_4 _Past_Performance_Questionaire.pdf

Attachment 6: MACC Solicitation FA4661-15-R-0002

SECTION A: Contractor Information (to be completed by the contractor requesting evaluation prior to mailing. NOTE: Contractor shall also include a verbatim copy of each SECTION A (completed and mailed to the proposed respondents) and corresponding respondents’ name/address in VOLUME II (Past Performance), Refer paragraph L-4)

A. Contractor’s name and address:

B. Point of Contact:

C. Phone/Fax Numbers (with area code) & E-mail Address:

D. Contract number:

E. Project Title or Description of Work performed under this project:

F. Contractor’s Role (Prime, sub, designer, etc.) _______________________________________________________________________

G. Contracting or Procurement Official (Name & Contact information): ____________________________________________________

H. Project Designer of Record (Name & Contact information): ____________________________________________________________

I. Contract Type: Firm-Fixed-Price Indefinite-Delivery/Indefinite Quantity Task Order Cost-Reimbursement

J. Project Award Date: Scheduled Completion Date:

Current/Final Completion Date:

K. Project Award Amount: Current/Final Project Amount:

L. Comments (if desired): _________________________________________________________________________________________

M. Authorization is hereby granted to provide the information requested in SECTION B of this Questionnaire.

(Signature)

(Name and Title of Authorizing Official) (Date)

SOURCE SELECTION SENSITIVE

SECTION B: RESPONDENT INFORMATION (to be completed by respondent.)

EVALUATED BY:

(Signature) (Date)

Address:

(Typed or Printed Name)

(Title)

Phone/Fax Numbers (with area code) & E-mail Address

NOTE: The identity of individual(s) providing reference information shall not be disclosed.

Performance Evaluation Instructions

• When responding to the descriptive statements, select the letter, which most accurately describes the contractor’s performance or situation. If the contractor has no record of past performance relevant to a particular question, select “Neutral.”

• A – High Confidence

Based on the offeror’s performance record, essentially no doubt exists that the successful offeror will successfully perform its required effort.

• B – Significant Confidence

Base on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required effort.

• C – Satisfactory Confidence

Based on the offeror’s performance record, some doubt exists that the offeror will

• D – Unknown Confidence

No performance record identifiable (see FAR 15.306(a)(2)(iii) & (iv))

• E – Little Confidence

Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror’s existing processes may be necessary on order to achieve contract performance.

• F – No Confidence

Based on the offeror’s performance record, extreme doubt exists that the offeror will

A B C D E F High

Confidence Significant Confidence

Satisfactory Confidence

Unknown Confidence

Little Confidence

No Confidence

EVALUATION AREAS

I. QUALITY CONTROL: A B C D E F

1. Contractor provided effective quality control and inspection procedures that resulted in a quality-finished project.

2. Contractor developed and submitted realistic progress schedule(s).

3. Contractor provided well researched and clearly identified submittals that matched contract requirements.

4. Contractor completed all work with good workmanship and in conformance with the specifications, resulting in minor, if any, punchlist items.

5. Contractor designs were all concise, accurate and captured all details of the site visit.

6. Contractor thoroughly reviewed design package proposals for accuracy, completeness and compliance with contract requirements

II. TIMELY PERFORMANCE: A B C D E F

1. Contractor met established project schedules to complete the project on time, as scheduled.

2. Contractor performed all work without the issuance of a CURE NOTICE or a SHOW CAUSE LETTER (If a notice was issued, please describe the circumstances on a separate sheet of paper and identify if Liquidated Damages were assessed)

3. Contractor provided timely cost/design proposals.

4. Contractor submitted the progress schedule and interim progress reports as required in a timely manner and the schedule was approved prior to actual construction.

5. Contractor provided on-time submittals as required.

6. Contractor provided payrolls for both their firm and their subcontractors’ employees as required and scheduled.

7. Contractor provided timely resolution of all punchlist items.

III. MANAGEMENT EFFECTIVENESS: A B C D E F

1. Contractor provided experienced/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Contractor hired quality subcontractors and effectively managed and coordinated their work.

3. Contractor hired, maintained, and replaced as necessary, qualified personnel and subcontractors/suppliers.

4. Contractor ensured the site manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule.

5. Contractor ensured the site manager was consistently present on site when work was performed.

6. Contractor provided timely and satisfactory response to warranty issues after project completion.

7. Contractor paid employees/subcontractors/suppliers as required.

8. The contractor cooperated to resolve problems, attended meetings and maintained communication to assure satisfactory resolution.

IV. PRICING: A B C D E F

1. The contractor submits proposals that accurately represent the work required.

2. The contractor’s supporting price/cost information for modifications is accurate, complete and reasonable (not over inflated or under estimated).

3. How would you rate the contractor’s overall Pricing performance.

V. MANAGEMENT/SUPERINTENDENCE: A B C D E F

1. Site Manager ensured compliance to contact requirements and safety regulations.

2. Site Manager acted promptly to resolve problems and ensure work quality.

3. Site Manager had sufficient authority to make decisions or take actions during project performance.

4. Site Manager consistently present on site when work was performed.

VI. COMPLIANCE WITH LABOR STANDARDS: A B C D E F

1. Submitted payrolls in a timely manner.

2. Payrolls were complete and correct.

3. Compliance with labor laws and regulations with specific attention to the Davis-Bacon Act.

VII. COMPLIANCE WITH SAFETY STANDARDS: A B C D E F

1. Adequacy of Safety Plan.

2. Implementation of Safety Plan.

VIII. GENERAL PERFORMANCE:

PLEASE RATE THE CONTRACTOR ON SUCCESSFULLY MANAGING MULTIPLE

PROJECTS/TASK ORDERS IN THE FOLLOWING MAGNITUDES: ($500K - $750K)

AND ($750K AND ABOVE)AT ANY GIVEN TIME AND IF SO, PLEASE LIST THE

NUMBER OF PROJECTS AND BRIEFLY DESCRIBE.

Please rate the contractor in this area. A B C D E F $500K - $750K $750K and Above

Comments:

PLEASE RATE THE CONTRACTOR'S PERFORMANCE ON PROJECTS/TASK

ORDERS. (EXAMPLE: WERE ANY NOT ACCEPTED DUE TO THE QUALITY

OF WORKMANSHIP?)

(If yes, please briefly explain circumstances in comments section below)

PLEASE RATE THE CONTRACTOR ON HOW WELL THEY COMPLIED WITH THE

SPECIFICATIONS.

PLEASE RATE THE CONTRACTOR ON FOD (FOREIGN OBJECT DAMAGE)

AND THE CONTRACTOR'S RESPONSE TO FOD ISSUES.

(If yes, please briefly explain circumstances in comments section below)

PLEASE RATE THE CONTRACTOR ON HOW WELL THEY ADHERE TO BASE

STANDARDS FOR CONSTRUCTION SITES. (EXAMPLE: SITE CLEANED UP)

PLEASE RATE THE CONTRACTOR ON HOW WELL THEY CONDUCT AND

DOCUMENT DAILY SELF-INSPECTIONS.

PLEASE RATE THE CONTRACTOR ON HOW WELL THE COMPLY WITH

SUBMITTAL REQUIREMENTS. (EXAMPLE: DOES THE CONTRACTOR

INSTALL/USE THE MATERIALS THAT WERE SUBMITTED FOR APPROVAL OR

DO THEY SUBSTITUTE "OTHER MATERIALS" NOT APPROVED BY THE

GOVERNMENT WITHOUT NOTICE?)

PLEASE RATE THE CONTRACTOR ON "MAJOR DIFFERING SITE CONDITIONS"

AND HOW THEY ROUTINELY IMPLEMENT/NEGOTIATE CONTRACT

MODIFICATIONS.

PLEASE RATE THE CONTRACTOR ON THE VOLUME OF CHANGE ORDERS AND IF

THEY ARE ROUTINELY REQUESTED/INITIATED BY THE CONTRACTOR.

PLEASE RATE THE CONTRACTOR ON HOW WELL THEY WORK WITH BASE

DRAFTING TO PROVIDE FINAL AS-BUILT DRAWINGS IN BASE STANDARD

ELECTRONIC FORMAT IN ADDITION TO HARDCOPIES.

PLEASE RATE THE CONTRACTORS DESIGN CAPABILITIES.

PLEASE RATE THE CONTRACTOR ON HOW QUICKLY THEY RESPOND TO WARRANTY REPAIR CLAIMS.

PLEASE RATE THE CONTRACTOR ON HOW WELL THEY ROUTINELY FIND

MORE COST/EFFECTIVE CONSTRUCTION METHODS (EXAMPLE: LADDERS

INSTEAD OF SCAFFOLDING, FRONT END LOADER INSTEAD OF BULLDOZER,

ETC.) DURING NEGOTIATIONS.

WHEN THE GOVERNMENT CLAIMS SALVAGE OF MATERIALS TO BE

REMOVED, PLEASE RATE THE CONTRACTOR ON HOW THEY TAKE CARE TO

REMOVE THEM IN AN UNDAMAGED CONDITION AND PROMPTLY DELIVER

THEM TO THE GOVERNMENT.

PLEASE RATE THE CONTRACTOR ON HOW WELL THEY ADEQUATELY REVIEW

THE GOVERNMENT STATEMENT OF OBJECTIVES (SOO) AND NOTE ANY

DEFICIENCIES AND/OR CONCEPT DESIGN ERRORS. ADDITIONALLY, IF THE

CONTRACTOR NOTES ANY DEFICIENCIES AND/OR CONCEPT DESIGN ERRORS,

HOW WELL DO THEY COORDINATE AND WORK WITH GOVERNMENT TO

IDENTIFY SOLUTIONS PRIOR TO THEIR SUBMISSION OF INITIAL STATEMENT OF

WORK (SOW) PROPOSAL PACKAGES?

PLEASE RATE THE CONTRACTOR'S SOW PACKAGES ON HOW THEY ROUTINELY

INCLUDE COSTS, DRAWINGS AND WRITTEN DESIGN PROPOSAL OF SUFFICIENT

DETAIL FOR THE GOVERNMENT TO EASILY PERFORM A TECHNICAL

EVALUATION AND VERIFY:

- PROJECT REQUIREMENTS WOULD BE MET

- ANY HAZARDOUS MATERIALS AND/OR ENVIRONMENTAL CONSIDERATIONS WERE

INCORPORATED (ASBESTOS ABATEMENT, STORM WATER PERMITS, ETC.)

- "QUANTITIES" OF LINE ITEM COSTS WERE IN ACCORDANCE WITH PROPOSED

CONSTRUCTION

- IDENTIFIED ANY DEVIATIONS FROM GOVERNMENT SOO AND REASON

- DRAWINGS (INITIAL) ARE ADEQUATE TO SUPPORT GOVERNMENT INSPECTOR'S

EVALUATION OF CONSTRUCTION

HOW WOULD YOU RATE THE CONTRACTOR'S PERFORMANCE IN REGARDS TO

COMPLIANCE WITH EPA RULES AND REGULATIONS.

HOW WOULD YOU RATE THE CONTRACTOR ON LEADERSHIP IN ENERGY AND

ENVIRONMENTAL DESIGN (LEED) PROJECTS COMPLETED AT YOUR

FACILITIES.