Attachment_B_-_Past_Performance_Instructions_ _Form.pdf

“ASBESTOS & LBP SURVEY/MONITORING”

FEDERAL BUILDING

300 N. LOS ANGELES ST.,

LOS ANGELES, CA 90012

PBS - REG 9

RFQ # GS09P16NPA7000

ATTACHMENT B - INSTRUCTIONS FOR SUBMITTING PAST

PERFORMANCE QUESTIONAIRE

The past performance reference must meet the "Similar Work" Definition on the RFQ. One form must be completed for each reference. References shall only pertain to the Offeror entity itself, not prospective subcontractors.

The offeror shall complete the Past Performance Information Section located on the Past Performance Questionnaire form and request each reference complete the rest of the questionnaire form in its entirety. It is the offeror’s responsibility to ensure that the Past Performance Questionnaire form is completed in its entirety and submitted to GSA by the reference evaluator by the RFQ proposal closing date.

THE PAST PERFORMANCE FORM MUST BE COMPLETED BY THE REFERENCE

EVALUATOR AND EMAILED DIRECTLY TO Dawn Ochsner, Contracting Specialist, at dawn.ochsner@gsa.gov by the RFQ proposal closing date: 4:00 PM (PDT), Monday, Dec 16, 2015.

THE OFFEROR MAY PROVIDE A CCASS FINAL EVALUATION FOR A CONTRACT IN

LIEU OF SUBMITTING THE PAST PERFORMANCE QUESTIONNAIRE.

NOTE: If a Past Performance Questionnaire has been submitted for the same project under a different GSA, Los Angeles Service Center (LASC) RFQ, you may note this in the block below in lieu of requesting the same reference re-fill out the form for submission under this RFQ. If a CCASS Final Evaluation is being submitted in lieu of a Past Performance Questionnaire under this RFQ, you may note this in the block below.

(Offeror to Complete this Section only if Applicable)

Past Performance Questionnaire previously submitted under LASC

Task Order RFQ:

- OR –

In lieu of the Past Performance Questionnaire, the CCASS Final Evaluation for the following Contract is being submitted:

SENSITIVE BUT UNCLASSIFIED (SBU)

PROPERTY OF THE UNITED STATES GOVERNMENT

FOR OFFICIAL USE ONLY

Do not remove this notice

Properly destroy or return documents when no longer needed mailto:dawn.ochsner@gsa.gov

300 N. LOS ANGELES ST.,

LOS ANGELES, CA 90012

GSA, Acquisition Management Division Field Support Section (9PQ2FS)

RFQ #GS09P16NPA7000

The GSA, Acquisition Management Division, Field Support Section, is considering the Offeror listed below for award of a BPA under RFQ No. GS09P16NPA7000. Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation.

Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. In addition to submitting this questionnaire, the GSA, Acquisition Management Division, Field Support Section, may contact you in order to obtain any additional information regarding a contract award. If you have questions regarding the attached questionnaire, or require assistance, please email Contracting Specialist, Dawn Ochsner at dawn.ochsner@gsa.gov.

Please email your completed questionnaire directly to Dawn Ochsner, Contracting Specialist, at dawn.ochsner@gsa.gov by Monday, December 16, 2015 at 4:00 PM (PDT).

Past Performance Information Past Performance Evaluation Request Date:

Name and Address of Offeror being evaluated:

Referenced Contract Title & Location:

Referenced Contract Number/Delivery or Task Order Number:

Referenced Contract Dollar Amount:

Evaluator Information Name & Title of Evaluator (The following information will assist in the analysis of the data. Information will be kept confidential)

Company/Agency Contacted:

Contact Phone Number and E-mail:’

ATTACHMENT B - PAST PERFORMANCE QUESTIONAIRE

SENSITIVE BUT UNCLASSIFIED (SBU)

PROPERTY OF THE UNITED STATES GOVERNMENT

FOR OFFICIAL USE ONLY

mailto:dawn.ochsner@gsa.gov.

mailto:dawn.ochsner@gsa.gov

300 N. LOS ANGELES ST.,

LOS ANGELES, CA 90012

GSA, Acquisition Management Division Field Support Section (9PQ2FS)

RFQ #GS09P16NPA7000

PAST PERFORMANCE QUESTIONAIRE

Excellent Very Good Good Fair Poor N/A or No Response

5 4 3 2 1 N/A

Evaluation: Please evaluate offeror's past performance by answering the following 10 questions using the above ratings.

1. How would you rate the firm’s overall performance on your contract? Please provide comments, if any.

2. How well did the firm comply with the terms and conditions of the contract? Please provide comments, if any.

3. Please rate the overall quality of the work performed on your contract. Please provide comments, if any.

4. How timely was the firm in completing work in compliance with the contract. Please provide comments, if any.

5. Please rate the firm on their managerial performance, e.g., the quality of their supervisory employees, contract manager, corporate management involvement, responsiveness, communication, etc. Please provide comment, if any.

6. Please rate the ability/actions to improve schedule problems, if applicable. Please provide comments, if any.

7. Please rate the quality control procedures and execution. Please provide comments, if any.

8. Was the customer satisfied with the end product? Yes; Maybe; No. Please provide comments, if any.

9. Overall rating for this Contractor. Please provide comments, if any.

10. Would you enter into a contract with this firm again? Yes (5); Maybe (3); No (0). Please provide comments, if any.

SENSITIVE BUT UNCLASSIFIED (SBU)

PROPERTY OF THE UNITED STATES GOVERNMENT

FOR OFFICIAL USE ONLY