B08_Attach_09_Project_Experience.rtf

Project Experience Questionnaire Solicitation: 140P2023R0015

Offeror Company Name

Referenced Project Information Project Title Title Project Location City, State Brief Project Description Description Project Owner Company Name

POC:

First & Last Name Phone:

(XXX) XXX-XXXX

Contractor List List Contractor(s) whose experience on the referenced project is being submitted for evaluation on this proposed project. If more than one contractor is listed (i.e. prime and subcontractors), provide information specific to that contractor.

Contractor Name Role on Referenced Project (Prime or Sub) Trade Price (list for each contractor’s specific work) Performance Period (calendar days) (list for each contractor’s specific work)

Original Final Original Final Sparky’s Electrical Company Prime Prime

$XXX,XXX

$X,XXX,XXX

XX

XX

ABC Plumbing & Heating, Co Subcontractor Plumbing & Mechanical

$X,XXX,XXX

$X,XXX,XXX

XXX

XXX

Subcontractor

PROJECT EXPERIENCE Questions

1. Describe the project work performed by all contractors listed above.

Response

2. Identify which Project Experience elements listed in section L of the solicitation each contractor’s work addresses.

Response

3. Describe & provide reasons for any changes to the original price for the work described in question 2 above.

Response

4. Describe and provide reasons for any changes to the original schedule for the work described in question 2 above.

Response

5. Describe problems, associated with the work described in question 2 above, which were encountered and how they were resolved. Describe how the offeror’s proposal accounts for similar issues.

Response

6. Describe the means and methods, associated with the work described in question 2 above, which were successful. Would you implement the same means and methods on the proposed project? Why or why not?

Response

7. Provide any other additional project information you believe should be presented.

Response

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NO. 140P2022R0043

INSTRUCTIONS: Offeror to complete Sections A and B and transmit questionnaire to reference.

Reference to complete Sections C and D and transmit back to Contracting Officer listed in section E.

Notice to Contractor Information provided in this questionnaire is intended for use as source selection information and as such is deemed Source Selection Sensitive. Statements or comments provided in the questionnaire do not signify an express or implied endorsement of any product, supply, service, or enterprise.

This information shall not be construed as an endorsement by the Government or its employee(s) of the contractor for advertising purposes or in a manner that implies the contractor, its products, or services, are approved, endorsed, or considered by the Government to be superior to other products or services.

The contractor shall not be permitted to use any information provided in this questionnaire to publicize, or otherwise circulate, promotional materials that state or imply Governmental, organizational, group, expert, or individual endorsement or consumer testimonial of a product, service, or position which the contractor represents.

OFFEROR Information

Company Name Company Street Address Address City City State State Zip Code

XXXXX

Unique Entity Identifier (UEI) Number / SAM

XXXXXXX

Point of Contact Name, Email, Phone

Contract Information FOR PAST PROJECT (PROJECT submitted uNDER PROJECT EXPERIENCE)

Project Title Title Contract Number

XXXXXXXXXX

Contract Type Firm Fixed Price / Time & Materials / Cost Reimbursable / Other Awarded Contract Price

$X,XXX,XXX

Current / Final Price

$X,XXX,XXX

Contract Award Date

XX/XX/XXXX

Contract Completion Date

XX/XX/XXXX

Period of Performance

XX/XX/XXX – XX/XX/XXX

Project Location Park or Street address, City, State Client / Owner Company Brief description of the contract & work effort:

Scope of work description

Reference:

Name First, Last Position / Title Title Organization Agency or Company Phone Number

XXX-XXX-XXXX

Email Address Email Signature Signature Date

XX/XX/XXXX

Evaluation

Rating Definition Exceptional Performance met contractual requirements and exceeded many to the owner’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance met contractual requirements and exceeded some to the owner’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance met contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal Performance did not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Evaluation Area Rating Quality

Quality of workmanship (including subcontractors)?

Choose an item.

Quality of and adherence to quality control plan?

Choose an item.

Quality of informational and technical submittals?

Choose an item.

Overall Quality Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Schedule (& Time Management)

Met project schedule milestones?

Choose an item.

Responded to owner requests in a timely manner?

Choose an item.

Informational and technical submittals submitted timely?

Choose an item.

Promptly addressed scheduling issues?

Choose an item.

Overall Schedule (& Time Management) Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Cost Control

Addressed differing & unforeseen site conditions so as to minimize additional costs?

Choose an item.

Provided fair and reasonable pricing for contract modifications?

Choose an item.

Submitted accurate and complete invoices?

Choose an item.

Promptly paid subcontractors and suppliers?

Choose an item.

Overall Cost Control Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Management

General oversight by project manager and superintendent?

Choose an item.

Coordination with and control of subcontractors?

Choose an item.

Avoidance of accidents & safety violations?

Choose an item.

Addressed location factors (especially remote locations)?

Choose an item.

Maintained good working relationship with owner representatives?

Choose an item.

Demonstrated flexibility, innovativeness and cooperation in resolving potential problems?

Choose an item.

Overall Management Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Small Business Subcontracting (& Labor Standards)

Met regulatory and contractual labor standards?

Choose an item.

Successfully contracted with small and socio-economically disadvantaged businesses?

Choose an item.

Quality and adherence to applicable subcontracting plans?

Choose an item.

Overall Small Business Subcontracting (& Labor Standards) Rating Choose an item.

Comments (Please provide comments supporting the above ratings. Comments supporting ratings of excellent, marginal, & unsatisfactory are especially helpful.):

Regulatory Compliance

Met building and life safety codes?

Choose an item.

Overall Regulatory Compliance Rating Choose an item.

Overall Recommendation:

Given what I know today about the contractor's ability to perform in accordance with the contract’s most significant requirements, I would recommend them for similar contracts:

Choose an item.

Overall Comments:

Return:

Return by Date and time listed in RFP Name Tony Jasper and Jen Braaten Title Contracting Officer / Contract Specialist Organization National Park Service – Denver Service Center Email Tony_Jasper@nps.gov and Jennifer_braaten@nps.gov

General References READ CAREFULLY: The purpose of this form is for the offeror to provide the Government with general references in the spaces provided as described in the Instructions, Conditions, and Notices to Offerors (Section L). Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their relationships with the references may be considered less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s past performance record. Provide explanations on separate sheets as necessary.

Name of Contractor/Offeror:

Surety Name of Surety:

Address of Surety:

Name of Agent:

Telephone Number:

Corporate Bank Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Corporate Bank Name of Bank:

Address of Bank:

Name of Agent:

Telephone Number:

Types and Numbers of Accounts:

Insurance Company Name:

Address:

Name of Agent:

Types of Policies:

Address:

Name of Contact:

Area of Specialized Work:

Address:

Name of Contact:

Address:

Name of Contact:

Material Supplier

Address:

Name of Contact:

Telephone Number:

Types of Material:

Material Supplier Name:

Address:

Name of Contact:

Telephone Number:

Types of Material:

MATERIAL Supplier Name:

Address:

Name of Contact:

Types of Material: