Attachment 7 PPQ.pdf

Initials

ATTACHMENT 7

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTION PAGE

Please complete the following questionnaire concerning evaluation of the Contractor’s past performance. Your response to this evaluation will be utilized for the procurement of a construction firm to provide all supervision, labor, materials and equipment necessary under a Mini-Multiple Award Construction Contract, Indefinite Delivery/Indefinite Quantity (ID/IQ) contract vehicle for construction services located primarily at Joint Base Elmendorf-Richardson (JBER) AFB, AK.

Increased emphasis in our procurements is placed on past performance as a source selection factor. Your complete response is critical as this will be relied on by the Government in the selection of a firm for the proposed construction project. Please answer all questions by checking only one (1) response per question. It is strongly requested that additional information is placed in the space provided.

You will be required to sign this evaluation at the end of the questionnaire and your initials are required on each page of this questionnaire, as well as on this instruction page.

Government personnel may contact you concerning responses made by you in this questionnaire.

If you have any questions and/or concerns, please send them to 673d Contracting Squadron, Mr. John Jeffrey, Contracting Officer at john.jeffrey.1@us.af.mil and Ms.

Katrina Peace, Contract Specialist at katrina.peace.1@us.af.mil.

NOTICE: WHEN COMPLETED, THIS QUESTIONNAIRE WILL BE CONSIDERED

SENSITIVE AND SHALL NOT BE RELEASED TO THE OFFEROR.

The completed Present/Past Performance Questionnaire(s), applicable Consent Letter(s), and Client Authorization Letter(s) shall be emailed to: john.jeffrey.1@us.af.mil and katrina.peace.1@us.af.mil.

NOTE: ELECTRONIC SUBMISSION IS REQUIRED.

mailto:1@us.af.mil mailto:john.jeffrey.1@us.af.mil mailto:katrina.peace.1@us.af.mil

Name of Contractor being evaluated: ____________________________________________________

Owner/ Organization Name: ________________________________________________________________ Evaluator Name: ___________________________________________________________________________ Address: __________________________________________________________________________________ Telephone Number: _________________________________________________________________________

Name of Project (and Contract Number, if applicable):

Has the project been accepted as complete by the customer: Yes No Date of project completion: __________________________

Project Location: _____________________________________________________________________________ Is this project located above the 60th Parallel: Yes No Description of Project: (Use Additional Sheets if Necessary): _____________________________________________

Award/Project Amount:

Original: $ _____ Final: $ _______

Occupations required to complete the project work, please place an “X”

Painters Fire Sprinkler/Alarm Carpenters Roofers Plumbers Sheet Metal Workers

HVAC Hazardous Material Removal Workers Electricians

Construction Equipment Operators Minimal Design

Would you award a contract to this firm again for similar work? Yes No

PAST PERFORMANCE QUESTIONNAIRE

For each of the questions appearing on the attached sheets, please place an “X” next to the statement which best represents your evaluation in response to the subject questions. Please add any comments which will add value to your marked response.

A: Timely Performance

1. Did the contractor complete the project on schedule?

Contractor completed project significantly ahead of scheduled completion date Contractor completed project by original scheduled completion date Contractor completed within agreed to extended completion date Contractor failed to meet project completion date.

Comments: ___________________________________________________________

2. How responsive was the contractor in addressing unforeseen/unanticipated conditions?

Contractor consistently exercised a pro-active approach.

Contractor demonstrated some initiative in exercising a pro-active approach.

Contractor rarely demonstrated a pro-active approach.

Contractor never demonstrated a pro-active approach.

3. Were the contractor submittals delivered on time?

Contractor consistently made submissions ahead of schedule.

Contractor made some submissions ahead of schedule and all others on time.

Contractor made majority of submissions on time.

Contractor submissions were usually behind schedule.

B: Effectiveness of Management

1. How well did the contractor maintain a good relationship with the owner and the owner’s technical advisors/representatives?

Contractor was always cooperative.

Contractor was usually cooperative.

Contractor was sometimes cooperative.

Contractor was not cooperative.

Comments: ______________________________________________________________

2. How effective was the contractor's on-site management team?

Contractor's team was always effective.

Contractor's team was usually effective.

Contractor's team was sometimes effective.

Contractor's team was ineffective.

3. Did the contractor maintain a consistent project team throughout the duration of the project?

No adjustments were made to the project team throughout the project.

Minor adjustments were made to the project team during the project.

Significant changes to the project team were made during the project.

Contractor maintained no consistency in key personnel during the project.

Comments: ______________________________________________________________________________

4. Did the contractor adequately staff the project?

Contractor’s team was always adequately staffed.

Contractor’s team was usually adequately staffed.

Contractor’s team was sometimes adequately staffed.

Contractor’s team was never adequately staffed.

Comments: ________________________________________________________________________

E: Regulatory Compliance

1. Did the contractor comply with all Federal, State, and local environmental regulations?

Contractor always complied with all regulations.

Contractor usually complied with all regulations.

Contractor sometimes complied with all regulations Contractor consistently failed to comply with all regulations.

Comments: ____________________________________________________________

2. Did the contractor responsibly dispose of all Contractor generated hazardous waste?

Contractor always disposed of all generated hazardous waste.

Contractor usually disposed of all generated hazardous waste.

Contractor did not dispose of generated hazardous waste Contractor was not responsible for disposing of hazardous waste.

Comments: ____________________________________________________________

3. Did the contractor carry a satisfactory safety plan for your project?

Contractor set up a satisfactory safety plan specific to the requirements.

Contractor adapted a generic safety plan that met project needs.

Contractor has a generic safety plan used on every project; no adaptations.

Contractor’s safety plan was ineffective for my project.

Comments: _____________________________________________________________

A: Quality Control

1. How well did the contractor comply with contract requirements?

Contractor always exceeded contract requirements.

Contractor usually exceeded contract requirements.

Contractor met the minimum requirements.

Contractor did not meet the minimum requirements.

Comments: ___________________________________________________________

2. Was the contractor responsive in completing punch list items?

Contractor completed punch list items after initial notification.

Contractor completed most punch list items after initial notification.

Contractor eventually completed all punch list items.

Some punch list items were never completed by contractor.

Comments: ___________________________________________________________

3. Did the contractor have a program to monitor quality?

Contractor has an established, comprehensive program with individuals employed specifically for quality control.

Contractor set up a satisfactory quality control program to comply with the requirements for the project.

Contractor’s quality control program was ineffective on the project.

Comments: ____________________________________________________________

4. Did the contractor meet the quality of work on the project?

Contractor exceeded the quality expectations.

Contractor met quality expectations.

Contractor performed marginal quality of work.

Contractor performed poor quality of work.

Comments: ____________________________________________________________

Overall Quality Assessment:

Please select one (1) overall quality rating for this project. This evaluation should be an overall rating based upon all elements of performance including quality control, timely performance, effectiveness of management, and regulatory compliance of the project. Please rate as appropriate, using the following ratings and their definitions:

Exceptional: Performance meets contractual requirements and exceeds many to the customers benefit. The performance being evaluated was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

Very Good: Performance meets contractual requirements and exceeds some to the customers benefit. The contractual performance being evaluated was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

Satisfactory: Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the Contractor appear, or were, satisfactory.

Marginal: Performance does not meet some contractual requirements. The contractual performance reflects a 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.

Unsatisfactory: Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains a serious problem(s) for which the Contractor's corrective actions appear or were ineffective.

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Additional Comments: ______________________________________________________________________________

This questionnaire has been completed to the best of my ability and knowledge by:

Evaluator Signature

Evaluator Name (Printed): __________________________ Title: ___________________________________________ Organization: ____________________________________ Date Signed: _____________________________________