Attachment_2_-_Past_Performance_Questionnaire.doc

ATTACHMENT 2

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTION PAGE

Please complete the following questionnaire concerning evaluation of the Contractor’s past performance. Your response to this evaluation will be utilized by the General Services Administration (GSA) for the procurement of a construction firm to provide all supervision, labor, materials and equipment necessary for construction of a new Federal Courthouse Harrisburg, Pennsylvania.

GSA is placing increased emphasis in our procurements on past performance as a source selection factor. Your complete response is critical as this will be relied on by the Government in the selection of a firm for the proposed construction project. Please answer all questions by checking only one (1) response per question.

You will be required to sign this evaluation at the end of the questionnaire and your initials are required on each page of this questionnaire, as well as on this instruction page.

GSA officials may contact you concerning responses made by you in this questionnaire.

If you have any questions and/or concerns, you may contact the Nadya L. Popil, Contracting Officer, on 215-446-5810 or nadya.popil@gsa.gov.

Instructions for returning this evaluation: upon completion of the evaluation, please

(1) Verify that each page of this evaluation has been accurately and completely filled out

(2) Place the evaluation in a sealed envelope

(3) Place your signature across the envelope seal and include the following statement: “Confidential - Information enclosed is for the sole use of the Government.”

(4) Return the sealed envelope to the contractor requesting your reference. The Contractor will forward the questionnaire to GSA.

PAST PERFORMANCE QUESTIONNAIRE

Contractor being evaluated: ________________________________

Owner Name (Organization Name, Evaluator Name, Address, Zip, and Telephone Number)

Name, Location, and Description of Project - Use additional sheets if necessary.

Award Amount:

Original: $ ___________________

Final: $ ___________________

Percentage of Final Contract Amount resulting from owner initiated changes:

Status of project: 100% complete Active If active, expected completion date: ___________________

Would you award a contract to this firm again for similar work? No Yes For each of the questions appearing on the attached sheets, please place an “X” next to the statement which best represents your evaluation in response to the subject questions. Please note any comments which will add value to your marked response.

PAST PERFORMANCE QUESTIONNAIRE

A: On time - timeliness of performance

1.

Did the contractor complete the project on schedule?

Contractor completed project prior to originally scheduled completion date

Contractor completed project by original scheduled completion date

Contractor completed within agreed to extended completion date

Contractor failed to meet project completion date.

Comments:

2.

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

Contractor consistently improved scheduled milestone dates

Contractor exceeded scheduled milestone requirements

Contractor typically delivered as scheduled, occasionally missed milestone dates.

Contractor rarely met scheduled milestone requirements.

3.

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

Contractor consistently exercised a pro-active approach.

Contractor demonstrated some initiative in exercising a pro-active approach.

Contractor rarely demonstrated a pro-active approach.

Contractor never demonstrated a pro-active approach.

4. Did the contractor submit monthly schedule updates?

Contractor updated the schedule on a regular basis (not monthly).

Contractor consistently updated the schedule monthly independently

Contractor updated the schedule only when requested.

Contractor did not update schedule when required or requested.

5. Were the contractor submittals completed on time?

Contractor consistently made submissions ahead of schedule.

Contractor made some submissions ahead of schedule and all others on time.

Contractor made majority of submissions on time.

Contractor submissions were usually behind schedule.

B: Cost Control

Did the contractor submit reasonably priced change proposals?

Contractor consistently submitted fair & reasonably priced change proposals.

Contractor typically submitted fair & reasonably priced change proposals.

Contractor submitted fair & reasonably priced proposals some of the time.

Contractor rarely submitted fair & reasonably priced change proposals.

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

Contractor was extremely responsive in expediting proposal submissions.

Contractor was generally responsive in expediting proposal submissions.

Contractor was generally nonresponsive in timely submissions of proposals.

Contractor was nonresponsive in timely submissions of change proposals.

How reasonable were contractor initiated changes?

Contractor initiated changes were extremely reasonable.

Contractor initiated changes were typically reasonable.

Contractor initiated changes were reasonable some of the time.

Contractor initiated changes were not reasonable.

C: Quality Product

1. Did the contractor provide design phase services for your project?

Yes

No

2. Was their participation in design beneficial in ensuring constructability?

Contractor provided input in design that enhanced constructability.

Contractor provided some comments that improved the project design.

Contractor provided minimal beneficial design comments.

Contractor provided no value or did not participate in design.

How well has the contractor complied with contract requirements?

Contractor consistently surpassed contract requirements.

Contractor exceeded contract requirements.

Contractor met the minimum requirements.

Contractor did not meet the minimum requirements.

4.

Was the contractor responsive in completing punch list items?

Contractor completed punch list items after initial notification.

Contractor completed most punch list items after initial notification.

Contractor eventually completed all punch list items.

Some punch list items were never completed by contractor.

3. Did the contractor have a program to monitor quality?

Contractor has an established, comprehensive program which he uses on every project with individuals employed specifically for quality control.

Contractor set up a satisfactory quality control program to comply with the requirements for your project.

Contractor has an established program which he uses on every project.

Contractor’s quality control program was ineffective on your project.

D: Business Relations/Project Management

How well did the contractor maintain a good relationship with the owner and the owner’s technical advisors/representatives?

Contractor was extremely cooperative.

Contractor was very cooperative.

Contractor was generally cooperative.

Contractor was not cooperative.

How well did the contractor maintain a good relationship with the Architect/Engineer?

Contractor was extremely cooperative.

Contractor was very cooperative.

Contractor was generally cooperative.

Contractor was not cooperative.

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

Contractor's team was extremely effective.

Contractor's team was very effective.

Contractor's team was generally effective.

Contractor's team was ineffective.

E: Continuity of Key Personnel

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

No adjustments were made to the project team throughout the project.

Minor adjustments were made to the project team during the project.

Significant changes to the project team were made during the project.

Contractor maintained no consistency in key personnel during the project.

Did the contractor adequately staff the project?

Contractor’s staff was extremely effective.

Contractor’s staff was very effective.

Contractor’s staff was generally effective.

Contractor’s staff was ineffective.

F: Safety History of Each Project

1. Did the contractor implement an effective accident prevention program?

Contractor was extremely safety conscious.

Contractor was generally safety conscious.

Contractor was occasionally safety conscious.

Contractor was rarely safety conscious.

Comments:

2. Did the contractor carry a satisfactory safety plan for your project?

Contractor set up a satisfactory safety plan specific to the requirements

Contractor adapted a generic safety plan that meets project needs.

Contractor has a generic safety plan which he uses on every project; no adaptations.

Contractor’s safety plan was ineffective for my project.

Signature and Date:

Name and Title:

Organization:

Initials__________