Attachments_1 2_Questionnaires_POTAX_GS11P12MKC0055.docx

ATTACHMENT 1: FIRM’S PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this Questionnaire and send by facsimile [(202) 708-4982] or electronic mail [Denise.Avery-Craft@gsa.gov] to:

Denise K. Avery-Craft, Contracting Officer, GSA, NCR 7th and D Streets, SW; Room 2021 Washington, DC 20407 Desired Response Date:

November 19, 2012

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 D-B CONTRACTOR OFFEROR for Potomac Annex Project for the Department of State in Washington, DC

1. CONTRACTOR’S (CM 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 (REFERENCE)

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.

EX = Exceptional VG = Very Good

S = Satisfactory MG = Marginal

US = Unsatisfactory N/O = Not Observed

A. Quality of Products and Services - Assess the Contractor’s conformance to contract requirements.

EX VG S MG US N/O

B. Overall Performance – Assess the Contractor’s overall performance as the Bridging Design Builder or Architect/Engineer (as appropriate) for the project.

EX VG S MG US N/O

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

EX VG S MG US N/O

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

EX VG S MG US N/O

E. Cost Control – Assess the Contractor’s willingness and ability to manage the contract budget and control costs.

EX VG S MG US N/O

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

EX VG S MG US N/O

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

EX VG S MG US N/O

H. Repeat Business -- Assess the likelihood that you would want this contractor to perform another contract for you in the near future.

EX VG S MG US N/O

I. List Contractor’s Weak Points:

J. List the Contractor’s Strong Points:

K. List any other projects this contractor has completed for you:

Evaluators Please Note: Those items marked with an asterisk below are considered negative responses. To be considered satisfactory, the client must not provide a negative response.

Was the contractor the prime contractor? ________(yes) ________(no)

Quality of Services/Timeliness of Performance:

1. Was the Contractor cooperative?

2. How cooperative was the Contractor in working with other contractors to solve problems?

2. Was the Contractor a problem solver or problem generator?

3. Were the Contractor’s recommended solutions effective?

4. How would you rate the firm’s responsiveness to your basic requirements and/or minor changes in the requirements?

5. How would you rate the firm’s responsiveness to emergency situations?

6. Did you issue any poor performance or cure notices to the Contractor during the contract period?

Yes ( )* No ( )

If the answer to questions 6 is yes, could you describe the nature of the problem?

7. Did the company satisfactorily respond to the deficiencies cited?

8. Were there any significant or recurring problems?

Yes ( )* No ( )

If the answer to question 8 is yes, could you describe

COST CONTROL:

9. Did the Contractor exhibit a propensity to submit unnecessary contract change proposals with cost or price increases?

10. To what extent did the Contractor meet proposed cost estimates?

11. To what extent were the cost estimates prepared by the contractor accurate?

BUSINESS RELATIONS:

12. Was the Contractor responsive to the administrative issues of the contract?

13. Did the Contractor commit adequate resources in a timely fashion to the contract to meet the minimum requirements and successfully solve any problems?

14. Did the Contractor’s employees have adequate knowledge of the required software systems and general technical knowledge as required by their specific job classification?

15. Would you contract with this firm again for the same services? Why or Why not?

ATTACHMENT 2: INDIVIDUAL’S PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this Questionnaire and send by facsimile [(202) 708-4982] or electronic mail [Denise.Avery-Craft@gsa.gov] to:

Denise K. Avery-Craft, Contracting Officer, GSA, NCR 7th and D Streets, SW; Room 2021 Washington, DC 20407 Desired Response Date:

November 19, 2012

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 PROSPECTIVE CONTRACT OFFEROR for Potomac Annex for the Department of State Project in Washington, DC

1. CONTRACTOR’S (CM 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 (REFERENCE)

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.

EX = Exceptional VG = Very Good

S = Satisfactory MG = Marginal

US = Unsatisfactory N/O = Not Observed

A. Quality of Products and Services - Assess the individual’s performance in assuring conformance to contract requirements.

EX VG S MG US N/O

B. Overall Performance – Assess the individual’s overall performance on the project.

EX VG S MG US N/O

C. Initiative – Assess the individuals use of initiative to avoid problems and to respond to problems.

EX VG S MG US N/O

D. Technical Requirements – Assess the individual’s knowledge and ability to fulfill the technical requirements of the contract.

EX VG S MG US N/O

E. Cost Control – Assess the individual’s ability and willingness to manage the contract budget and control costs.

EX VG S MG US N/O

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

EX VG S MG US N/O

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

EX VG S MG US N/O

H. Repeat Business -- Assess the likelihood that you would be willing to have this individual work on another project for you in the near future.

EX VG S MG US N/O

I. List individual’s Weak Points:

J. List the individual’s Strong Points:

K. List any other projects this individual has completed for you:

1. How long was this individual involved with this project?

2. What were his/her duties on this project?

3. Describe how this person met the milestones and if they were proactive in the management of the project, their responsiveness.

4. Describe the technical knowledge of this person during performance of this contract. (ADP skills, architectural/engineering problem solving, presenting information, etc.)

5. Describe the person’s proficiency in business controls (contracting, operations, accounting, and quality).

6. Describe the degree of difficulty or complicated aspects of the project (i.e. secure working areas, publicity and media coverage, etc.) and the person’s performance with difficult and complicated aspects of the project.

7. Were there any notable problems with this person’s performance, such as construction related matters that they could not resolve, how did they do at problem solving etc?

8. Describe why you would or would not contract with this person again for the same services.