Attachment 6 PP Questionairre.doc

FA4809-09-R-0008

Attachment 6

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 Maintain Maintenance Bay/Hangar Floors - IDIQ at Seymour Johnson AFB, NC. The scope of work includes, but is not limited to:

furnishing all plant, labor, equipment and material for removal and disposal of existing floor coatings on hangar and/or maintenance bay floors and preparation of surfaces to receive new coating, abatement of lead based paint, and applying a chemical-resistant urethane (CRU) finish system to the floor, marking lines, text, signs, and other markings, applied by an experienced applicator.

2. A primary consideration in our selection process is the contractor’s performance on all relevant projects since 06 May 06. Relevant projects are those that involved work as defined in the scope of work in paragraph 1 and had a dollar magnitude of: between $3,000.00 and $500,000.00. 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 (to include all certifications) that possessed the technical and administrative abilities needed to meet E V S N M U 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