Attachment_8_Questionnaire.pdf

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 th and D Streets, SW; Room 2021

Washington, DC 20407

Desired Response Date:

May 11, 2015

Solicitation Number: GS-11P-15-YM-C-0084

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.

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

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

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

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

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

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

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?

Extremely cooperative ( )

Satisfactorily cooperative ( )

Minimally cooperative ( )

Rarely cooperative ( )*

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

Extremely cooperative ( )

Satisfactorily cooperative ( )

Minimally cooperative ( )

Rarely cooperative ( )*

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

Problem solver ( )

Problem solver/generator ( )

Problem generator ( )*

3. Were the Contractor’s recommended solutions effective?

Extremely effective ( )

Generally effective ( )

Generally ineffective ( )*

Extremely ineffective ( )*

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

Always responsive ( )

Usually responsive ( )

Rarely responsive ( )

Unresponsive ( )*

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

Extremely responsive ( )

Responsive ( )

Somewhat responsive ( )

Rarely responsive ( )*

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?

Satisfactorily ( )

Somewhat satisfactorily ( )

Unsatisfactorily ( )*

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?

Constant requests for changes orders/cost increases ( )*

Moderate requests for cost increases via change order ( )

Request increases as appropriate ( )

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

Less than estimated cost ( )

Comparatively equal to the estimated cost ( )

Exceeded the estimated cost ( )

Considerably surpassed the estimated cost ( )*

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

Reasonably Accurate ( )

Occasionally inaccurate ( )

Often Inaccurate ( )*

BUSINESS RELATIONS:

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

Always responsive ( )

Generally responsive ( )

Rarely responsive ( )

Unresponsive ( )*

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

Provided adequate resources ( )

Provided sufficient resources ( )

Provided minimal resources ( )

Provided insufficient resources ( )*

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?

More than adequate ( )

Adequate ( )

Less than adequate ( )*

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