7. C100663-E-WING_RENOVATION_SECTION_L-PAST_PERFORMANCE_QUESTIONNAIRE-04-27-17.docx
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- Attached to
- Building 10 E-Wing Renovation, Bethesda, MD Federal contract opportunity
- Solicitation number
- NIHOF2017154
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Attachment 7 - C100633 E-Wing Renovation Section L Past Performance Questionnarie
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PAST PERFORMANCE QUESTIONNAIRE
Your organization has been identified for participation in past performance evaluation on a current solicitation at the National Institutes of Health (NIH) at Bethesda, Maryland. This information contained in this questionnaire will be used to evaluate the past performance for the contractor and contracting action identified below.
Request for Proposal NIHOF2017154
Building 10 E-Wing Renovation, Bethesda, MD Construction Services Contract
Your candid response to the questions is important to our evaluation effort and may affect the award outcome. Please indicate "Unknown" in any area that was not applicable to work performed on your contracting action.
THE COMPLETED FORM MUST BE SUBMITTED BY MAIL, FAX OR E-MAIL TO THE FOLLOWING ADDRESS:
Regular mail:
ATTN: Jamila A. Garrett Contracting Officer National Institutes of Health Building 13, Room 2E48 13 South Drive Bethesda, Maryland 20814
FAX:
301-402-1103
E-mail:
Jamila.garrett@nih.gov
If you have any questions/ concerns pertaining to this survey and/or the requested information please contact Jamila A. Garrett, Contracting Officer, Institutes of Health, Office of Research Facilities, at 301-435-1611.
Thank you for your time and effort in completing this survey.
PAST PERFORMANCE QUESTIONNAIRE (PPQ) for NIHOF2017154
PART I – TO BE COMPLETED BY CONTRACTOR
For each Similar Project submitted under Factor B – Offeror’s Corporate Experience, Item 1 – Experience in Similar Projects, defined as projects currently in progress or completed within the last ten (10) years from the date of this solicitation due date and similar in complexity, type and size to the NIH requirement.
| Item |
| Requested Information |
| Information Provided by Contractor |
| A. |
| Contractor Name |
Contractor Address
| B. |
| Contract / Task Order Number |
| Role on Contract: |
| [ ] Prime [ ] Subcontractor |
If Subcontractor, Prime Contractor Name
| C. |
| Contract Type |
| [ ] Competitive [ ] Sole Source |
[ ] IDIQ Task Order [ ] Single Award
[ ] Firm Fixed Price or Fixed Unit Price [ ] T&M or Cost Reimbursement
| D. | |
| Initial Performance Dates | |
| From: | To: |
| Extensions | |
| From: | To: |
| If Work in Progress, Provide Percent Complete: |
| Percent Complete: |
| E. |
| Initial Costs |
| $ |
| Extensions Costs |
| $ |
| Total Costs |
| $ |
| F. |
| Work Complexity |
| [ ] Difficult [ ] Routine |
| G. |
| Was Contract Canceled Prior to Scheduled Completion Date? |
| [ ] Yes [ ] No |
| H. |
| Brief Description of Work |
| I. |
| Reference Organization / Agency Name |
| J. |
| Reference Organization Work Functions |
| K. |
| Reference Giver - Name, |
Title
Telephone
Extent of contact with Offeror personnel (daily, weekly, etc.)
PAST PERFORMANCE QUESTIONNAIRE for NIHOF2017154
PART II – TO BE COMPLETED BY OFFEROR’S REFERENCE
DEFINITIONS
Please use the following definitions when completing the Past Performance Questionnaire:
| Rating |
| Description |
| 5 |
| Essentially no doubt exists that the offeror successfully performed the required effort based on their performance record. |
| 4 |
| Little doubt exists that the offeror successfully performed the required effort based on their performance record. |
| 3 |
| Some doubt exists that the offeror successfully performed the required effort based on their performance record. |
| 2 |
| Significant doubt exists that the offeror successfully performed the required effort based on their performance record. |
| 1 |
| It is extremely doubtful that the offeror successfully performed the required effort based on their performance record. |
| N/A |
| The offeror has little/no relevant past performance upon which to base a meaningful performance prediction. This indicates neither a favorable nor unfavorable rating. |
IF THIS PROJECT IS NOT COMPLETE, PLEASE PROVIDE THE PERCENTAGE COMPLETE:
INSTRUCTIONS
On a scale of 1 to 5 (5 being the highest rating) rate the Offeror’s performance for each of the items listed below.
Place a ‘rating’ in the appropriate column using the definitions above.
Explain the rationale for each score in sufficient detail to facilitate the Evaluators in their review of the survey results. Indicate if an item is not applicable to the representative project.
| Item |
| Rating |
| Comments |
1 - Offeror’s Quality Control
Did the Contractor demonstrate an interest in the quality of workmanship of his personnel?
Did the contractor provide an adequate quality control plan and implement the plan with success?
Provided effective quality control and/or inspection procedures to meet contract requirements.
Was the documentation required by the quality control plan submitted timely and correctly?
When deficiencies were found, were they identified and corrected in a timely manner?
How would you rate the quality control of construction?
2 – Offeror’s Timeliness Performance
What was the level of accuracy in forecasting and controlling schedules?
Were there any delays and if so was resolution taken care of in a timely manner?
Were warranty calls, if placed, answered in a timely manner?
Did the contractor pay subcontractors/suppliers in a timely manner?
Provided services or completed task orders in accordance with the delivery schedule?
3 - Effectiveness of Offeror’s Management:
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
Key Personnel stayed intact over the life of the project – i.e. the Contractor did not experience frequent turnover of Key Personnel from the start to the finish of the project.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
Firm’s principals participated in solving significant local problems.
How effective was the level of communications?
Was the contractor cooperative and responsive to all concerns?
How would you rate the level of professionalism and integrity with which they conducted business?
Was there coordination and control of the contractor’s sub-contractor base and if problems arose was there timely resolution?
Was the Sub-contracting Plan implemented?
Was there adequate site cleanup?
Was there effectiveness in forecasting and controlling costs?
Provided accurate and complete line item cost proposals and schedule impacts for all aspects of work required for each change order?
How would rate the level of cooperation during the building Commissioning process?
How would rate the level of coordination provided during the occupancy/activation process?
4 – Compliance with Labor and Safety Standards:
Were payrolls properly completed and submitted?
Was the contractor’s safety plan adequate and was it implemented satisfactorily on a daily basis?
If deficiencies were found in either labor or safety standards, were they corrected timely?
5 – General Questions
How would you rate the contractor’s overall performance?
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “Comments.” | |
| YES________ | NO_________ |
| Would you award another contract to this contractor? If not, explain in “Comments.”? | |
| YES________ | NO_________ |
How would you rate the Contractor’s OVERALL performance?
If you have any comments concerning the referenced contractor which you feel would be of benefit to our evaluation for past performance, or want to explain further any answer to the above questions please provide them on this page.
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