B08__Attachment__4__Past_Performance_Questionnaire_(EISE).docx

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Attached to
HPTC ROOF REPLACEMENT ON EISENHOWER HOME Federal contract opportunity
Solicitation number
140P2123R0023
Issued by
Department of the Interior National Park Service

About this file

This document contains a past performance questionnaire for a roof replacement project at Eisenhower National Historic Site. The National Park Service is seeking to replace approximately 6,400 square feet of slate roofing and conduct other repairs. The awarded firm fixed price contract value was $XXX,XXX, with a period of performance from XX/XX/XXXX to XX/XX/XXXX. The past performance questionnaire is being sent to references for an incumbent contractor bidding on solicitation number 140P2123R0023 for the roof replacement work. The references are asked to evaluate the contractor's performance on quality, schedule, cost control, management, and regulatory compliance on a previous similar project and indicate whether they would recommend the contractor for future work. Completed questionnaires must be returned to the National Park Service contracting officer Ruth Pagan by June 2, 2023.

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Text version

The National Park Service is currently in the process of selecting a Contractor to provide all labor, materials, equipment and travel necessary for completion of the Roof Replacement on the Eisenhower House at Eisenhower National Historic Site located in Gettysburg, Pennsylvania. The project requires the replacement of approximately 6,400 sq. ft. of slate roof, and selective repairs to the roof sheathing, gutters, chimney flashing, and soffits. This work will extend the life of the structure by securing the exterior envelope and protecting the interior from exterior elements.

As required by the Federal Acquisition Regulation (FAR) at Paragraph 12.606, Offeror’s past performance history will play an important role in determining which Contractor will receive the contract.

As someone with first-hand knowledge of the past performance history pertaining to one of the competitors for this project, your participation is essential. The National Park Service depends on your critical evaluation of the prospective Contractor’s performance to ensure we are obtaining the best value for your tax dollars.

The acquisition schedule is extremely tight; therefore, we need your written response no later than June 2, 2023. To assist you in preparing your response and expediting your reply, we have formulated the attached questionnaire highlighting the areas of primary interest to the National Park Service.

The questionnaire may be filled out by hand and emailed to the attention of Ruth Pagan at ruth_pagan@nps.gov.

If you have any questions concerning completion of the attached questionnaire, please contact the undersigned at (254) 258 - 9274

//SIGNED//

Ruth Pagan Contracting Officer

1 Attachment – Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

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.

A. CONTRACTOR INFORMATION

Company Name
Company
Street Address
Address
City
City
State
State
Zip Code
XXXXX
UEI Number
XXXXXXX
Point of Contact
Name, Email, Phone

B. CONTRACT INFORMATION

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

C. 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

D. 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 subcontracts)?
Choose an item.
Quality of and adherence to quality control?
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 and maintained the schedule?
Choose an item.
Responded to owner requests in a timely manner?
Choose an item.
Informational and technical deliverables 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

Meet the contract cost or stay within the fixed-price cost?
Choose an item.
Provided fair and reasonable pricing for contract modifications?
Choose an item.
Submitted accurate and complete invoices?
Choose an item.
Promptly paid subconsultants?
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 and effective communication by project manager with subcontractors, Contracting Officer, and Contracting Officer’s Representative (COR) on problems solving and recommending solutions and shows initiative in overcoming obstacles?
Choose an item.
Coordination with and control of subconsultants in achieving timely performance, relaying quality control concerns, and working with subcontractors to correct deficiencies and resolve problem areas?
Choose an item.
Maintained good working relationship with owner representatives? Met your working relationship expectations (e.g. ease of working with, flexible in accommodating program adjustments, reasonable/cooperative behavior, businesslike concerns for your interest, etc.)?
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.):

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:

E. RETURN:

Return by
On or before June 2, 2023, 12:00 p.m., Eastern Daylight Time (EDT)
Name
Ruth Pagan
Title
Contracting Officer
Organization
National Park Service – WCO/Historic Preservation Training Center
Email
Ruth_pagan@nps.gov

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