Attachment_5__Past_Performance_Questionnaire.pdf

The National Service is currently in the process of selecting a Contractor to provide all labor, materials, equipment and travel necessary for the repair and preservation of the front and side porches and balcony at the Gambrill House located at 4801A Urbana Pike, Frederick, MD.

As someone with first-hand knowledge of the past performance history pertaining to one of the competitors for this project, your participation is essential. The National Park Service depends on your critical evaluation of the prospective Contractor’s performance to ensure we are obtaining the best value for your tax dollars.

The acquisition schedule is extremely tight; therefore, we need your written response by August 2, 2022. To assist you in preparing your response and expediting your reply, we have formulated the attached questionnaire highlighting the areas of primary interest to the National Park Service.

The questionnaire may be filled out by hand and emailed to the attention of David Clark at david_clark@nps.gov.

If you have any questions concerning completion of the attached questionnaire, please contact the undersigned at (602) 989-9775.

//SIGNED//

David Clark Contracting Officer

1 Attachment – Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

A. CONTRACTOR INFORMATION

Company Name Company Street Address Address City City State State Zip Code XXXXX DUNS Number XXXXXXX Point of Contact Name, Email, Phone

B. CONTRACT INFORMATION

Project Title Title Contract Number XXXXXXXXXX Contract Type Firm Fixed Price / Time & Materials / Cost Reimbursable / Other Awarded Contract Price $X,XXX,XXX Current / Final Price $X,XXX,XXX Contract Award Date XX/XX/XXXX Contract Completion Date XX/XX/XXXX Period of Performance XX/XX/XXX – XX/XX/XXX Project Location Park or Street address, City, State Client / Owner Company Brief description of the contract & work effort:

Scope of work description

C. REFERENCE:

Name First, Last Position / Title Title Organization Agency or Company Phone Number XXX-XXX-XXXX Email Address Email Signature Signature Date XX/XX/XXXX

D. EVALUATION

Rating Definition

Exceptional Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Evaluation Area Rating Quality Quality of workmanship (including subcontracts)? Choose an item.

Quality of and adherence to quality control? Choose an item.

Quality of informational and technical submittals? Choose an item.

Overall Quality Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Schedule & Time Management) Met project schedule milestones and maintained the schedule? Choose an item.

Responded to owner requests in a timely manner? Choose an item.

Informational and technical deliverables submitted timely? Choose an item.

Promptly addressed scheduling issues? Choose an item.

Overall Schedule (& Time Management) Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, Cost Control Meet the contract cost or stay within the fixed-price cost? Choose an item.

Provided fair and reasonable pricing for contract modifications? Choose an item.

Submitted accurate and complete invoices? Choose an item.

Promptly paid subconsultants? Choose an item.

Overall Cost Control Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, Management General oversight and effective communication by project manager with subcontractors, Contracting Officer and Contracting Officer’s Representative (COR) on problems solving and recommending solutions and shows initiative in overcoming obstacles?

Choose an item.

Coordination with and control of subconsultants in achieving timely performance, relaying quality control concerns, and working with subcontractors to correct deficiencies and resolve problem areas?

Choose an item.

Maintained good working relationship with owner representatives? Met your working relationship expectations (e.g. ease of working with, flexible in accommodating program adjustments, reasonable/cooperative behavior, businesslike concerns for your interest, etc.)?

Choose an item.

Demonstrated flexibility, innovativeness and cooperation in resolving potential problems? Choose an item.

Overall Management Rating Choose an

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, Regulatory Compliance Met building and life safety codes? Choose an item.

Overall Regulatory Compliance Rating Choose an item.

Overall Recommendation:

Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:

Choose an

Overall Comments:

E. RETURN:

Return by On or before August 2, 2022, 12:00 p.m, Mountain Time Name David Clark Title Contracting Officer Organization National Park Service Email david_clark@nps.gov