements. The there were only minor problems, or major contractual performance of the element problems that the contractor recovered or sub-element contains some minor from without impact to the contract. There problems for which corrective actions should have been NO significant taken by the contractor appear or were weaknesses identified. Per DOD policy, a satisfactory. 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 A Marginal is appropriate when a significant contractual requirements. The event occurred that the contractor had contractual performance of the element t rouble overcoming which impacted the or sub-element being assessed reflects a Government/Owner.

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.

(U) Unsatisfactory Performance does not meet most An Unsatisfactory rating is appropriate contractual requirements and recovery is when multiple significant events occurred not likely in a timely manner. The that the contractor had trouble overcoming contractual performance of the element and which impacted the or sub-element contains serious Government/Owner. A singular problem, problem(s) for which the contractor's however, could be of such serious corrective actions appear or were magnitude that it alone constitutes an ineffective. unsatisfactory rating.

{N) Not No information or did not apply to your Rating will be neither positive nor Applicable contract negative

USDA-FS 12445122R0041

GAOA DB London RD

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

b) Ability to meet quality standards specified for technical

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

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

2. SCHEDULE /TIMELINESS 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)

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

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the

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)

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

I 4. MANAGEMENT/ PERSONNEULABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

b) Ability to hire, apply, and retain a qualified workforce to this

c) Government Property Control

d) Knowledge/expertise demonstrated by contractor

e) Utilization of Small Business concerns

f) Ability to simultaneously manage multiple projects with

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

h) Effectiveness of overall management (including ability to effectively lead, manage and control the program) multiple disciplines personnel project?

performanc effort

USDA-FS 12445122R0041

GAOA DB London RD

Drop Down or Write in: E- VG - S- M - U - NA

Drop Down or Write in: E- VG - S- M - U - NA

Drop Down or Write in: E- VG - S- M - U - NA

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)?

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

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)

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

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.

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

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 user's rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

b) Contractor complied with all security requirements for the project and personnel security requirements.

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).

b) Compliance with contractual terms/provisions (explain if specific issues)

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

d) In summary, provide an overall rating for the work performed by this contractor.

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)

USDA-FS 12445122R0041

GAOA DB London RD

Drop Down or Write in: E- VG - S- M - U - NA

3. Contract Information
4. Project Description:
2. SCHEDULE /TIMELINESS PERFORMANCE:

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/HRV (Za stvaranje Adobe PDF dokumenata najpogodnijih za visokokvalitetni ispis prije tiskanja koristite ove postavke. Stvoreni PDF dokumenti mogu se otvoriti Acrobat i Adobe Reader 5.0 i kasnijim verzijama.)

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<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> /ENU (Use these settings to create Adobe PDF documents best suited for high-quality prepress printing. Created PDF documents can be opened with Acrobat and Adobe Reader 5.0 and later.)

/Namespace [ (Adobe) (Common) (1.0) /OtherNamespaces [ /AsReaderSpreads false /CropImagesToFrames true /ErrorControl /WarnAndContinue /FlattenerIgnoreSpreadOverrides false /IncludeGuidesGrids false /IncludeNonPrinting false /IncludeSlug false /Namespace [ (Adobe) (InDesign) (4.0) /OmitPlacedBitmaps false /OmitPlacedEPS false /OmitPlacedPDF false /SimulateOverprint /Legacy /AddBleedMarks false /AddColorBars false /AddCropMarks false /AddPageInfo false /AddRegMarks false /ConvertColors /ConvertToCMYK /DestinationProfileName () /DestinationProfileSelector /DocumentCMYK /Downsample16BitImages true /FlattenerPreset << /PresetSelector /MediumResolution /FormElements false /GenerateStructure false /IncludeBookmarks false /IncludeHyperlinks false /IncludeInteractive false /IncludeLayers false /IncludeProfiles false /MultimediaHandling /UseObjectSettings /Namespace [ (Adobe) (CreativeSuite) (2.0) /PDFXOutputIntentProfileSelector /DocumentCMYK /PreserveEditing true /UntaggedCMYKHandling /LeaveUntagged /UntaggedRGBHandling /UseDocumentProfile /UseDocumentBleed false >> setdistillerparams /HWResolution [2400 2400] /PageSize [612.000 792.000] >> setpagedevice

Group1: Choice10
Text3:
Date5_af_date:
Text8:
Text9:
Text10:
Text11:
Text13:
Text14:
Text15:
Text17:
Text19:
Text20:
Text21:
Text24:
Text25:
Text27:
Text30:
Text29:
Dropdown21: [Satisfactory]
Dropdown22: [Satisfactory]
Dropdown23: [Satisfactory]
Dropdown18: [Satisfactory]
Dropdown17: [Satisfactory]
Dropdown16: [Satisfactory]
Dropdown15: [Satisfactory]
Dropdown14: [Satisfactory]
Dropdown13: [Satisfactory]
Dropdown12: [Satisfactory]
Dropdown11: [Satisfactory]
Dropdown10: [Satisfactory]
Dropdown09: [NO]
Dropdown08: [Satisfactory]
Dropdown07: [Satisfactory]
Dropdown06: [Satisfactory]
Dropdown24: [Satisfactory]
Dropdown31: [Satisfactory]
Dropdown32: [Satisfactory]
Dropdown33: [Satisfactory]
Dropdown34: [YES]
Dropdown35: [NO]
Dropdown36: [NO]
Dropdown37: [YES]
Dropdown38: [Satisfactory]
Dropdown41: [Satisfactory]
Dropdown42: [Satisfactory]
Group2: Choice6
Group3: Choice10
Dropdown39: [Satisfactory]
Dropdown90: [Satisfactory]

File details come from the government source that posted it. Updated .