ATTACHMENT 8- Organizations Performance Questionnaire_LEEDS_FINAL.doc
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- GS-11P-10-MK-D-0094
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Attachment 8 - Organizations Past Performance Questionnaire for LEEDs Projects
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ATTACHMENT 8: ORGANIZATION’S PERFORMANCE QUESTIONNAIRE for LEEDS PROJECTS
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and send via mail, by facsimile to (202) 708-4982 or by email to denise.avery-craft@gsa.gov:
Denise Avery-Craft, GSA, 301 7th Street, SW, Room 2021
Washington, DC 20407 Ref: Solicitation No. GS-11P-10-MK-D-0094
Desired Response Date:
February 15, 2011
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY CONTRACTOR/OFFEROR for DEPARTMENT OF STATE IDIQ PROJECT
| 1. CONTRACTOR’S (DBC MEMBER’S) NAME & ADDRESS: |
| 4. CONTRACT NO.: |
5. CONTRACT INITIATION DATE:
6. COMPLETION DATE:
2. OWNER’S NAME AND ADDRESS
7. CONTRACT VALUE $
8. TYPE OF CONTRACT:
3. PROJECT NAME
9. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:
Please add a continuation page if additional space is necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
10. EVALUATION: :
a. EVALUATOR'S NAME, POSITION DURING PROJECT EXECUTION ( Project Manager/ COR/ Other) AND ORGANIZATION
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic that best reflects your experience with this Contractor using the evaluation criteria below:
Excellent (E): Innovative, comprehensive and complete in all details, exceeded all requirements/expectations and objectives.
Very Good (VG): Consistently exceeded all or most of the requirements/expectations.
Good (G): Generally met, but rarely exceeded, requirements/expectations.
Fair (F): Met the minimum requirements/expectations.
Poor (P): Generally failed to meet the minimum requirements/expectations.
Unacceptable (U): Consistently failed to meet the minimum requirements/expectations.
A. Quality of Products and Services - Assess the Contractor’s conformance to LEEDS contract requirements.
EX
VG
G F P U
B. Overall Performance – Assess the Contractor’s overall performance as the LEEDS Contractor (as appropriate) for the project.
G F P
C. Schedule – Assess the timeliness of the Contractor against the LEEDS schedule of activities (as appropriate).
G F P
D. Technical Requirements – Assess the Contractor’s ability and capacity to fulfill the LEEDS technical requirements of the contract.
S F P
E. Management Control – Assess the Contractor’s willingness and ability to manage the construction waste, document submittals and closeout procedures.
S F P
F. Customer Satisfaction – Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE LEEDS matters.
S F P
G. Customer Satisfaction – Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.
S F P U
H. Repeat Business -- Would want this contractor to perform another LEEDS contract for you in the near future.
Yes No
I. List Contractor’s Weak Points:
J. List the Contractor’s Strong Points:
GS-11P-10-MK-D-0094 Page 1 of 2
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