J.17_IBM17R0008_Past_Performance_Questionnaire.pdf

International Boundary and Water Commission United States and Mexico United States Section

Past Performance Questionnaire Rehabilitation of Wasteways 1 and 2 Solicitation No. IBM17R0008

RETURN ALL QUESTIONNAIRES TO:

Lanisa McCollum Contracting Officer 4171 North Mesa, Ste C-100 El Paso, TX 79902

(915) 832-4120

Lanisa.McCollum@ibwc.gov

International Boundary and Water Commission United States and Mexico United States Section El Paso, Texas.

mailto:Lanisa.McCollum@ibwc.gov

Solicitation IBM17R0008 Rehabilitation of Wasteways 1 and 2

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:

Lanisa McCollum

Contracting Officer

Lanisa.McCollum@ibwc.gov

Note 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.

mailto:Lanisa.McCollum@ibwc.gov

Instructions For Completing Past Performance Questionnaire

Please complete the attached questionnaire using the following guidance:

A. 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.

B. 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:

E

(Exceptional)

Performance meets contractual requirements and exceeds many requirements. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

V

(Very Good)

Performance meets contractual requirements and exceeds some requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S

(Satisfactory)

Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor were, or appear to be, satisfactory.

M

(Marginal)

Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U

(Unsatisfactory)

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions were, or appear to be, ineffective.

N/A

(Not Applicable) Self-explanatory.

C. 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.

D. 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.

E. 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.

OFFEROR COMPLETE THIS PAGE

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):

REVIEWER COMPLETE THIS PAGE

Complexity of Your Project

What was the complexity of project being reviewed: ___________________________________

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.

Type of Work Offeror Type of Work Offeror

Clearing and grubbing Cast-in-place concrete

Excavation/earthwork Concrete formwork

Compacted backfill Dewatering

Trenching Sluice/Slide Gate Install

Trench shoring Welding

Levees Metal work

Gravel roadways Sheet piling

Hauling Concrete demolition

Dewatering Stormwater control

Reseeding/Revegetation Critical lifts

REVIEWER COMPLETE THIS PAGE

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.

Quality E V S M U N/A

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: ____________________________________________________________________

Timeliness E V S M U N/A

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.

Cost Control E V S M U N/A

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.

Business Relationships E V S M U N/A

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.

Customer Satisfaction Yes No N/A

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

2. You would be their advocate for future work.

Management E V S M U N/A

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.

Technical E V S M U N/A

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.

Environmental E V S M U N/A

1. Met the general environmental requirements.

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

3. Contractor promoted environmental awareness.

Design and Construction E V S M U N/A

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.

Safety E V S M U N/A

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.

Safety Yes No N/A

6. Were there any injuries on this project?

7. Were there any accidents on this project?

Please provide additional information to any “yes” answers.

Financial Management Yes No N/A

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.

General Information Yes No N/A

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:

THANK YOU FOR YOUR ASSISTANCE IN COMPLETING THIS QUESTIONNAIRE.

REVIEWER COMPLETE THIS PAGE

Additional Remarks Use additional pages if necessary.