Attachment_K_Past_Performance_Questionnaire.doc

DOC document 72 KB Posted

Attached to
ADA Renovations, GLSC, Ann Arbor, MI Federal contract opportunity
Solicitation number
140G0122R0007
Issued by
Department of the Interior US Geological Survey Office of Acquisitions and Grants

About this file

This document contains a past performance questionnaire template and details of a federal contract solicitation for ADA renovations. The past performance questionnaire is to be completed by commercial or government references for a contractor's past work and includes ratings on quality, personnel, subcontractor management, business relations, timeliness, customer satisfaction, and financial controls. The related federal contract opportunity is a solicitation by the US Geological Survey to construct an elevator building addition, ADA bathroom and lobby renovations, and hallway and stairwell renovations at its Great Lakes Science Center facility. Proposals are due around February 18, 2022 for the project valued between $2,000,000 and $3,000,000. The NAICS code is 236220 and the solicitation is set aside for small businesses.

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Other files for this federal contract opportunity

Other files attached to ADA Renovations, GLSC, Ann Arbor, MI, newest first.
File Type Posted
Attachment_H_Statement_Acknowledgement_of_Subcontractor_SF1413.pdf PDF
Attachment_E_Bid_Bond_SF24.pdf PDF
Attachment_C_Drawings_reduced.zip ZIP file
Attachment_L_Questions_Responses.docx DOCX document
Attachment_I_Payroll_WH-347.pdf PDF
Attachment_F_Payment_Bond_SF25A.pdf PDF
Attachment_B_Specifications.zip ZIP file
Sol_140G0122R0007.pdf PDF
Attachment_D_Wage_Decision.pdf PDF
Attachment_J_Release_of_Claims.pdf PDF
Attachment_G_Performance_Bond_SF25.pdf PDF
Attachment_A_Statement_of_Work.docx DOCX document
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OFFEROR: SUBMIT TO YOUR COMMERCIAL CLIENT OR GOVERNMENT AGENCY REFERENCES FOR PAST PERFORMANCE

PAST PERFORMANCE QUESTIONNAIRE

TO BE COMPLETED BY COMMERCIAL CLIENT'S TECHNICAL MANAGER or BUSINESS MANAGER or AGENCY'S CONTRACTING OFFICER REPRESENTATIVE (COR) or CONTRACTING OFFICER (CO) Please forward completed Past Performance Questionnaire to Kris Murray, Contracting Officer, at kmurray@usgs.gov. Please ensure delivery no later than close of business on February 18, 2022.

1. Contractor Name:
2. Contract Number:
3. Contractor Address:
4. Contract Type:

____ Fixed-Price

____ Cost-Reimbursement

____ Other (Please Specify) ____________________

5. Client / Agency Name:

Address:

6. Client / Agency Point of Contact:

Name:

Title:

Phone:

E-mail Address:

7. Period of Performance:
8. Total Contract Value: $

9. Title of Project:

10. Please describe the work that was accomplished focusing on the scope and complexity of the work.:

11. Please describe whether the work was defined by the owner via a specification, statement of work, statement of objectives, partial/complete design document.

12. Did the Contractor encounter any noteworthy problems performing work? ________ If so, Please explain:

NOTE: Please use adjectival ratings from attached sheet

13. Evaluation Factor
14. Comments (Attach additional sheets, if necessary.)
15. Rating

a. Quality of Services Received

b. Personnel

c. Subcontractor Mgmt

d. Business Relations

e. Timeliness of Performance

f. Customer Satisfaction

g. Financial Controls

16. Would you select this firm in the future for the same or similar services? Please explain.

17a. Name of Preparer:
17b. Signature:
17c. Title:
17d. Date:

PAST PERFORMANCE RATING GUIDELINES

Summarize contractor performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Marginal, Satisfactory, Very Good, or Excellent. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”

Ratings
Quality of Services Received / Personnel

-Compliance w/contract requirements -Effectiveness of design

-Quality of construction -Accuracy of reports

-Appropriateness of personnel assignments -Technical excellence

Financial Controls

-Within budget

-Current, accurate, complete billings

-Relationship of negotiated prices to actual

-Efficiencies

-Change orders issued Timeliness of

Performance

-Met interim milestones

-Reliable

-Responsive to technical direction

-Completed on time Business Relations / Subcontractor Management -Effective on-site management and personnel

-Businesslike correspondence

-Responsive to contract requirements

-Prompt notification of problems

-Reasonable / cooperative

-Flexible

-Proactive

-Effective Small Business

Subcontracting Program

Excellent
There were no quality problems
There were no Financial issues
There were no delays
Business relations and interaction were highly effective

Very Good

Any nonconformance experienced did not impact achievement of contract requirements Financial issues did not impact achievement of contract requirements Delays did not impact achievement of contract requirements

Business relations and interaction were usually effective

Satisfactory

Nonconformance required moderate agency involvement to ensure achievement of contract requirements

Financial issues required moderate agency involvement to ensure achievement of contract requirements
Delays required moderate agency involvement to ensure achievement of contract requirements

Business relations and interaction were somewhat effective

Marginal

Nonconformance required major agency involvement to ensure achievement of contract requirements

Financial issues required major agency involvement to ensure achievement of contract requirements
Delays required major agency involvement to ensure achievement of contract requirements

Business relations and interaction were marginally effective

Unsatisfactory
Nonconformance

compromised the achievement of contract requirements Financial issues compromised performance

Delays compromised achievement of contract requirements
Business relations and interaction were not effective and compromised achievement of contract requirements

G14PS000

Attachment H Past Performance Questionnaire

140G0122R0007 Attachment K Past Performance Questionnaire

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