Attachment_8_Past_and_Present_Performance_Questionnaire.pdf

Base Paving IDIQ 21 Jan 17

SOLICITATION NO.: FA4497-17-R-0006

CONTRACT NO.:

Attachment 8

FOR OFFICIAL USE ONLY

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

*Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

A. GENERAL INFORMATION:Please correct any information below known to be inaccurate:

Contractor’s Name: _______________________________________________________ Address: ______________________________ Telephone Number: _________________ ______________________________________ Point of Contact: ___________________

Contractor Performed as the Prime Contractor, the Sub-Contractor.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ___________________________

Address: _______________________________ Telephone Number: ___________________ ______________________________________ Fax Number:________________________ ______________________________________ E-Mail:_____________________________

C. E-MAIL COMPLETED SURVEY FORM TO: andre.jackson@us.af.mil and anita.walls.1@us.af.mil

D. CONTRACT NO: ___________________________________________________________

E. CONTRACT STATUS: (% complete, complete, just awarded, etc.)

F. AWARD AMOUNT: ________________________________________________________

G. TYPE OF CONTRACT: _____________________________________________________

H. PERFORMANCE PERIOD: From ___________________ To _____________________

J. BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS:

SOLICITATION NO.: FA4497-17-R-0006

K. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N/A) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

E G S M U N/A Exceptional Very Good Satisfactory Marginal Unsatisfactory UNKNOWN/

N/A Performance meets/met contractual requirements and exceeds many to the Government’s benefit. The element or sub-element being assessed was accomplished few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets/met contractual requirements and exceeds some to the Government’s benefit. The element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Performance meets/met contractual requirements.

The element or sub-element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Performance does not meet/did not meet some contractual requirements. The element or sub-element being assessed 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.

Performance does not meet/did not meet most contractual requirements and recovery is not likely in a timely manner.

The element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

I do not have sufficient knowledge to provide information.

The contractor:

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

E G S M U NA

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

E G S M U NA

3. Delegated authority to project managers and supervisors commensurate with contract requirements.

E G S M U NA

4. Home office participated in solving significant local problems.

E G S M U NA

5. Followed approved quality control plan. E G S M U NA

6. Provided effective quality control and/or inspection procedures to meet contract requirements.

E G S M U NA

7. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

E G S M U NA

8. Provided timely resolution of contract discrepancies. E G S M U NA

9. Identified risks/problems as they occurred. E G S M U NA

10. Suggested alternative approaches to problems. E G S M U NA

11. Displayed initiative to solve problems. E G S M U NA

12. Developed realistic progress schedules. E G S M U NA

SOLICITATION NO.: FA4497-17-R-0006

13. Met established project schedules. E G S M U NA

14. Provided timely resolution of warranty defects. E G S M U NA

15. Was responsive to contract changes. E G S M U NA

16. Provided adequate project supervision. E G S M U NA

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

E G S M U NA

18. Paid subcontractors/suppliers in a timely manner. E G S M U NA

19. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

E G S M U NA

20. With respect to the safety plan, the contractor:

a. Followed the approved safety plan. E G S M U NA

b. Had no significant safety problems at the job site. E G S M U NA

21. The contractor met contractual requirements for the following work elements:

E G S M U NA

a. Constructed pavements and drainage structures to the specified grade and alignment requirements

E G S M U NA

b. Constructed pavement sections to the specified thickness, density, and surface smoothness requirements

E G S M U NA

c. Performed specified curing and protection of concrete pavement surfaces

E G S M U NA

d. Mobilized and completed work in a timely manner to work orders issued under the “On Call” or Indefinite Delivery Indefinite Quantity (IDIQ) contract

E G S M U NA

22. Cooperated with Government personnel after award. E G S M U NA

23. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

Y E S

N O

24. Would you award another contract to this contractor? If not, explain in “remarks.”

Y E S

25. Has contractor demonstrated a history of environmental compliance with respect to erosion and sediment control on construction sites? If not, explain in “remarks.”

Y E S

Remarks:______________________________________________________________________

SOLICITATION NO.: FA4497-17-R-0006