Attch_4_PP_Questionnaire.docx

PAST PERFORMANCE QUESTIONNAIRE

NOTICE TO OFFERORS

Contained herein is the questionnaire offerors shall send to those firms that the offeror has identified in response to the solicitation requirements. This questionnaire may also be submitted for references of key personnel.

As stated in the solicitation, the Contracting Officer, in the interest of expediency, will start collecting past performance data before proposal receipt. Offerors are requested to submit their past performance information in advance of the proposal due date.

Offerors shall send questionnaires to their references and request the return of the questionnaire to the Contracting Officer as soon as possible prior to the established closing date of the solicitation. Offerors shall complete Blocks 1 and 2 of the questionnaire.

1. Contractor Name, Address & Phone Number:

2. Contract Number(s):

3. Percentage of Work Completed as Prime or Subcontractor:

4. Awarded Contract Value and Final Contract Value:

5. Period of Performance:

6. If there was a difference in awarded and final contract value, and/or a change in the Period of Performance, please explain why.

7. Type of Contract(s) Used: (Check all that apply)

[ ]FP

[ ]CR

[ ]T&M [ ]Labor Hour [ ]8(a) Direct Award [ ]Sealed Bid [ ]Negotiated

[ ]TO/DO

[ ]SB Set-Aside [ ]Competitive [ ]8(a) Direct Award [ ]Requirements [ ]Sole Source [ ] Construction of Buildings [ ] Heavy/Civil Engineering Construction [ ] Specialty Trade Construction [ ] Design-Build

8. Description of Requirement:

9. Ratings:

Exceptional (E) Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good (VG) Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory (S)Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal (M)Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions were only marginally effective or were not fully implemented.

Unsatisfactory (U) Performance does not meet most contractual requirements and recovery was not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions were ineffective.

For each question, please place an “X” in the box corresponding to the rating. Please provide supporting rationale for all ratings except “Satisfactory” . The narratives need not be lengthy, just detailed, clear and concise. Space for narrative comments is provided in Block 10. If more space is needed, use the back of the questionnaire or attach additional pages.

a. How would you describe the quality of the contractor’s management relationship with government counterparts, including ability to successfully resolve disagreements/disputes?

b. How timely and effective was the contractor when dealing with contract problem resolution issues?

c. How well did the contractor respond to emergency situations?

d. How was the contractor’s quality overall?

e. How well did the contractor adhere to the schedule?

f. Was the project completed in a timely manner?

g. If Design-Build, how well did the contractor correct design issues?

h. How well did the contractor manage any subcontractors?

i. Were subcontractors paid in a timely manner?

j. Were materials paid in a timely manner?

k. Were submittals complete and provided in a timely manner?

l. If Design-Build, did the contractor submit design components on time?

m. Were as-builts complete and submitted in a timely manner?

n. How well did the contractor correct building/construction problems?

o. How timely was completion of punchlist items?

p. Were warranty issues addressed promptly?

q. How effectively were safety issues dealt with?

r. How effectively did the contractor manage the entire project?

s. How effectively did the contractor mobilize?

t. Did the contractor apply sufficient resources (personnel/facilities) for the project?

u. Did the contractor perform at least 15 percent of the work with its own employees?

10. Comments:

11. Respondent’s Identification:

Name:

Position/Title:

Address & Phone Number:

Relationship and Time Involved with Program/Contract:

Date of Evaluation:

Block 1: Name, address and phone number of the contract being evaluated. Identify the specific division being evaluated if there is more than one.

Block 2: Contract number(s) used to evaluate performance.

Block 3: Percentage of work completed as prime or subcontractor.

Block 4: Awarded contract value and final contract value, including any option periods.

Block 5: Period of performance dates.

Block 6: If there was a difference between the awarded amount and the final contract value, and/or a change in the Period of Performance, please provide an explanation.

Block 7: Please check all that apply.

Block 8: Provide a description of the requirement.

Block 9: Ratings’ definitions and questions. Please check or indicate the appropriate rating. Block 10: For any Unsatisfactory rating, please provide an explanation for the rating.

Block 11: Please provide your information as respondent. This information will not be shared with the contractor.