J.13_Past_Performance_Questionnaire.doc

[Type text]

International Boundary and Water Commission United States and Mexico

United States Section

Past Performance Questionnaire

Flood Control Improvements at North Floodway Levees and Union Pacific Railroad Crossings Solicitation No. IBM16R0003

RETURN ALL QUESTIONNAIRES TO:

Philip Johnson Contracting Officer

4171 North Mesa, Ste C-100

El Paso, TX 79902

(915) 832-4714 Philip.Johnson@ibwc.gov

Past Performance Questionnaire

Note: Past performance information is required for each team member and each major subcontractor. The Offeror shall ensure that a Past Performance Questionnaire is completed for each project used to demonstrate experience and past performance ratings in Volume II. Relevant past performance information is defined as work of a similar nature to that shown in the Solicitation and accomplished during the past 5 years.

Questionnaires are to be completed by the contracting activity (e.g., owners, clients, and prime contractors) responsible for the particular projects and furnished by the completing party directly to:

Philip Johnson Contracting Officer

4171 North Mesa, Ste C-100

El Paso, TX 79902

Completed questionnaires can be faxed to:

(915) 493-2498, ATTN: Philip Johnson or emailed to:

Philip.Johnson@ibwc.gov For emailing:

· If using the form fields contained in this pdf, either sign the form electronically or scan Respondent Information (Page 11 of 12) page at a minimum resolution of 300 dpi in color.

· If filling out the form by hand, please scan the whole document at a minimum resolution of 300 dpi in color.

Instructions For Completing Past Performance Questionnaire

Please complete the attached questionnaire using the following guidance:

A. Handwritten responses are sufficient.

B. Questions 1 through 8 shall be completed by the Offeror. All other parts of the questionnaire shall be completed by companies or agencies who hired the Offeror.

C. Indicate, based on the adjectives (use letter designation below), the contractor’s performance on the identified program. Assessments should reflect only contractor-liable performance. The following is a definition of the rating levels:

D. Please mark the box under the letter corresponding to your rating, or mark “N/A” if you are unable to provide a rating for an area.

E. Please provide narrative explanations for your answers. Space for your narrative remarks is provided after each area. If more space is required, attach additional sheets.

F. In addition to completing the attached questionnaire for the identified program, please provide your comments on other programs for which your activity has contracts with this firm. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization.

Business and Project Identification

(This page to be completed by Offeror.)

1.

Offeror's company name:

2.

Project title:

3.

Description of the project:

4.

Period of performance:

a.

Original schedule:

b.

Current or actual schedule:

c.

Number of times it changed:

d.

Primary causes of changes:

5.

Contract dollar value at time of selection:

a.

Original project dollar value:

b.

Current or actual value at time of completion:

c.

Number of times it changed:

d.

Primary causes of changes:

6.

Current or actual completion date, and if not complete, percentage of completion:

7.

Was Offeror prime contractor, subcontractor, or vendor:

8.

Location of project:

9.

Specific role of Offeror and person(s) or organization(s) identified as participants in the project (please provide name, title, affiliation, business address, and telephone number for each team member):

Complexity of Project

What was the complexity of project:

For example:

highly complex - multiple construction disciplines with a short time frame moderately complex - simpler construction with one or two difficult areas average - one or two construction disciplines with no problems simple - straight forward construction with nothing out of the average

Please indicate items that the Offeror performed as part of this project.

Excavation/earthwork

Water Stop Logs

Compacted backfill

Sheet Piling

Critical lifts

Cast-in-place concrete placements

Trench shoring

Concrete formwork

Hauling

Drilled Shaft Foundations

Borrow site utilization

Underground Utility location

Levees

Precast concrete installation

Gravel/flex base roadways

Traffic control

Geotechnical materials testing

Project Signage

Dewatering

Reseeding/Revegetation

Past Performance

Rating Scale:

E = Exceptional V = Very Good S = Satisfactory

M = Marginal

U = Unsatisfactory N/A = Not Applicable

See page 3 for complete rating descriptions.

1. Overall quality of the project.

2. Key management/design/construction personnel qualifications to perform the requirements of project.

3. Quality of the subcontractor’s work.

4. Accuracy of the record keeping procedure and the ability to prepare accurate reports.

5. Procedures that ensured that the level of quality remains constant throughout the project.

6. Contractor's quality program in identifying, correcting, and preventing initial and recurring discrepancies.

7. Contractor's quality control manager was onsite during project work.

Comments:

1. Timeliness in completing the project.

2. Meeting program schedule and monitoring critical milestones.

3. Timeliness in completing reports.

4. Proving a process for timely responses to requests for modifications.

1. Provided good products/materials, considering the price paid for the items.

2. Demonstrated financial stability during the project performance period.

3. Demonstrated reasonableness of proposed modification costs.

1. Cooperation in solving problems.

2. A good relationship with technical personnel.

3. A good relationship with contracting office personnel.

4. A good relationship with subcontractors.

5. Compliance with the terms of the contract.

1. You, as the end user, were satisfied with the services performed.

2. You would be their advocate for future work.

1. Adequate, qualified overall project management.

2. Site supervisor understood project scope and work.

3. Management kept crews busy, materials on site, and equipment in working order.

4. Contractor's ability to manage subcontractors.

5. Site supervisor was onsite during project work.

1. Met the general and detailed design specifications requirements.

2. Ensured the technical data and details submitted were acceptable.

3. Submittals were well researched and clearly identified the proposed item.

1. Met the general environmental requirements.

2. Adequacy of contractor's environmental program, oversight, compliance, and management.

3. Contractor promoted environmental awareness.

1. Your satisfaction with the methods of construction.

2. The promptness and quality of completion of punch list items.

3. Your satisfaction with the response to warranty calls.

4. General housekeeping and site upkeep.

1. Offeror maintained the site in a safe manner.

2. There was a comprehensive safety plan in place that was enforced.

3. Any unsafe work methods, materials, or employees were removed or changed immediately.

4. Employees viewed safety equipment as a necessity.

5. Contractor promoted safety awareness.

6. Were there any injuries on this project?

7. Were there any accidents on this project?

Please provide additional information to any “yes” answers.

1. Were there any instances where subcontractors were not paid?

2. Were any liens placed against the project?

3. To your knowledge, have any key personnel associated with this Offeror been indicted on any criminal charges within the past 10 years?

4. Did any submitted payrolls fail to meet minimum wage rates?

5. Did employees complain about not being paid?

Please provide additional information to any “yes” answers.

1. Has this Offeror demonstrated capability to work independently and without significant customer oversight?

2. Given a choice, would you use this Offeror again?

Respondent Information

The following information will assist with the analysis of the data. This information will be kept

CONFIDENTIAL.

Name (please print):

Signature:

Agency/company:

Address:

Work phone number:

Email address:

Your role relative to the project/contract:

(Contracting Officer, Inspector, Contract Administration, Buyer, Quality Assurance Evaluator, Other - explain)

Length of involvement in project/contract:

Date the questionnaire was completed:

Do you know anyone else who can provide information regarding this Offeror’s performance?

Name:

Phone:

Name:

Phone:

Name:

Phone:

THANK YOU FOR YOUR ASSISTANCE IN COMPLETING THIS QUESTIONNAIRE.

Additional Remarks

Use additional pages if necessary.

International Boundary and Water Commission

United States and Mexico

United States Section

El Paso, Texas.

Past Performance Questionnaire