GS-08-P-17-JF-C-0001_Attachment_B_-_Past_Performance_Questionnaire_RWSrev3-29.pdf

Revised 5/10/2012

PAST PERFORMANCE QUESTIONNAIRE FOR CONSTRUCTION

USDA Consolidation Project | Wallace F. Bennett Federal Building Solicitation Number GS-08-P-17-JF-C-0001

Submit either by US Mail or Email Directly to:

Mail to: General Services Administration, Public Buildings Service Attn: Joseph Dorsey, Contract Specialist PO Box 25546, 8PQB Denver, CO 80225-0546

Email to: joseph.dorsey@gsa.gov

SECTION 1 - TO BE COMPLETED BY OFFEROR:

Name of Offeror / Contractor:

Was the Offeror/Contractor the Prime Contractor? Y___ N____

Contract Number:

Total Construction Contract Value (Including Modifications and Options):

Period of Performance

Place of Performance

Percentage of Work Completed by Contractor:

Description of Construction Work Performed:

Gross Square Footage of Facility:

Briefly describe all work performed under this contract:

mailto:joseph.dorsey@gsa.gov

Relevance Confirmation (To be completed by Offeror)

Relevancy of Project - Building construction projects of similar size (at least 50,000gsf)

Yes No

Renovation of a building

Work performed in an tenant occupied and functioning office building or other factor that required phasing of the project components to maintain tenant occupancy

At least five of the following disciplines was a substantial part of the project- i) architectural, ii) structural, iii) HVAC, iv) plumbing, v) electrical,

vi) fire alarm, vii) security, viii) data, and ix) telecommunications

Hazardous material abatement

Requirements for noise and dust control

Total contract construction value (including options and modifications) is in the range of $9,000,000 or more.

SECTION 2 - TO BE COMPLETED BY THE REFERENCE:

Name of Respondent/Title:

First Name:

Address:

Phone:

Fax:

Email:

Thank you for your assistance! Please contact me directly at (303) 907-7293, if you have any questions or would like to offer additional information. Joseph Dorsey, Contract Specialist.

Is the information in Section 1 in the chart under Relevance Confirmation Correct? Y____N____

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.

EVALUATION FACTOR Poor Marginal Satisfactory Very Good

Excellent N/A

Contractor’s quality of workmanship

Contractor’s commitment to customer service

Contractor’s responsiveness to address issues in a timely manner.

Contractor’s ability to communicate with owner/stakeholders.

Contractor’s adherence to schedule

Contractor’s ability to work with project members (i.e architect, engineers, commissioning agent, etc.)

Overall rating of the contractor’s performance

YES NO

1. Would you work with this contractor again?

Additional Remarks: