ATTACHMENT 2 - AE IDIQ PAST AND PRESENT PERFORMANCE QUESTIONNAIRE.pdf

ATTACHMENT 2

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

When Filled In This Document Is Source Selection Sensitive Information IAW FAR 3.104

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ___________________________

Project Title and Brief Description of Work:

Contract Number Provided by Offeror: Dollar Amount $_________________

Contract Period of Performance: _______________________

*Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

B. AGENCY INFORMATION: Work to be performed design/build projects, such as new construction, renovation, alteration and repair, with multiple disciplines.

Offeror submitted as:

Prime Contractor Sub-Contractor Key Personnel Teaming/Joint Venture Architect/Engineer

C. RESPONDENT INFORMATION (Person who is completing information):

Name of Respondent: _________ _ _ _ _ Title: __________ __________________

Address: __________ _ _ _ _ _ _ Telephone Number: __________ _ _ __ __________ _ _ _ _ _ _ Fax Number: _________ _ _ _ _ __ __________ _ _ _ _ _ _ Email Address: ________ _ _ _ _ _

D. EMAIL COMPLETED SURVEY FORM TO: Athena.jackson@va.gov

E. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. If there was no performance in this project that can be rated use “Not Applicable (N/A)”. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1 OR 2.

1 2 N 3 4 5 N/A Unsatisfactory Marginal Neutral Satisfactory Very Good Exceptional

Performance did Performance The record is Performance Performance Performance The contractor not meet most did not meet inconclusive or met contract met all contract met all contract did not contractual some without requirements. requirements requirements perform this requirements. contractual comment. There were and exceeded and exceeded effort.

There were requirements. some minor some to the many to the serious problems There were problems and government’s government’s and the problems, some corrective benefit. There benefit.

contractor’s of a serious actions taken were a few Problems, if corrective nature, for by the minor any, were actions were which contractor were problems, negligible and ineffective corrective satisfactory. which, the were resolved action was only contractor in a timely, marginally resolved in a highly effective effective. timely, manner effective manner.

mailto:Athena.jackson@va.gov

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FACTORS TO BE RATED

Ex ce pt io na l (

5)

V er y G oo d

(4

Sa tis fa ct or y

(3

M ar gi na l ( 2)

U ns at is fa ct or y

(1

N /A

N eu tra l

1 Firm provided experienced managers and disciplines with the administrative and technical abilities needed to meet contract requirements.

2 Firm delegated authority to project managers commensurate with contract requirements. Project manager’s role was clear.

3 Identified risks/problems as they occurred and offered constructive and/or viable solution/alternatives.

4 Was the firm responsive and reasonable to contract changes from the standpoint of timeliness, suggested solutions, and price.

5 Firm displayed a cooperative attitude with company/government personnel before and after award.

6 Firm’s Quality Control procedures and execution were concernment to the project.

7 Were there any claims by subcontractors/suppliers for none payment. If yes, please explain outcome in “Remarks”.

8 How would you rate the firm’s knowledge and thoroughness of site investigation/field analysis?

9 Firm’s team/partner consistently produced quality designs with minimal errors

10 Firm’s team/partner consistently provided plans and specs that were accurate and coordinated ready for construction.

11 Firm’s responsiveness to contract modifications (other than differing site conditions, user changes) during construction for design errors and omissions.

12 Did the firm provide plans that were clear and detailed sufficiently?

13 How would you rate the firm’s ability to achieve cost limitations?

14 Developed, managed, and adhered to realistic schedules and met established project milestones.

15 How would you rate the firm’s solution environmentally suitable for the project?

16 Did the firm use any innovative approaches/technologies on the project? Please provide example under “Remarks”.

17 How well did the firm implement small business subcontracting plan? Applicable to Large Businesses Only

18 Firm corrected deficiencies in a timely manner and pursuant to their quality control procedures.

19 Firm maintained a quality workforce and subcontractors through project completion.

20 How would you rate the firm’s quality of briefings and presentations?

21 Firm’s emphasis on delivering a quality product was apparent in day-to-day operations.

22 Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in "Remarks."

23 Would you award another contract to this contractor? If not, explain in "Remarks."

OVERALL ASSESSMENT

24 Overall, on the scale of 1 – 5, how would you rate the contractor being surveyed

Remarks: