Instructions_for_Questionnaire.docx

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 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: Kiersten.Mathews@gsa.gov. We ask that you include the following information in the subject line of the e-mail: Solicitation No. GS-04P-13-BV-C-0002. If you are unable to e-mail the questionnaire, please mail the completed questionnaire to:

Kiersten S. Mathews, Contracting Officer U.S. General Services Administration Southeast Sunbelt Region Acquisition Division (4PQA) 77 Forsyth Street, SW Suite T-8 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 Contracting Officer ON or BEFORE January 4, 2013 @ 12:00 p.m. 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: Enter Date Attn: Kiersten S. Mathews, Contracting Officer Acquisition Division, 4PQA 77 Forsyth Street, SW Suite T-8 Atlanta, GA 30303 Or Email: Kiersten.Mathews@gsa.gov 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

3. EVALUATION:

Evaluator’s Name Click here to enter text.

Organization: Click here to enter text.

Position (Project Manager, COR, CO, etc.): Click here to enter text.

Evaluator’s Phone Number: Click here to enter text.

Time Period Monitored: Click here to enter text.

Email Address: Click here to enter text.

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: Click here to enter text.

Approx. contract start/completion dates: Click here to enter text.

Approx. Price/cost for construction at contract start: Click here to enter text.

Approx. Price/cost for construction at contract completion: Click here to enter text.

Type of building and no. of stories: Click here to enter text.

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

If Other: Click here to enter text.

Project delivery method (Design-Build, Design-Build-Bridging, or Identify Other): Choose an item.

If Other: Click here to enter text.

New construction or renovation: Choose an item.

If renovation, occupied during construction (Y/N): Choose an item.

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?

Click here to enter text.

How would you rate the working relationship with the project team during the project, and would you work with them again (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, N/O = Not Observed)? Please briefly explain.

2. How would you rate the responsiveness in administrative areas (e.g. processing necessary paperwork) (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, N/O = Not Observed)? Please briefly explain. Choose an item.

3. How would you rate the quality of the design documents (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, N/O = Not Observed)? Please briefly explain. Choose an item.

4. How would you rate the efforts in avoiding or mitigating scheduling issues during construction (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, N/O = Not Observed)? Please briefly explain. Choose an item.

5 How would you rate the quality of the final product (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, N/O = Not Observed)? Did the finished product meet the needs and expectations (Y/N)? Please briefly explain: Choose an item.

6 How would you rate the overall performance of the Design Builder requesting this evaluation (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, N/O = Not Observed)? Choose an item.