E OK PBS PP Questionnaire.docx
DOCX document 201 KB Posted
- Attached to
- Express Menu IDIQ Small Project Construction Services – Eastern Oklahoma Federal contract opportunity
- Solicitation number
- 47PH0822R0012
View the file
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| 47PH0822R0012 Amendment 002.pdf | ||
| Amend 002 - SF1442 47PH0822R0012.pdf | ||
| SF1442 47PH0822R0012.pdf | ||
| 47PH0822R0012 Amendment 001.pdf | ||
| GSA 527 Contractors Qualifications and Financial Information.pdf | ||
| E OK Express Menu R7GSAIDIQ Agreement 5.10.22.docx | DOCX document | |
| C301 Reps and Certs E OK.docx | DOCX document | |
| E OK Express Menu R7GSAIDIQ Solicitation 5.10.22.docx | DOCX document | |
| CONTRACTOR EXPERIENCE WORKSHEET.docx | DOCX document |
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Text version
PBS PAST PERFORMANCE QUESTIONNAIRE
CONTRACT INFORMATION (Contractor/Offeror to complete Blocks 1-4)
1. CONTRACTOR/OFFEROR INFORMATION
Firm Name:
Address:
| Phone Number: |
| DUNS Number: |
Contact Name:
| Email Address: |
| Contact Phone Number: |
2. GENERAL WORK INFORMATION
Other _____________ Joint Venture Subcontractor Prime Contractor Work performed as:
If a subcontractor, who was the prime (Name/Phone #):
3. CONTRACT INFORMATION
Contract / BPA Number:
Delivery / Task Order / Call Number (if applicable):
Other (Please explain) Cost Reimbursement Firm Fixed Price Contract Type:
Contract Title: Contract Location:
Award Date (mm/dd/yy):
Originally Scheduled Contract Completion Date (mm/dd/yy): Actual Completion Date (mm/dd/yy):
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
4. PROJECT DESCRIPTION
| Project involved: | □ Federal building | □ Commercial building | □ City Permits | ||
| □ Occupied building | □ Non-occupied building | □ Parking garage or lot | |||
| □ High-rise building | □ Courthouse or legal offices | □ Historical building |
□ Secured building (requiring security clearances or special badging)
□ Other _______________________________
| Tasks involved: | □ Carpentry □ Electrical | □ Plumbing □ Flooring □ Abatement | |
| □ Wall finishes □ Fire Sprinkler □ Fire Alarm □ HVAC | □ Demolition |
□ Design-Build □ High-end Woodwork or Millwork □ Office space renovation
□ Other _______________________________
INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE: PBS requires the Client to email the completed questionnaire directly to the Contracting Officer, carol.lautzenheiser@gsa.gov as stated in the Solicitation and by the proposal due date. PBS will not accept completed questionnaires sent from the Offeror. Handwritten responses are sufficient. Respondents may be contacted personally to verify their submission. The government reserves the right to verify any and all information on this form. The Client’s signature is confirmation allowing the General Services Administration to use the information contained herein as source selection information.
THIS PROPOSAL PACKAGE IS FOR THE EXPRESS MENU IDIQ
PBS Past Performance Questionnaire, tailored for 47PH0822R0012 05-10-22 FOR OFFICIAL USE ONLY SOURCE SELECTION SENSITIVE INFORMATION, see FAR 3.104 and 2.101 PBS Past Performance Questionnaire, tailored for 47PH0822R0012 05-10-22
| FOR OFFICIAL USE ONLY SOURCE SELECTION SENSITIVE INFORMATION, see FAR 3.104 | |
| TO BE COMPLETED BY CLIENT |
CLIENT INFORMATION
Client Point of Contact Information Name: Title:
Phone Number: Email:
Address:
Describe your role in the project:
I confirm that the contract information provided on the first page is correct and complete. (Correct 1st page if necessary)
Client’s Signature: Date questionnaire was completed:
Instructions: Select the adjective rating that best reflects your evaluation of the contractor’s performance. Please briefly explain any score of Unsatisfactory or Marginal in the comments section.
The contractor…See rating descriptions on page 4
| 1. QUALITY |
| U M S VG E N |
| U M S VG E N |
Provided professional quality work and the finished work compared favorably to the original intent of the project.
Displayed initiative to identify and correct problems or mistakes as they occurred, and demonstrated consideration for client/tenant concerns (cleanliness, noise, schedule coordination, etc).
| 2. SCHEDULE/TIMELINESS OF PERFORMANCE |
| U M S VG E N |
Developed and met realistic progress schedules, managed schedule variances to remain on time, and submitted deliverables on time.
| 3. MANAGEMENT/ PERSONNEL/LABOR |
| U M S VG E N |
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel and subcontractors during the contract period, with limited turnover that did not negatively affect quality or schedule.
| 4. SAFETY/SECURITY |
| U M S VG E N |
Maintained an environment of safety, adheres to its approved safety plan, and responded to safety issues. Maintained construction site security.
| 5. GENERAL |
| U M S VG E N |
Was responsive to contract changes, and negotiated fair pricing for modifications.
| 6. CUSTOMER SATISFACTION |
| U M S VG E N |
How would you rate the contractor's overall performance, including timely resolution of warranty defects after construction was completed?
7. SUMMARY
| Would you award another contract to this contractor? |
| Yes |
No
COMMENTS SECTION
Please provide additional information below, and attach additional pages if necessary.
Please provide an explanation of any rating of Unsatisfactory or Marginal (if applicable) and/or additional remarks.
Use the following adjective ratings and definitions in your evaluation of the Contractor’s performance.
| RATING |
| DEFINITION |
| NOTE |
| (E) Exceptional |
| Performance met contractual requirements and exceeded many to the Government/Owner’s benefit. The contractual performance of the element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| An Exceptional rating is appropriate when the contractor successfully performed multiple significant events that exceeded requirements and were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone merits an Exceptional rating. There should have been NO significant weaknesses identified. |
| (VG) Very Good |
| Performance met contractual requirements and exceeded some to the Government’s/Owner’s benefit. The contractual performance of the element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| A Very Good rating is appropriate when the contractor successfully performed a significant event that exceeded requirements and was of benefit to the Government/Owner. There should have been NO significant weaknesses identified. |
| (S) Satisfactory |
| Performance met all contractual requirements. The contractual performance of the element contained some minor problems for which corrective actions taken by the contractor were satisfactory. |
| A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. |
The contractor should not be given a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.
| (M) Marginal |
| Performance did not meet some contractual requirements. The contractual performance of the element being evaluated reflected a serious problem for which the contractor did not identify corrective actions. The contractor's proposed actions were only marginally effective or were not fully implemented. |
| A Marginal rating is appropriate when one or two significant events occurred that the contractor had trouble overcoming, with negative effects. |
| (U) Unsatisfactory |
| Performance did not meet most contractual requirements and recovery was not accomplished in a timely manner. The contractual performance of the element contained serious problem(s) for which the contractor's corrective actions were ineffective. |
| An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming, with negative effects. A singular problem, however, could be of such serious magnitude that it alone merits an Unsatisfactory rating. |
| (N) Not Applicable |
| No information or did not apply to your contract |
| Rating will be neither positive nor negative. |
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