Questionnaire.pdf

BDB Source Selection Plan

GS-04P-17-BV-C-0001

Performance uestionnaire

Project No. NTN00002 Nashville, Tennessee

Your ass/stance ls 1&quested In support of a source select/on Please forward your responses to;

General Services Administration Attn~ Kiersten Mathews, Contracting Officer Acquisition Division, 4PQA 77 Forsyth Street, SW SuitcTP-99 Atlanta, GA 30303 Or fax Or Email:

Desired Response Date: ______ _

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

To Be Comnleted by GSA

1. CONTRACTOR NAME AND ADDRESS:

Name of Offerer:

Name of Contact:

Company:

To Be Com Evaluatin

3. EVALUATION:

Evaluator's Name:

Organization:

Position CPro!ect Manager, COR, CO, etc.):

Evaluator's Phone Number:

Time Period Monitored:

Email Address:

GSA Southeast Sunbelt Region Office of Design and Construction 22

2. PROJECT TO BE EVALUATED:

Public Buildings Service January 4, 2017

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Project No. NTNIKIOOl NllSbvlUe, Tennessee

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Locsatlon or Contract Performsance:

Aporox. contract start/completion dates:

Approx. Price/cost for construction at contract start:

Approx. Price/cost ror construction at contract completion:

Type of building and no. of stories:

Contract type (firm-Fixed Price, Guar11nteed Maximum Price. Cost Plus Fee, Identify Other):

Protect dellverv method <Construction Manager at-risk. Deslen-Bid-Bulld, Design-Build, Identify Other):

New construction or renovation:

If renovation, occupied during construction (YIN):

ls this questionnaire being prep11red for work during the Design Phase, Construction Phase, or to offer Insight lgto Key Personnel experience?

If this form is being used to offer insight into key personnel then answer each question by ev11luating the individual rather than the company.

To the best or your ability please briefly sanswer the foUo\Ylng:

I. Did the project stay within the original contract schedule and budget? Ifnot, was it due to foctors 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 M11nager as-agent during the project (Excellent, Good, Marginal, Poor)? Please: briefly eKpl11in.

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

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

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

GSA Southeast Sunbelt Region Office of Desf1n and Construction 23

Public BuHdlngs Service January4, 2017

Project No. NTN00002 Nashville, Tennessee

S. How would you rule 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 conll11ctor-initiatcd 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, Margimll, 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.

I 0. How would you rate the quality of the final product (Excellent, Good, Marginal, Poor)? Did the finished product meet the needs and expectations (YIN)? Please briefly explain:

l l. Were there any serious or minor accidents on this project (YIN)? If so, please briefly explain.

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

13. Jfyou had a choice, would you want lhe same key personnel assigned to a future project (YIN)? Please briefly explain.

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

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

16. Additional Comments:

GSA Southeast Sunbelt Re1lon Office of Design and Construction 24

Publlc Buildings Service

BOB Source Selection Plan

GS-04P-17-BV·C-0001

Dear Respondent, Instructions for Questionnaire

Project No. NTN00002 NHhvllle, Tennessee

The United States General Services Administration would like to thank you for taking the time to assist us in the selection or 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 infonnation you provide on this questionruiire 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:

Kierstcn.mathews@gsa.gov. We D.Sk that you include the following infonnntion in the subject line of the e-mail:

Solicitation No. GS-04P-17-BV-C-0001. If you are unable to e-mail the questionnaire, please mail the completed questionnaire to:

Kiersten Mathews, Contracting Officer U.S. General Services Administration

Southeast Sunbelt Region Acquisition Division (4PQAC)

77 Forsyth Street, SW Second Floor

Atlanta, Georgia 30303

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

Confidcntial- lnfonnation enclosed is for the sole use of the Government.

We ask that the questionnaire be: returned to the Offeror ON or BEFORE ??????? at 3:00 PM Eastc:rn Standard Time.

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

GSA Southeast Sunbelt Region Office of Design and Construction 25

Public Buildings Service