Attachment B_PP and PE Reference.pdf

Past Performance & Past Experience Reference Attachment B

Request for Proposal No. 47PF0022R0056

U.S. General Services Administration PBS, Great Lakes Region, Acquisiton Management Divison

INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE:

PBS requests that the client completes this questionnaire and submits it directly back to the Contracting Officer, Daniel Nitu at daniel.nitu@gsa.gov by no later than June 28, 2022 @ 03:00 PM EST. The government reserves the right to verify any and all information on this form.

REMAINDER OF THE FORM TO BE COMPLETED BY CLIENT

SUPPORTING CONTRACT INFORMATION

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: ☐ Firm Fixed Price ☐ Cost Reimbursement ☐ Other (Please explain)

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:

Past Experience

In regard to the contract and project referenced above, please answer the following questions:

1. The project involved construction and/or modernization of an elevator Yes No

TO BE COMPLETED BY CONTRACTOR

Contractor Name:

Contractor Company:

Contract Title :

Contract Location:

Reference Name:

Reference Company/Agency:

Reference Phone Number:

E-mail Address:

2. The project was performed in an occupied and functioning Government or Commercial office building

Past Performance

In regard to the contract and project referenced above, please answer the following questions:

1. The project was performed in a Government or Commercial office building?

2. The project was substantially completed in the last seven (7) years

3. The project was performed in a building that required coordination with security personnel for security and access?

In reference to this project, please answer the following questions using the chart below to evaluate the offeror's performance on this project. You may rate the offeror anywhere along the scale, for example, a numerical score of 2.7, 3.4, 4.5. You may also use provide additional comments in the space provided.

ADJECTIVAL

RATING

NUMERICAL

SCORE DESCRIPTION

Excellent 5 Past performance significantly exceeds in all aspects of the requirements; high probability of success; no significant weaknesses.

Very Good 4 Past performance exceeds, to varying degrees, one or more of the requirements.

Satisfactory 3 Past performance meets, in all aspects, the requirements.

Marginal 2 Past performance does not meet all requirements.

Unsatisfactory 1 Past performance does not meet any of the requirements.

Neutral Did not submit the minimum number of relevant past performance references and no other relevant references could be obtained by the contracting officer

Please continue to next page.

* Please provide a detailed narrative to support each numerical score provided.*

1. How did the offeror comply with the terms and conditions of the contract?

Numerical Score:

2. The overall quality of the work performed on the contract.

3. How timely the firm was in completing the work in compliance with the contract.

4. The firm's managerial performance, e.g. the quality of their supervisory employees, contract manager, corporate management involvement, responsiveness, communication.

5. The firm's overall performance on the contract.

6. Would you enter into a contract again with this offeror?

Yes (5) Maybe (3) No (0)

Please continue to next page.

Please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in understanding the offeror’s past performance/experience on your contract (please attach additional pages if necessary):

TO BE COMPLETED BY THE GSA REQUESTING OFFICE

Past Performance Relevant Yes: No:

Total Score (25 points possible): _______

Average Score: ________