ATTACHMENT_8-_Organizations_Performance_Questionnaire_LEEDS_FINAL.pdf

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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 7 th

Street, SW, Room 2021

Washington, DC 20407

Ref: Solicitation No. GS-11P-12-MK-C-0055

Desired Response Date:

January 14, 2013

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.

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C. Schedule – Assess the timeliness of the Contractor against the LEEDS schedule of activities (as appropriate).

D. Technical Requirements – Assess the Contractor’s ability and capacity to fulfill the LEEDS technical requirements of the contract.

EX VG S F P U

E. Management Control – Assess the Contractor’s willingness and ability to manage the construction waste, document submittals and closeout procedures.

F. Customer Satisfaction – Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE LEEDS matters.

G. Customer Satisfaction – Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.

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: