Attachment B Past Performance Questionaire National NOO 3-20-12 FINAL.docx
DOCX document 31 KB Posted
- Attached to
- Energy Savings Performance Contract (ESPC) National Contract Federal contract opportunity
- Solicitation number
- GS-00P-12-BSD-0895
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Past Performance Questionaire
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Text version
Attachment B, Past Performance Questionnaire
GSA/PBS DEEP ENERGY RETROFIT ESPC NOO
ESCO PAST PERFORMANCE QUESTIONNAIRE
PLEASE HAVE THE REFERENCE COMPLETE AND SUBMIT DIRECTLY TO THE GSA POINT OF CONTACT AS SHOWN BELOW NOT LATER THAN April 13, 2012 AT 4:00 PM EST.
TO BE COMPLETED BY THE REFERENCE
Note: Please complete the following questionnaire on behalf of the contractor proposing to complete the work under this notification. The following information is requested based on your prior experiences with the firm named below. Please complete the questionnaire and email directly to the Contracting Officer to maintain the confidentially of your responses. Your responses will be reviewed solely by a selection committee comprised of associates of the General Services Administration. Your input is valuable to our procurement process and we thank you for your time in completing this survey.
PLEASE SEND BY E-MAIL DIRECTLY TO:
| Attn: | Ken Shutika, Contracting Officer |
| General Services Administration, Public Buildings Service | |
| Email: | ken.shutika@gsa.gov |
Section 1 – TO BE COMPLETED BY ENERGY SAVINGS COMPANY (ESCO)
| Contractor’s Name: | _____________________________ | |||
| Address: | _____________________________ | |||
| Telephone Number: | _____________________________ | |||
| Point of Contact: | _____________________________ | |||
| Role of Point of Contact: | ______________________________ | |||
| Project Title or Brief: | _____________________________ | |||
| Description of Work: | _____________________________ | |||
| Contract Number: | _____________________________ | |||
| Total Award Amount (including Mods): | $____________________________ | |||
| Dates of Performance: | _____________________________ |
Section 2 – TO BE COMPLETED BY REFERENCE NOTE: If the ESCO holds or has held other contracts with your agency/organization in the last five (5) years, please complete separate evaluation forms for those contracts as well.
| Name of Respondent: | ______________________________ | |
| Title/Company: | ______________________________ |
Role on Energy & Water
| Performance Contract: | ______________________________ | ||
| Address: | ______________________________ | ||
| Phone: | ______________________________ | ||
| Fax: | ______________________________ | ||
| E-Mail: | ______________________________ |
Performance Information: Highlight the term that most accurately describes the Contractor’s performance in accordance with the following questions. Please provide a narrative explanation for all.
1.) Effectiveness of Management (For example: Coordination and responsiveness, management of resources/personnel, flexibility, and coordination/control of Subcontractors)
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2.) Did the Contractor Generate and Implement Innovative Energy Conservation Measures?
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3.) Effective Communication (This includes communication with the agency, building management, subcontractors and suppliers.)
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4.) Effective Resolution of Design and/or Construction Issues. (This includes notification to the agency of issue(s) and creative and collaborative ideas on resolution of the issues(s).)
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5.) The subject contract was completed within the performance period per Task Order Schedule 1. If not, was the extended period of time mutually agreed upon by the agency? Were punch list items, defects and omissions completed in a timely manner?
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
6.) M&V reports were submitted on time, professional, and contractual Guaranteed Savings were met?
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7.) Was any post construction work/rework or warranty work required? If so, how would you describe the Contractor’s performance and responsiveness?
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 8.) How would you describe the overall quality of work? How would you rate their overall performance?
| Unsatisfactory |
| Marginal |
| Satisfactory/ Neutral |
| Above Average |
| Outstanding |
| Not Applicable |
Explanation:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 9.) If you had a choice, would you contract with them again? Why or why not?
| Yes |
| No |
Explanation:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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