PAST PERFORMANCE QUESTIONNAIRE REVISED.doc

BRIDGING DESIGN BUILDING SERVICES FOR THE HIGH PERFORMANCE GREEN BUILDING MODERNIZATION AND OTHER ALTERATION WORK FOR THE NAZARIO COURTHOUSE AND THE DEGETAU FEDERAL OFFICE BUILDING, HATO REY, PUERTO RICO

PAST PERFORMANCE QUESTIONNAIRE FOR OWNER

Instructions for returning this evaluation:

Upon completion of the evaluation, the owner shall ensure that each page of this evaluation has been accurately and completely filled out.

The Owner shall ensure that the last page of this questionnaire contains his/her original signature in ink. The survey shall then be placed in a sealed envelope. The Owner shall place his/her signature across the actual envelope seal and include the following statement: "Confidential -Information enclosed is for the sole use of the Government."

The sealed envelope shall then be returned to the contractor. The contractor shall forward the sealed envelope containing the owner evaluation with the rest of its proposal to GSA.

Contractor being evaluated:

Owner (Name, Address, Zip, and Telephone Number, Point of Contact)

Name, Date and Location of Work and Description of Work the General Contractor actually performed for you.

Original Contract Amount:______________________

Actual/Current Contract Amount:________________________

Percentage of Final Contract Amount resulting from owner initiated changes

Status:

Active:______________Completed:_________________

Original Contract Completion Date __________________________________

Actual Contract Completion Date ___________________________________

Project Completion Percentage: _____________________________________

Time Extensions Granted: _________________________________________

Type and Extent of Subcontracting ________________________________________________________

Note: An explanation must accompany the answers for all numbered questions.

A.

TIMELINESS OF PERFORMANCE

1.

Did the contractor complete the project on schedule? ______________________________________________________________________

2.

To what extent did the contractor adhere to contract delivery schedules at significant milestones?

3.

How responsive was the contractor in addressing unforeseen/unanticipated conditions? ___________________________________________________________________________

4. Did the contractor provide timely monthly schedule updates?

__________YES ___________NO

5.

How responsive was contractor in submitting proposals for owner-initiated changes?

6.

Please rate the contractor's timeliness of performance overall. (circle one)

Excellent Good Acceptable Unacceptable

B.

COST CONTROL

1.

Did the contractor submit reasonably priced change proposals? ____________________________________________________________________________

2.

Please rate the contractor's cost control overall. (circle one)

Acceptable Unacceptable

C.

QUALITY CONTROL

1.

How well has the contractor complied with contract requirements? ____________________________________________________________________________

2.

Did they conform to standards of material quality and good workmanship?

3.

Did the contractor have the ability to adapt to changing requirements while maintaining a desired level of quality?

4.

Did the contractor implement an effective safety program? ___________________________________________________________________________

Please rate the contractor's quality control overall. (circle one)

Acceptable Unacceptable

D.

BUSINESS RELATIONS

1.

How well did the contractor work with the owner and the owner's technical advisors?

2.

How effective was the contractor's on site management team? ___________________________________________________________________________

3.

Was the contractor cooperative, businesslike, and concerned with the interests of project related third party entities (i.e. tenants)?

4.

Did the contractor maintain a good relationship with the Architect/Engineer? ____________________________________________________________________________

Please rate the contractor's business relations overall. (circle one)

Acceptable Unacceptable

E. SAFETY HISTORY ON PROJECT

1.

Please rate the contractor's safety history on project overall. (circle one)

Acceptable Unacceptable

F.

CONTINUITY OF KEY PERSONNEL

1.

Did the contractor maintain a consistent project team throughout the duration of the project? ___________________________________________________________________________

Please provide any additional relevant comments:

Please rate the contractor's continuity of key personnel overall. (circle one)

Acceptable Unacceptable

G.

SUMMARY RATING

1.

Would you award a contract to this firm again for similar work? (Check appropriate block)

______YES_______NO

Please rate the contractor's overall performance. (circle one)

Acceptable Unacceptable

Evaluated By: _______________________________________________________

Signature and Date: _______________________________________________________

Name and Title: _______________________________________________________

Organization: _______________________________________________________

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