The file's text, extracted by GovTribe without its formatting.
Past Performance Questionnaire Cover Sheet
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
SECTION A: Contractor Information (to be completed by the offeror prior to mailing to the reference):
A. Contractor’s name and address:
B. Point of Contact: C. Phone/Fax/Email Address:
D. Contract Number:
E. Project Title/Description of Work:
E(1) |_| Design |_| Design-Build |_| Build F. Contract Type: |_| Firm-Fixed Price |_| Indefinite-Delivery/Indefinite-Quantity |_| Cost-Reimbursement |_| Other, specify
| G. Project Award Date: | | Scheduled Completion Date: Current/Final Completion Date: |
| H. Project Award Amount: | Current/Final Project Amount: | |
| I. Contractor being evaluated performed as the: |_| Prime Contractor | |_|Subcontractor |_| Key Personnel |_| Supplier | |
J. Authorization is hereby granted to provide the information requested in SECTION B of this Questionnaire
(Name and Title of Authorizing Official) (Signature) (Date)
SECTION B: To be completed by the Reference/Evaluator: Please complete the information below and the Past Performance Questionnaire and return by fax, email, or mail to contacts listed in Section C NO LATER THAN 26 July 2013.
Using the following definitions, Evaluator please rate the relevancy of this contract: [VR] or [R] or [SR] or [NR]
PAST PERFORMANCE
| Very Relevant [VR] |
| Relevant [R] |
| Somewhat Relevant [SR] |
| Not Relevant [NR] |
| Present/past performance multiple task order effort involved managing at least five (5) projects simultaneously with a combined value of $750K and each project was similar in terms of scope, magnitude and complexities and included all the Relevancy Elements listed OR Present/past performance multiple task order effort involved managing at least two (2) projects simultaneously with a combined value of $1.5M and the combined efforts of the projects were similar in terms of scope, magnitude and complexities and included all Relevancy Elements listed. |
| Present/past performance effort involved managing at least three (3) projects simultaneously with a combined value of $750K and each project was similar in terms of scope, magnitude and complexities and included all the Relevancy Elements listed OR Present/past performance effort involved managing at least two (2) projects simultaneously with a combined value of $1M and the combined efforts of the projects were similar in terms of scope, magnitude and complexities and included all Relevancy Elements listed. |
| Present/past performance effort involved managing a similar project in terms of scope, magnitude and complexities. Project must have been above $100K and included three (3) or more of the Relevancy Elements listed. |
| Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires. |
| Relevancy Elements: Design; Carpentry, Electrical, Plumbing, HVAC, Masonry, Painting |
| Relevancy Elements: Design; Carpentry, Electrical, Plumbing, HVAC, Masonry, Painting |
| Relevancy Elements: Carpentry, Electrical, Plumbing, HVAC, Masonry, Painting |
*EVALUATED BY: RELEVANCY RATING: VR or R or SR or NR
| _______________________________________________ | _______________________________________ | |
| (Signature) | | (Date) |
| _____________________________________ | _______________________________________ | |
| (Typed or Printed Name) | | (Title) |
(Address, City, State and Zip)
(Phone) (Fax) (/Email) *NOTE: The identity of individual(s) providing reference information SHALL NOT/WILL NOT be disclosed.
| Attachment S3 |
| FA4855-13-R-0009 |
| 20 June 2013 |
URGENT! PLEASE RESPOND PROMPTLY
Past Performance Questionnaire
| EXCEPTIONAL |
| VERY GOOD |
| SATISFACTORY |
| MARGINAL |
| UNSATISFACTORY |
| NOT APPLICABLE |
| Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective. |
| Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective. |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory. |
| Performance does not meet some contractual requirements. The contractual performance of 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 most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Performance was not observed or not applicable to the current effort being reported. |
EVALUATION AREAS
| I. Quality / Technical Performance |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| Descripted Comments are appreciated! |
| 1. |
| Contractor provided effective quality control and inspection procedures that resulted in a quality-finished project. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 2. |
| Contractor developed and submitted realistic progress schedules. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 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 specifications, resulting in minor, if any, punchlist items. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 5. |
| Contractor thoroughly reviewed correspondence for accuracy, completeness, and compliance with contract requirements. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 6. |
| Adequacy/effectiveness of environmental / safety procedures. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 7. |
| Proposals were complete and accurate. Cooperative in negotiations |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 8. |
| Responses to changes |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| II. Timely Performance |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1. |
| Contractor met established project schedules to complete project on time. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 2. |
| Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 3. |
| Contractor submitted the progress schedule and interim progress reports as required in a timely manner and the schedule was approved prior to actual construction. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 4. |
| Contractor provided submittals on time as required. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 5. |
| Contractor provided payrolls for both its employees and its subcontractor’s employees as required and scheduled |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 6. |
| Provided timely resolution of deficiencies, punchlist items and warranty calls. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| III. Management Effectiveness |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 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 understood/complied with customer objectives and technical requirements. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 4. |
| Contractor hired, maintained, and replaced as necessary, qualified personnel and subcontractors/suppliers. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 5. |
| Contractor ensured the site manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 6. |
| Contractor provided timely and satisfactory response to warranty issues after project completion. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 7. |
| Contractor paid employees/subcontractors/suppliers as required. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 8. |
| Provided timely/effective contract problem resolution without extensive customer guidance. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 9. |
| Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| IV. Compliance with Labor Standards |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1. |
| Contractor facilitated labor inspections for determination of compliance with wage determinations and labor standards. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 2. |
| Labor posters and wage determinations were displayed as required. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 3. |
| Subcontractor acceptance of labor standard clauses submitted as required. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 4. |
| Statement of Compliance for payroll reports was submitted as required. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| V. Compliance with Safety Standards |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1. |
| Adequacy of Safety Plan |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 2. |
| Implementation of Safety Plan |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| VI. Design |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1. |
| Timely submittal of design documents |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 2. |
| Specifications and drawings accurate and complete? |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| 3. |
| Proper engineering to applicable standards? |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| VII. Overall Performance |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1. |
| Please rate the contractor’s overall performance |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
In order to understand the basis for the rating in the NARRATIVE SUMMARY section, please discuss and describe each response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).
Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?
No ___ or Yes___. If yes was it for: |_|Default |_|Convenience |_|Pending Termination
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc):
NARRATIVE SUMMARY:
What were the contractor’s most positive aspects in the performance of the contract?
What were the contractor’s most negative aspects in the performance of the contract?
Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?
Please provide any additional comments concerning this contractor’s performance, as desired.
SECTION C. Return COMPLETED Questionnaire Form to:
| | Attn: | 27SOCONS/BFLT Source Selection |
| | | 110 E. Sextant Ave, Bldg 600, Cannon AFB, NM 88103-5214 |
| Fax: | | 575-784-1148 (DSN 681-1148) or | |
| Email to: | shannon.hochmuth@cannon.af.mil and richard.morris@cannon.af.mil | | |
Thank you for your prompt response and assistance!