EXHIBIT M - Past Performance Questionnaire (Editable).docx

EXHIBIT M

DEPARTMENT OF VETERAN AFFAIRS

PAST PERFORMANCE QUESTIONNAIRE

Regional Procurement Office West (RPOW) Introduction:

This questionnaire is designed to collect past performance information on Offerors (Landlord/ Lessors) competing for award of this lease. Please note this questionnaire is not based on the past performance of brokers facilitating the deal, but rather for the prospective awardees that will be responsible for the lease under consideration.

Instructions to the Offeror:

Please complete Section 1 on the following page. If Offeror checks the “no relevant past performance” box, then do not proceed any further in filling out the form and submit the form as part of the offering package. If the “no relevant past performance” box IS NOT checked, then Offeror must forward a copy to 3 references, instructing them to complete sections 2 and 3. References must be current or former tenants of the Offeror. Once the respondents complete the remainder of the form, it must be returned to the Offeror and submitted as part of the Offeror’s proposal contents. Failure to submit all past performance questionnaires will be deemed as a non- responsive offer.

Attn: Ami Rouse, VA Contractor Department of Veteran Affairs, RPOW Subject: Past Performance Questionnaire Request for VA Lease Proposal (RLP) # 36C24W23R0056 Email: amirouse@crcre.com

For assistance with this questionnaire please contact the Contract Specialist listed above. Hand- written responses will be accepted. Responses will be treated as confidential and procurement sensitive.

Explanation of Codes:

EXCEPTIONAL – Lessor significantly exceeded expectations GOOD – Lessor met and to some extent exceeded expectations SATISFACTORY – Lessor met expectations MARGINAL – Lessor did not fully meet expectations UNSATSIFACTORY – Lessor failed to meet expectations NOT APPLICABLE – Unable to provide a score

VA RLP #

SECTION 1 – Offeror (Lessor to be evaluated) Information:

Name or Company:

Phone Number:

Email:

Only check this box if the Offeror has no relevant past performance |_| NOTE: If above statement is checked, do not proceed any further SECTION 2 - Evaluator Information:

SECTION 3 - Past Performance Questions:

0. During the tenant improvement build out, how was the Lessor’s ability to handle the pricing of change orders?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score:

0. During the tenant improvement build out, how was the Lessor’s ability to stay on schedule?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score:

0. During the tenant improvement build out, how was the Lessor’s ability to stay within budget?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score:

0. In accordance with your lease, how has the Lessor responded to any maintenance issues?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score:

0. In accordance with your lease, how has the Lessor responded to any safety issues?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score:

0. In accordance with your lease, how has the Lessor responded to any security issues?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score:

0. In accordance with your lease, how was the Lessor’s ability to keep the building premises and common areas clean?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score:

0. During your lease term, how was the Lessor’s overall performance?

Excellent |_| Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| Not applicable |_| What could have improved your score: