PPQ_-_AE.pdf

PAST PERFORMANCE QUESTIONNAIRE FOR A/E

PLEASE HAVE THE REFERENCE COMPLETE AND SUBMIT DIRECTLY TO THE GSA AS SHOWN BELOW

NOT LATER THAN October 26, 2016.

Submit either by US Mail or Email DIRECTLY to:

Email to General Services Administration, Public Buildings Service Attn: Len Wilson Contracting Officer and Mara Wild Contract Specialist

PO Box 25546 (8PC) Denver, CO 80225-0546

Email: mara.wild@gsa.gov and len.wilson@gsa.gov

Section 1 – TO BE COMPLETED BY THE OFFEROR Name of Offeror/Firm: _______________________________________________________________ Contract Number: __________________________________________________________________ Total Contract Value (including modifications): ____________________________________________ Contract Type: _____________________________________________________________________ Period of Performance: ______________________________________________________________ Place of Performance: _______________________________________________________________ Percentage of Work Performed by Contractor: ___________% Description of Facility and Project:

Gross Square Footage of Facility: ______________________________________________________ Was the Offeror the prime contractor:

Was this a design build project:

Briefly describe all services provided under this contract.

Section 2 – TO BE COMPLETED BY THE REFERENCE NOTE: If the offeror holds or has held other contracts with your agency/organization in the last eight (8) years, please complete separate evaluation forms for those contracts as well.

Name of Respondent/Title: _____________________________________________ Firm Name: _____________________________________________ Address: _____________________________________________ Phone: _____________________________________________ Fax: _____________________________________________ Email: _____________________________________________

Thank you for your assistance! - Please contact me directly at 303-236-1595, if you have any questions or would like to offer additional information. – Mara Wild, Contract Specialist.

4 Revised 7/13/2016

Performance Information: Please check the level of the Offeror’s overall performance in each of the business management factors listed below. Check “N/A” if the factor does not apply to the contract being rated.

KEY: Poor – A Poor rating completely failed to meet the expectation.

Marginal – A Marginal rating fails to meet the expectation to some extent Satisfactory – A Satisfactory rating meets the expectation.

Very Good – A Very Good rating exceeds the expectation to some extent.

Excellent – An Excellent rating significantly exceeds the expectation.

1. Would you award to this contractor again? YES ________ NO __________

2. Could you provide another contact for further information? YES ________ NO __________

Name: _______________ Phone Number or Email ________________________

Additional Remarks: Provide facts concerning specific events/actions to justify rating. Attach additional pages if necessary.

EVALUATION FACTOR Poor Marginal Satisfactory Very Good

Excellent N/A

Quality, Accuracy and Timeliness of Required Documentation

Identification and Reporting of Problems and Potential Problems

Communicating and Interfacing with Government/Company Personnel

Compliance with Technical Contractual Terms and Conditions

Accommodates Fluctuating Workloads

Adherence to Safety Policies and Procedures

Success of Quality Control Program

Empowerment of Project Manager/Supervisor

Quality and Stability of Key Personnel

Overall Rating of the Contractor’s Performance