GS-04P-11-BV-C-0027 Questionnaire.docx

Performance Questionnaire

Instructions for Questionnaire

Dear Respondent, The United States General Services Administration would like to thank you for taking the time to assist us in the selection of a Bridging Design-Build Contractor for our Project. Please complete the questionnaire to the best of your ability. We ask that you keep your responses to this questionnaire confidential. The information you provide on this questionnaire will not be shared with the Offeror.

When completed, please send a scanned or electronic copy of the questionnaire to the following e-mail address: r4pbs.refchk@gsa.gov. We ask that you include the following information in the subject line of the e-mail: Solicitation No. GS-04P-11-BV-C-0027 and Company Name for which questionnaire is submitted. i.e. (GS-094P-11-BV-C-0027 XXXXX Construction Co.)

If you are unable to e-mail the questionnaire, please mail the completed questionnaire to:

Jenny M. Matte, Contracting Officer U.S. General Services Administration Southeast Sunbelt Region Acquisition Division (4PQA) 77 Forsyth Street, SW Suite TP-99 Atlanta, Georgia 30303

The questionnaire shall be placed in a sealed envelope with an original signature of the Respondent to the questionnaire across the envelope seal. Also include the following statement on the envelope:

Confidential- Information enclosed is for the sole use of the Government.

We ask that the questionnaire be returned to the Offeror ON or BEFORE June 13, 2011 at 3:00 PM Eastern Standard Time.

We appreciate your time and efforts in assisting us in serving the American public.

Performance Questionnaire

Your assistance is requested in support of a source selection

Please forward your responses to:

General Services Administration Desired Response Date: June 13, 2011 Attn: Jenny Matte, Contracting Officer Acquisition Division, 4PQA 77 Forsyth Street, SW Suite TP-99 Atlanta, GA 30303 Or Fax Or Email:

When complete, the information on this form is Source Selection Information (41 U.S.C. 423) and shall be protected accordingly.

To Be Completed by GSA

Name of Offeror:

Name of Contact:

Company:

To Be Completed by Evaluating Organization

3. EVALUATION:

Evaluator’s Name:

Organization:

Position (Project Manager, COR, CO, etc.):

Evaluator’s Phone Number:

Time Period Monitored:

Email Address:

Please circle the response code for each topic (A-F) that best reflects your experience with this contractor.

5 = Exceptional 4 = Very Good 3 = Satisfactory 2 = Marginal 1 = Unsatisfactory N/O = Not Observed

Location of Contract Performance:

Approx. contract start/completion dates:

Approx. Price/cost for construction at contract start:

Approx. Price/cost for construction at contract completion:

Type of building and no. of stories:

Contract type (Firm-Fixed Price, Guaranteed Maximum Price, Cost Plus Fee, Identify Other):

Project delivery method (Construction Manager at-risk, Design-Bid-Build, Design-Build, Identify Other):

New construction or renovation:

If renovation, occupied during construction (Y/N):

Is this questionnaire being prepared for work during the Design Phase, Construction Phase, or to offer insight into Key Personnel experience?

If this form is being used to offer insight into key personnel then answer each question by evaluating the individual rather than the company.

To the best of your ability please briefly answer the following:

1. Did the project stay within the original contract schedule and budget? If not, was it due to factors within the control of the Contractor requesting this evaluation?

2. How would you rate the working relationship with the project team and specifically the Architect/Engineer and Construction Manager as-agent during the project (Excellent, Good, Marginal, Poor)? Please briefly explain.

3. How would you rate the responsiveness in administrative areas (e.g. processing necessary paperwork) (Excellent, Good, Marginal, Poor)? Please briefly explain.

Questions 4, 5 and 6 are associated with work during the Design-Build Phase:

4. How would you rate the cooperation and commitment during the design phase. (Excellent, Good, Marginal, Poor)? Please briefly explain.

5. How would you rate how well design errors and omissions, construction conflicts or constructability issues were identified during the design phase (Excellent, Good, Marginal, Poor)? Please briefly explain.

6. How would you rate the efforts in avoiding or mitigating scheduling issues during construction (Excellent, Good, Marginal, Poor)? Please briefly explain.

7. How would you rate the number and final price of contractor-initiated change orders relative to the size of the project (Excellent, Good, Marginal, Poor)? Please briefly explain.

8. How would you rate the number of excessive or non-essential Requests For Information which resulted in change order requests (Excellent, Good, Marginal, Poor)? Please briefly explain.

9. How would you rate how well the prime contractor coordinated the subcontractors, and resolved any changes or disputes with their subcontractors (Excellent, Good, Marginal, Poor)? Please briefly explain.

10. How would you rate the quality of the final product (Excellent, Good, Marginal, Poor)? Did the finished product meet the needs and expectations (Y/N)? Please briefly explain:

11. Were there any serious or minor accidents on this project (Y/N)? If so, please briefly explain.

12. How would you rate the consistency of the project team and key personnel throughout the duration of the project (Excellent, Good, Marginal, Poor)? Please briefly explain.

13. If you had a choice, would you want the same key personnel assigned to a future project (Y/N)? Please briefly explain.

14. How would you rate the overall performance of the Contractor requesting this evaluation (Excellent, Good, Marginal, Poor)?

15. If you had a choice, would you contract with this person/company again (Y/N)? Please briefly explain.

16. Additional Comments: