Attachment_J-2a_Offeror's_Past_Performance_Questionnaire.pdf

Attachment J-2a: OFFEROR’S PAST PERFORMANCE QUESTIONNAIRE

WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

Washington Headquarters Services, Acquisition Directorate is considering the Offeror listed below for a Multiple Award Construction Contract. Your comments regarding the Offeror’s past performance will assist the Government in making a best value source selection. If the reference project is a Government project, you may forward a copy of the official performance evaluation. Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulations (FAR) 15.506(e)(1) prohibits the disclosure of the names of individuals providing reference information about an offeror’s past performance. In order to maintain the integrity of the source selection process, it is requested that you do not divulge the name of the Offeror, nor discuss your comments on this questionnaire with any other individuals.

Submit completed past performance questionnaires via email to lawrence.j.yates.civ@mail.mil and cc:

maria.a.calica.civ@mail.mil no later than ______________.

SECTION 1: CONTRACT IDENTIFICATION

A. Offeror: _____________________________________________________________

B. CAGE Code: _______________________________________

C. Contract number: ___________________________________________________________________________

D. Was the referenced Offeror the prime contractor on this contract? Yes____ No____

E. Type of Construction Contract: Design-Build_____ Bid-Build _____

F. Name of Architecture Engineering Firm: _________________________________

G. Contract type (e.g. Fixed price, Cost reimbursement): ______________________________________________

H. Period of performance: _______________________________________________________________________

I. Place of performance: _______________________________________________________________________

J. Initial Contract price: $_______________________________________________________________________

K. Current/final contract price: $__________________________________________________________________

L. Reason(s) for differences between initial contract price and final contract price: __________________________

M. Description of service(s) provided:

mailto:lawrence.yates@whs.mil mailto:maria.calica@whs.mil

SECTION 2: CUSTOMER/REVIEWER IDENTIFICATION

A. Customer Organization Name:

B. Reviewer's name/title:

C. Reviewer's phone/email address:

Number of months the reviewer worked on subject contract: _____________________

SECTION 3: EVALUATION

Past Performance Survey: Please use the following ratings to describe the Offeror’s performance on the contract or project. In responding to the survey, please justify and explain outstanding, marginal, and unacceptable ratings.

Respondent may be contacted to clarify comments or ratings.

Rating Description

Outstanding Performance greatly exceeded the contract requirements.

Good Performance exceeded the contract requirements.

Acceptable Performance met the contract requirements.

Marginal Performance met the minimum contract requirements but some material aspects of the Contractor’s performance were less than satisfactory.

Unacceptable Performance was poor and/or did not satisfy contract requirements.

Not Applicable No relevant performance record is available.

1. Quality of construction. (e.g. the degree to which the construction met customer requirements, conformance with building codes, quality of workmanship)

Outstanding Good Acceptable Marginal Unacceptable Not Applicable

Explain Rating:

2. Quality of project construction design. (e.g. the degree to which the construction design documents met the customer requirements, consider anticipated, unforeseen, and/or additional maintenance issues that may arise after construction, documents stamped and overseen by a licensed professional engineer, any unforeseen or required redesigning)

3. Quality of the Offeror’s process for ensuring compliance with safety standards (e.g. EM 385-1-1). Please describe any safety violations that occurred. Were any safety violations consistently repeated, not corrected in a timely manner?

4. Ability of Offeror to complete the project within schedule? If delays occurred, please explain the circumstances.

Outstanding Good Acceptable Marginal Unacceptable Not Applicable

5. The Offeror’s quality and timely submission of submittals (e.g. as-built drawings, construction/design schedules, materials, safety plans, Material Safety Data Sheets, obtaining permits)

Outstanding Good Acceptable Marginal Unacceptable Not Applicable

6. If there were change orders, work that is added to or deleted from the original scope of work of the contract, what were the Offeror’s ability to successfully perform the contract requirements with the change in scope. Include schedule impacts and response to same.

Outstanding Good Acceptable Marginal Unacceptable Not Applicable

7. Would you work with this company again in the future? If no, please explain.

Yes No

Explanation:

8. Overall rating for this Offeror:

Outstanding Good Acceptable Marginal Unacceptable Not Applicable

Thank you for your prompt response and assistance!

Please return completed questionnaire to:

Email scanned copy to: Lawrence.j.yates.civ@mail.mil CC: Maria.a.calica.civ@mail.mil

The E-Mail Subject Line Must Read: HQ0034-13-R-0014 Past Performance Questionnaire – [Insert Name of Offeror]