Attch_5_PP_Questionnaire.docx

PAST PERFORMANCE QUESTIONNAIRE

NOTICE TO OFFERORS

Contained herein is the letter that the Contracting Officer will use to solicit past performance comments from those firms that the offeror has identified in response to the solicitation requirements as well as the complete questionnaire that will be used. 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. The RFP, in List of Attachments, includes a past performance questionnaire for offerors to send their previous customers with instructions to return the completed questionnaire to the Government. Failure of the offeror to submit its past performance information early or of the customers to submit the completed questionnaires shall not be a cause for rejection of the proposal nor shall it be reflected in the Government's evaluation of the offeror's past performance.

Offerors are encouraged to submit the attached cover letter and questionnaire 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. Past performance questionnaires sent to the Contracting Officer directly from offerors shall not be considered. Offerors shall complete Blocks 1 and 2 of the questionnaire.

MEMORANDUM FOR PROJECT OWNERS/REFERENCES

Department of Interior Bureau of Land Management Infrastructure Section OC664 P.O. Box 25047, Bldg. 50 Denver Federal Center Denver, Colorado 80225

SUBJECT: Request for Performance Information You have been identified as a point of contact for a past performance evaluation of the firm listed on the attached questionnaire. We are currently evaluating this company for award of a contract for a project entitled, “Ft. Egbert Historical Facilities Restoration”.

It is requested that you complete the attached questionnaire providing detailed information on the performance history of the firm identified.

It is essential that this office receive your official response via email to Evan Buzbee ebuzbee@blm.gov.

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

[ ]FPI [ ]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 [ ] Demolition [ ] Service

8. Description of Requirement:

9. Ratings: Satisfactory: Performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor were satisfactory.

Unsatisfactory: Performance did not meet most contractual requirements and recovery was not likely in a timely manner. The contractual performance contained problems for which the contractor’s corrective actions appeared or were ineffective.

If the question is not applicable, please insert N/A following the question.

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. How well did the contractor perform within contract costs?

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

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

n. How timely was completion of punchlist items?

o. Were warranty issues addressed promptly?

p. How effectively were safety issues dealt with?

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

r. How effectively did the contractor mobilize?

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

t. 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.