Att_4 _Revised_Past_Performance_Questionnaire.pdf

FA4809-13-R-0006, Amendment 0001 Attachment 4

CONTRACTOR PERFORMANCE QUESTIONNAIRE ON CONSTRUCTION CONTRACTS

1. The contractor named in paragraph 3 is being considered for award of the Repair Airfield/Base Pavements IDIQ at Seymour Johnson AFB (SJAFB), NC, with a maximum capacity of $35,000,000.00 for a base and four option year periods. The scope of work includes but is not limited to furning all plant, labor, equipment and material to perform ashpalt pavement repair and/or replacement. Projects will include a variety of tasks to support paving requirements for the base at large and the airfield; tasks may include but are not limited to asphalt pavement repair/sealing and/or replacement, concrete pavement repair and/or replacement, curb and gutter repair and/or replacement, clearing and grubbing, excavation, fill, aggregate base course, milling of bituminous pavement, inlets, catch basins, drainage pipe, pavement markings, seeding, trees and shrubs, soil erosion and control, railroad work, airfield, street and area lighting, waterlines and appurtenances, and sewer lines and appurtenances. Projects will be awarded by individual task order on an as-needed basis. The contractor shall be required to furnish all personnel, labor, materials, and equipment necessary to plan, manage, and accomplish the project requirements in strict accordance with contract specifications and drawings.

2. A primary consideration in our selection process is the contractor’s performance on relevant projects within the last three (3) years. Relevant projects are those that involved work as defined in the scope of work in paragraph 1 and of any size. Please make every effort to be thorough in your answers and 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 information is not available, circle the letter "N". Comments are encouraged for all questions; however, if you respond with either an “A” or “U”, please explain in the lines below the question.

(A) Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown. (See note below)

(U) Unacceptable Based on the offeror’s performance record, the Government has no reasonable expectation that the offeror will be able to successfully perform the required effort.

(N) Not Available Performance information is not available/applicable.

Note: In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305(a)(2)(iv)). Therefore, the offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.”

Quality Control

a. Describe the quality of workmanship, adequacy of the contractor’s quality A U N control (CQC), quality of CQC documentation, and implementation of the CQC plan.

b. Were required materials properly submitted, delivered, and stored? A U N

c. Were as-builts drawings accurate and submitted when required? A U N

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

e. Did the contractor provide effective quality control that resulted in a A U N quality finished product?

Timely Performance

a. Was the required performance period of the contract met? A U N

b. Were submittals proper and were they provided in a timely manner? Did the A U N submittals match the contract requirements?

c. Were realistic progress schedules developed? Were established progress A U N schedule dates met?

d. Were updated and revised progress schedules submitted to resolve delays? A U N

e. Did the contractor correct punch list items in a timely manner? A U N

Management Effectiveness

a. Did the contractor provide experienced managers and supervisors that A U N possessed the technical and administrative abilities needed to meet contract requirements?

b. Were experienced subcontractors hired? Were subcontractors/suppliers paid A U N in a timely manner?

c. Did the contractor have sufficient personnel available at all times with A U N authority to make decisions or take action during project performance?

d. Was accurate, complete and reasonable supporting price/cost information A U N provided for modifications (not over inflated or under estimated)?

e. Was all contract work completed prior to requesting final inspection? A U N

f. Were timely and satisfactory responses to warranty issues provided after A U N project completion?

g. Did the contractor ensure compliance with all contract requirements? A U N

h. Did the contractor pay subcontractors and suppliers timely? A U N

i. Did contractor cooperate to resolve problems by attending meetings A U N (as applicable) and were communications maintained to assure satisfactory resolution?

Pricing

a. Were design/drawings prepared by the contractor in adequate/sufficient detail A U N to estimate and construct the project requirement?

b. Did the contractor design and estimate the project(s) within the stated dollar A U N magnitude?

c. Were modifications required due to contractor design errors? A U N

d. Were the design(s) and estimates prepared and submitted within the A U N timeframes identified in the contract?

e. Were the contractor’s initial estimates for quantities fair and reasonable? A U N

f. How was the contractor’s overall pricing performance? A U N

Management/Superintendent

a. Did the Site Manager/Superintendent ensure compliance with contract A U N requirements and safety regulations? Did they act promptly to resolve problems and ensure work quality?

b. Did the Site Manager/Superintendent have sufficient authority to make A U N decisions or take action during project performance? Were they consistently present on site while work was being performed?

c. How was the overall Management/Effectiveness of the performance? A U N

Compliance with Labor Standards

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

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

Compliance with Safety Standards

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

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

Overall Performance Evaluation of the Contractor A U N

COMMENTS/REMARKS:

Other Considerations:

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

Printed Name and Signature of Completing Individual Telephone Number

Date__________________

Please return completed questionnaire via e-mail to SSgt Jason Endicott at jason.endicott@us.af.mil, SrA Sheng Morris at sheng.morris@us.af.mil, and Mrs. Kathryn Harshberger at kathryn.harshberger.1@us.af.mil or by facsimile to 919-722-5424.