DHS-ICE-AE_PPQ_to_FBO_5-14-2014.pdf

A-E PAST PERFORMANCE EVALUATION

Questionnaire for References

Instructions for completion and submission of this questionnaire: Upon completion of the evaluation, owner/ owner’s representative shall ensure that each page of this evaluation has been accurately and completely filled out. Owner/owner’s representative shall ensure that the last page of this questionnaire contains his/her original signature in ink. The questionnaire shall then be placed in an envelope that must be sealed. Owner/owner’s representative shall place his/her signature across the envelope seal and include the following statement: "Confidential -Information enclosed is for the sole use of the

Government." The sealed envelope shall be returned to the A-E Firm. The A-E Firm shall submit the sealed envelope containing the owner/ owner’s representative evaluation with the rest of their technical proposal to GSA.

NOTE: This form is STRICTLY CONFIDENTIAL. The General Services Administration will NOT discuss the contents or disseminate copies of this Past Performance Questionnaire to the evaluated A-E

Firm (offeror) or other entities.

Architect/Engineering Firm:

Principle Team Members:

Reference Contacted:

Name:

Title:

Company:

Telephone:

Email:

Project Information:

Project Name:

Address/Location of Project:

Type of Space/Building:

Size of Project (S.F.):

Project Construction Cost:

Cost of A-E Services:

Description of Work performed by the A-E Firm:

Past Performance for A-E Design Services

A. Quality of Work

1. How would you rate the quality of work performed by the A-E Firm?

a. Excellent

b. Good

c. Acceptable

d. Unacceptable. Please explain: __________________________________________________

2. How would you describe the quality of work performed by the A-E for this project?

a. The A-E Firm performed above and beyond, providing design services in a professional manner that met the expectations of the owner, with few revisions.

b. The A-E provided design services that met the expectations of the owner, but required some revisions.

c. The A-E provided design services that met the expectations of the owner, but required several revisions.

d. The A-E provided design services that did not meet the expectations of the owner, requiring many revisions.

3. Did the A-E Firm have the ability to change requirements while maintaining a desired level of quality?

a. Yes

b. No. Please explain: ________________________________________________________

4. Did the A-E Firm comply with all contract requirements of the project?

a. Yes

b. No. Please explain: _________________________________________________________

5. How would you rate the A-E Firm’s ability to resolve design issues in a timely manner?

a. Excellent

b. Good

c. Acceptable

d. Unacceptable. Please explain: ________________________________________________

6. How would you rate the A-E Firm’s completeness of work?

a. Excellent

b. Good

c. Acceptable

d. Unacceptable. Please explain: _____________________________________________

B. Cost Control

1. How would you rate the A-E Firm for providing a design within the budget?

b. Good

c. Acceptable

d. Unacceptable. Please explain: _____________________________________________

2. Were there design change orders on the project?

a. Design, Yes

b. Design, No

3. What was the cause for the design change order on the project?

a. Owner/Owner Representative’s Request

b. Scope Change

c. Unforeseen Site Conditions

d. Design Deficiencies

e. Other. Please explain: _______________________________________________________

4. Were there construction changes orders on the project?

a. Construction, Yes

b. Construction, No

5. What was the cause for the majority of the construction change orders on the project?

a. Owner’s/Owner Representative’s Request

b. Scope Change

c. Unforeseen Site Conditions

d. Design Deficiencies

e. Other. Please explain: _______________________________________________________

6. If change orders were issued, did the A-E Firm submit the relevant information for proper issuance of the change order?

a. Yes

b. Sometimes

c. No. Please explain: _________________________________________________________

7. Were there any claims submitted for this project?

a. Yes

b. No

c. If Yes, please explain: ________________________________________________________

8. If claims were submitted, have they been resolved?

b. No.

c. If No, please explain: _________________________________________________________

C. Compliance with Performance Schedule

1. How would you rate the A-E Firm’s ability to comply with the original design schedule of the project?

a. Excellent

b. Good

c. Acceptable

d. Unacceptable. Please explain________________________________________________

2. How would you describe the A-E Firm’s ability to meet design milestones and contract deadlines?

a. The A-E Firm met the agreed upon contract deadlines and design milestones a majority of the time.

b. The A-E Firm met the agreed upon contract deadlines and design milestones most of the time with few delays.

c. Delays were caused by the Owner.

d. Delays were caused by the A-E Firm’s inability to perform the required services.

3. How responsive was the A-E Firm in addressing unforeseen or unanticipated site conditions to owner? ________________________________________________________________________

4. Did the A-E Firm provide, in a timely manner, monthly progress updates to the owner?

b. No. Please explain: ___________________________________________________________

D. Business Relations and Behavior

1. How well and effective did the A-E Firm work with the Owner, Construction Management Firm and General Contractor?

2. How would you rate the A-E Firm’s ability to manage and coordinate with their sub-consultants?

b. Good

c. Acceptable

d. Unacceptable.

e. Not applicable.

Please explain:_____________________________________________________________

3. Was the conduct of the A-E Firm:

a. Professional

1. Yes

2. No. Please explain: _______________________________________________________

b. Business-Like

1. Yes

2. No. Please explain: _______________________________________________________

c. Cooperative

1. Yes

2. No. Please explain: _______________________________________________________

4. Did the A-E Firm maintain a good relationship with the Construction Management Firm throughout the entire project?

a. Yes

b. No. Please explain: __________________________________________________________

5. Did the A-E Firm maintain a professional reputation for being reasonable in discussions, negotiations and final decisions of the owner for this project?

a. Yes

b. No. Please explain: _________________________________________________________

E. Continuity of Key Personnel

1. Did the A-E Firm maintain a consistent project team throughout the duration of the project?

a. Yes.

b. No.

2. If not and changes were made, did the A-E Firm follow established procedures for notifying the

Owner, Construction Management Firm and General Contractor?

a. Yes

b. No. Please explain: ___________________________________________________________

3. Were changes satisfactory to the owner?

b. No

4. If changes were not satisfactory to the owner, what measures did the A-E Firm take to ensure owner satisfactory? _____________________________________________________________

F. General

1. Overall how would you rate the Architect/Engineers Firm’s performance for this contract?

b. Good

c. Acceptable

d. Unacceptable. Please explain: _______________________________________________

2. Would you consider the A-E Firm to provide the same or similar services for another project?

b. No. Please explain: __________________________________________________________

3. Would you recommend the A-E Firm to provide the same or similar services to other owners?

b. No. Please explain: ___________________________________________________________

G. Additional Comments

NOTE: Past Performance Questionnaire completed, signed and submitted by the A-E Firm/offeror will be deemed Unacceptable.

CERTIFICATION:

Name of Owner/Owner Representative Company Submitting Evaluation:_________________________

Address: ____________________________________________________________________________

Name of Owner/Owner Representative (Please Print): ________________________________________

Title: _______________________________________________________________________________

Signature: ___________________________________________________________________________

Date: _______________________________________________________________________________