Attachment_13_-_Past_Performance_Questionnaire.pdf

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Attachment 13 - Past Performance Questionnaire Front Range Multiple Award Construction Contract (FRMACC) RFP # FA251719RA016 Provide the information requested in this form for each contract/project being described. Provide a separate completed form for each contract/project submitted.

A. Company Information Page of

SECTION 1: CONTRACT IDENTIFICATION

Project (Check one):

**A project is defined as a construction project performed under a single task order or stand-alone contract.**

SECTION 1 SHOULD BE COMPLETED BY THE OFFEROR

B. Project Specifics:

through If the dollar amounts for #5 and #6 (above) are different, provide a brief reason why:

7. Contract Type

8. Was it a competitively awarded contract?

Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 FOR OFFICIAL USE ONLY (FOUO) - When Filled In Page of

11. Type of Work:

12. Disciplines used during this project:

10. During the contract performance being evaluated, this firm was a:

C. Description of Project:

1. Provide a brief description of the project:

2. Provide a description of the work your company self-performed on this project and highlight those activities you consider most relevant to the current acquisition. If the project was a design-build, include a description of the design effort. Include the percentage of the work self-performed.

Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 FOR OFFICIAL USE ONLY (FOUO) - When Filled In Page of D. Contract Performance Assessment Reporting System (CPARS) Is/are there CPARS available for this project?

3. If a subcontractor on the project, please provide information on the prime.

E. Project Completion Date Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 FOR OFFICIAL USE ONLY (FOUO) - When Filled In

5. Delay attributed to:

F. Contractor Self-Assessment Past Performance Relevancy Rating

1. Please provide a self-assessment of your relevancy rating for Subfactor 1 "Disciplines."

Subfactor 1 Very Relevant Relevant Somewhat Relevant Not Relevant Disciplines To be considered very relevant, the offeror must show in a single citation, experience in a construction project over $500K which involves civil, electrical, mechanical, structural, and architectural disciplines.

To be considered relevant, the offeror must show in a single citation, experience in a construction project over $500K which involves civil, electrical, mechanical, and architectural disciplines.

To be considered somewhat relevant, the offeror must show in a single citation, experience in a construction project over $500K which involves civil, electrical, and mechanical disciplines.

To be considered not relevant, the offeror must show in a single citation, experience in a construction project:

a. less than $500K or

b. does not involve civil, electrical, and mechanical disciplines.

Subfactor 2 Very Relevant Relevant Somewhat Relevant Not Relevant Design-Build To be considered very relevant, the offeror must show in a single citation, experience in a 100% design-build construction project, over $500K.

To be considered relevant, the offeror must show in a single citation, experience in a 65% design-build construction project, over $500K.

To be considered somewhat relevant, the offeror must show in a single citation, experience in a 35% design-build construction project, over $500K.

To be considered not relevant, the offeror does not show in a single citation, experience in a design-build construction project, over $500K.

2. Please provide a self-assessment of your relevancy rating for Subfactor 2 "Design-Build."

Page of Page of

SECTION 2 - SECTION 4 BELOW TO BE COMPLETED BY THE CUSTOMER

G. Contractor/Company Information

* Certifies that the above information is true, accurate, and complete.

Import digital image of signature by clicking the area to the right of "Company Representative Signature."

1. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of

SECTION 2: EVALUATOR INFORMATION

SECTION 3: EVALUATION

Please indicate your satisfaction with the contractor's performance by marking the performance scale indicated in the in the appropriate block. The scale is defined as follows:

RATING

DESCRIPTION

EXCEPTIONAL

The contractor's performance meets contractual requirements and exceeds many to the Government's benefit. The contractor's performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VERY GOOD

The contractor's performance meets contractual requirements and exceeds some to the government's benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY

The contractor's performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL

Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented.

UNSATISFACTORY

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problems for which the contractor's corrective actions appear or were ineffective.

NOT APPLICABLE

Unable to provide a score.

1. As the evaluator, have you reviewed the contractor provided information in Section 1? Note any discrepancies below.

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104

2. As the evaluator, please verify the disciplines performed by the contractor on this project:

Page of A1. Demonstrated effectiveness of overall project management (including ability to effectively lead, manage, control, and deliver on-time).

A. Project Management A2. Communicates effectively with Government team and with on-site supervisors to ensure accurate/timely information flow.

A3. Complied with contractual terms and conditions and required minimal Government direction regarding technical, schedule, and cost requirements.

Remarks:

Remarks:

Remarks:

A4. Provided experienced managers and supervisors with the technical and administrative skills to: manage subcontractors, hire and retain qualified personnel, resolve disagreements/disputes, and address or replace subcontractors or in-house personnel with poor performance (if necessary).

Remarks:

Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 FOR OFFICIAL USE ONLY (FOUO) - When Filled In

NOTE:

Please provide remarks for every rating with the exception of "N/A."

Page of B. Technical Performance B1. Proposed realistic and achievable technical solutions (design or construction approach).

Remarks:

A5. Accomplished tasks identified for this project by using available resources.

Remarks:

B2. Responded to emergency, unforeseen conditions, or warranty call(s) in a timely manner (including notifying COR, Contracting Officer, or Project Manager regarding urgent contractual issues).

Remarks:

B3. Provided design and/or construction submittals with minimal corrections needed.

Remarks:

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of B4. Identified, understood, and mitigated risks to comply with technical requirements.

Remarks:

C. Schedule C1. Proposed and met realistic schedule milestones.

Remarks:

C2. Managed schedule in response to unexpected technical or contract changes and if applicable, were delays resolved in a timely manner.

Remarks:

C3. Provided pre/post design and/or construction documents (material submittals, manuals, warranties, as-built drawings, etc.) in a timely manner.

Remarks:

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of D. Safety/Labor Compliance D1. Maintained a safe environment, adhered to approved safety plan/OSHA requirements, and responded to safety/environmental issues (if applicable) in a timely manner.

Remarks:

D2. Complied with labor laws/standards to include timely submission of payrolls for prime and subcontractors.

Remarks:

E. Customer Satisfaction E1. Reasonable and cooperative in dealing with the customer (demonstrated professionalism and courtesy, resolved disagreements/disputes, and encouraged open communication).

Remarks:

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of E2. Responded to customer questions concerning technical/service/administrative issues and resolved contract problems without extensive customer guidance.

Remarks:

F. Change and Cost Control Management F1. Submitted realistic and reasonable costs for original contract and if applicable, change order requests with minimal negotiation.

Remarks:

F2. Planned, prioritized, executed, and managed contract changes or inquiries (i.e., in-scope modifications, change in period of performance, request for information, etc.).

Remarks:

F3. Proposed innovative alternative methods/processes to reduce cost, improve maintainability, etc.

Remarks:

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of F4. Identified unforeseen conditions and alerted the customer regarding anticipated changes and associated costs before they occurred.

Remarks:

F5. Obtained consent of surety for increases in bonding as work-in-progress increased.

Remarks:

F6. Submitted timely, accurate and complete progress reports and invoices.

Remarks:

G. Quality Control Program G1. Provided an adequate quality control plan and implemented the plan with success.

Remarks:

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of G2. Complied with all Federal, State, and local environmental, health and safety regulations.

Remarks:

G3. Performed quality work with minimal rework needed and corrected deficiencies in a timely manner.

Remarks:

G4. Managed the quality and effectiveness of subcontractor performance.

Remarks:

G5. Demonstrated responsiveness in completing punch list items.

Remarks:

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of H. Overall Performance H1. Rate the overall performance and the end-user's satisfaction on this project.

Remarks:

3. Please state whether the contractor changed key or critical personnel during the course of the project and, if so, were the replacement personnel hired on a timely basis and able to perform the work required for this project.

2. What was the contractor's shortcomings in the performance of this project?

SECTION 4: NARRATIVE SUMMARY

1. What was the contractor's strong points in the performance of this project?

4. Were cure notices, show cause letters, or notice of concerns issued for poor performance by the Contracting Officer or project manager, or was the contractor ever in breach of contract?

5. Government Contracts Only: Has/was this project partially or completely terminated for default or convenience or are there any pending terminations?

6. Civilian/Industry Contracts Only: Has/was this project partially or completely terminated or are there any pending termination actions?

FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Page of christina.leary@us.af.mill jemimah.griggs@us.af.mil keith.dastur.1@us.af.mil NOTE: Form fields are locked once the document is digitally signed.

THANK YOU FOR YOUR PROMPT RESPONSE AND ASSISTANCE!

Evaluator Should Submit the Completed PPQ Directly to the Government Please e-mail this completed questionnaire encrypted to:

7. Would you have any reservations awarding to this contractor in the future or having them perform one of your critical and demanding projects?

8. Do you know of any other similar projects performed by this contractor? If yes, can you identify contract/task order, the contract/task order number and POC contact information?

9. Please provide any additional comments concerning this contractor's performance.

As a back-up you can return the questionnaire by mail to the address below:

21 CONS/PKA Attn: Front Range MACC 135 Dover St., Suite 2204 Peterson AFB, CO 80914-1117 FOR OFFICIAL USE ONLY (FOUO) - When Filled In Source Selection Information (When Filled In) – See FAR 2.101 and 3.104 Signed By If unable to email PPQ encrypted, send via the Department of Defense (DoD) Secure Access File Exchange (SAFE) at: https://safe.apps.mil/ 6.2.0.20160331.1.924316.921890