Form_P2-PastPerformance-Construction.pdf

Design‐Build Request for Qualifications (RFQ) Appendix A

Form P2 - Past Performance Questionnaire (Construction), Page 1 (Submitted by Owner/Agency)

REQUEST FOR PAST PERFORMANCE

Type of Contract: The Federal Highway Administration (FHWA) is currently in the process of soliciting qualifications for a design-build project.

What do you need to do? FHWA is looking for past performance information on construction projects completed since January 1, 2007 or that are ongoing with at least 75% of the onsite work complete as of the date the questionnaire is filled out.

Please complete and submit the attached questionnaire directly to FHWA no later than July 2, 2015. The completed questionnaire may be mailed, e-mailed or faxed to:

Mail or Delivery Address:

Attn: Susan Yenne

(Mailroom – Do not open) Western Federal Lands Highway Division 610 East Fifth Street Vancouver WA 98661-3801

FAX: (360) 619-7932 (ATTN: Susan Yenne) E-MAIL: WFL.Construction@dot.gov (ATTN: Susan Yenne) Telephone verification of receipt: 360.619.7601

Source Selection Information

See FAR 2.101 and 3.104 (Applicable when filled-in)

Form P2 - Past Performance Questionnaire (Construction), Page 2

Directions to Owner/Agency: Please complete this form and submit it directly to Susan Yenne via mail, e-mail or fax.

To verify receipt, call 360.619.7601.

MAIL E-MAIL FAX

Attn: Susan Yenne (Mailroom – Do not open)

Western Federal Lands Highway Division 610 East Fifth Street

Vancouver WA 98661-3801

WFL.Construction@dot.gov (ATTN: Susan Yenne)

(360) 619-7932 (ATTN: Susan Yenne)

Part A - General Information (to be completed by the contractor):

Contractor’s Name

Contractor Address:

Owner/Agency

Contact Name: Contact Phone:

Project Title

Contract Number

Project Role

(__) Prime/General Contractor (__)Subcontractor: Value of Subcontract $_____________

Project Location (Town/State/Forest…)

Description of Work provided by the Contractor:

Contract Information for project listed above (to be completed by the Owner/Agency):

Contract Award Date: Contract Start Date:

Original Completion Date: Final Completion Date:

Initial Contract Amount Final Contract Amount

If this project is ongoing, has 75% of the onsite work been completed? __ Yes __ No

Were liquidated damages assessed for late completion? __ Yes __ No

Was a contractor evaluation prepared? __ Yes __ No If yes what was the overall rating?

Form P2 - Past Performance Questionnaire (Construction), Page 3

Evaluation Factor Rating System. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings:

N/A=Not Applicable U=Unsatisfactory M=Marginal S=Satisfactory V=Very Good E=Exceptional

For ratings of “Unsatisfactory” and “Marginal” please provide a brief explanation in the remarks section.

Planning, Scheduling and Coordination

Developed realistic progress schedules, met established milestones, and submitted updated progress schedules as required. N/A U M S V E

Scheduling changes were clearly communicated to the workforce, suppliers and owner agency representatives. N/A U M S V E

Collaboration with Owner

The contractor effectively collaborated with the owner in an equitable, businesslike and timely manner to come to satisfactory agreements.

N/A U M S V E

How would you rate the contractor’s overall effort at collaboration with the owner agency in problem solving? N/A U M S V E

Quality Control System

Did the contractor develop a contractor Quality Control (QC) Plan? N/A U M S V E

Did the contractor follow the QC Plan during design and/or construction of the project? N/A U M S V E

Did the contractor consistently take responsibility to ensure that all work met contract requirements? N/A U M S V E

Did the contractor complete work in accordance with the specifications without owner agency presence? N/A U M S V E

Project Superintendence and Management Personnel

Did project superintendence and management personnel foster an attitude of contract compliance? N/A U M S V E

Did project superintendence and management personnel act promptly to resolve problems? N/A U M S V E

Did project superintendence and management personnel have sufficient authority to make decisions or to take appropriate actions?

N/A U M S V E

Form P2 - Past Performance Questionnaire (Construction), Page 4

Project Superintendence and Management Personnel (continued)

Were project superintendence and management personnel consistently present and on site when work was performed? N/A U M S V E

Subcontract Management

Did the contractor take accountability for subcontractor performance? N/A U M S V E

Did contractor facilitate corrective actions to ensure subcontractor work was completed in a timely and satisfactory manner?

N/A U M S V E

Did the contractor meet their Small Disadvantaged Business Subcontracting Goals? N/A U M S V E

Overall Performance

Did the contractor demonstrate organizational and management capability to deliver similar projects using design-build contracting?

N/A U M S V E

Did the contractor demonstrate organizational and management capability, working individually or as a team, to deliver similar projects, using methods other than design-build?

N/A U M S V E

Did the contractor demonstrate a history of resolving disputes without litigation, termination for cause, or liquidated damages. N/A U M S V E

Did the contractor demonstrate a history of completing similar projects with little or no cost or schedule growth, including experience with mechanisms to avoid delays and minimize claims?

N/A U M S V E

Did the contractor demonstrate a history of meeting regulatory requirements without permit violations? N/A U M S V E

Additional Comments: