Atch 3 PP Questionairre.doc

RFP NO.: FA4809-08-R-0005

Attachment 3

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

CONTRACTOR PERFORMANCE QUESTIONNAIRE ON CONSTRUCTION CONTRACTS

1. The contractor named in paragraph 3 is being considered for award of a contract to Demolish Military Family Housing Units, at Seymour Johnson AFB, NC. The scope of work includes providing all plant labor, equipment, and material, to perform all work in conjunction with the demolition of family housing units located at Seymour Johnson AFB, NC. Work includes asbestos abatement of all structures (houses, carports, fences, driveways, walkways, porches, patios, and landscaping rocks/bricks/borders associated with the designated units). It does not include any streets, the aprons connecting the driveways to the streets, or the sidewalks running parallel and adjacent to the streets (except for Wayne Manor). Driveways are to be removed from the carport down to the joint closest to the house side of the sidewalk, leaving the apron intact as an integral part of the sidewalk path (except for Wayne Manor). Any portions of the sidewalks or aprons that are damaged by the Contractor will be replaced by the Contractor at the discretion of the Contracting Officer at no expense to the Government. In Wayne Manor, the contractor shall remove the driveway and apron entirely and install new curb/gutter to match existing. Contractor shall patch asphalt pavement to match existing as required. Contractor shall also install new sidewalk (if existing on that side of the road) to make a continuous walk way. Contractor shall ensure proper drainage of new sidewalks and curb/gutter.

2. A primary consideration in our selection process is the contractor’s performance on relevant projects since 08 Apr 05. Relevant projects are those that involved work as defined in the scope of work in paragraph 1 and had a dollar magnitude Between $1,000,000.00 and $5,000,000.00. Please make every effort to be thorough in your answers/comments.

3. GENERAL INFORMATION (The contractor being evaluated) Contractor’s Name: _________________________________________________________________________

Address: __________________________________________________________________________________

Telephone Number: ____________________ Point of Contact: _____________________________________

4. RESPONDENT INFORMATION (The organization who is preparing this questionnaire) Name: _________________________________ Title: __________________________________________

Organization & Address: ____________________________________________________________________

Telephone: _______________ Fax: ___________________ Email: _________________________________

5. PERFORMANCE INFORMATION PROVIDED ON:

Contract Number/Title: ______________________________________________________________________

Period of Performance: ______________________________________________________________________

Dollar Amount of Contract: __________________________________________________________________

The contractor was ( ) was not ( ) the prime.

Scope of work performed: ___________________________________________________________________

6. RELEVANCY: In your opinion, is the scope of work described in paragraph 1 similar in nature, complexity and magnitude to the work that the contractor performed for you? ____________________________________

7. PERFORMANCE INFORMATION: When responding to the following questions, choose the letter on the below scale that most accurately describes the contractor’s performance. If the question is not applicable, circle the letter "N". Comments are encouraged for all questions; however, if you respond with either an “E” or “U”, please explain in the lines below the question.

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

(V) Very Good The contractor's performance meets contractual requirements and exceeds some

(requirements) to the Government's benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(S) 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.

(N) Neutral Not applicable - No performance record identifiable; unable to provide a score.

(M) 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.

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

Quality Control

a. Was identification/correction of deficient work accomplished in a timely E V S N M U manner? Were suggested solutions adequate and did the contractor display initiative to implement solutions?_______________________________________

b. Did the contractor provide effective quality control that resulted in a

E V S N M U quality finished product?

Timely Performance

a. Was the required performance period of the contract met?

E V S N M U

b. Were submittals proper and were they provided in a timely manner?

E V S N M U

c. Were realistic progress schedules developed? Were established progress

E V S N M U schedule dates met?

d. Did the contractor correct punch list items in a timely manner?

Management Effectiveness

a. Did the contractor provide personnel that possessed the technical and

E V S N M U administrative abilities needed to meet contract requirements?

b. Did the contractor have sufficient personnel available at all times with

E V S N M U authority to make decisions or take action during project performance?

c. Was accurate, complete and reasonable supporting price/cost information

E V S N M U provided for modifications (not over inflated or under estimated)?

d. Was all contract work completed prior to requesting final inspection?

E V S N M U

e. Were timely and satisfactory responses to warranty issues provided after

E V S N M U project completion?

f. Did the contractor ensure compliance with all contract requirements?

g. Did the contractor pay subcontractors and suppliers timely?

Compliance with Labor Standards

a. Did the contractor submit complete and correct payrolls in a timely manner?

E V S N M U

b. Did the contractor comply with all applicable labor laws and regulations?

E V S N M U

Compliance with Safety Standards

a. Was the contractor’s safety plan adequate, implemented properly and enforced by the contractor throughout performance of work?

b. Were there any safety violations or accidents/injuries? Is so, please describe.

E V S N M U

OVERALL EVALUATION OF THE CONTRACTOR

COMMENTS/REMARKS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I would definitely ( ), would possibly ( ), would not ( ) enter into another contract with this contractor.

Signature of Completing Individual

Date: __________________

Please return completed questionnaire via facsimile to: 4 CONS/LGCA/Buying Team

Fax Number: (919) 722-5424