Past Performance Questionnaire From Source Selection Plan 7-9-21.pdf

ATTACHMENT 1, PRIOR EXPERIENCE ON RELEVANT PROJECTS - OFFEROR WORKSHEET

Project Title: Indefinite Delivery / Indefinite Quan�ty Mul�ple Award Construc�on Term Contract with Design Build Capabili�es Loca�on: Government owned and leased facili�es located in Alexandria, and Northern VA surrounding coun�es

Name and loca�on of the project.

A detailed descrip�on of the project:

Indicate if the project was performed under an IDIQ, blanket purchase agreement or other type of master contract:

Project start and comple�on dates:

Construc�on cost at award and the final construc�on cost at construc�on comple�on:

Describe your role in the project (i.e. prime or subcontractor):

Describe the amount and type of work you performed with in-house forces and the work that was accomplished by subcontractors:

Describe any problems encountered and the correc�ve ac�ons taken:

Name, Phone number and email address of the client’s contact person, a primary contract and a secondary contact (at least one contact must be the owner):

If the team is proposing as a joint venture, the team will be required to discuss if the joint venture has experience working together in the past. If a team is proposing as a joint venture, the team will be required to provide a copy of the joint venture agreement.

PBS PAST PERFORMANCE QUESTIONNAIRE

CONTRACT INFORMATION (Contractor/Offeror to complete Blocks 1-4)

1. CONTRACTOR/OFFEROR INFORMATION

Firm Name:

Address:

Phone Number:

DUNs Number:

Contact Name

Email Address: :

Contact Phone Number:

2. GENERAL WORK INFORMATION

Work performed as: ☐ Prime Contractor ☐ Subcontractor ☐ Joint Venture ☐ Other (Please explain):

Percent (%) of project work performed:

If a subcontractor, who was the prime (Name/Phone #):

INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE: PBS requests that the client completes this ques�onnaire and submits it directly back to the offeror. The offeror will submit the completed ques�onnaire to PBS with their proposal, and may duplicate this ques�onnaire for future submission on PBS solicita�ons. Clients are highly encouraged to submit ques�onnaires directly to the offeror. However, ques�onnaires may be submi�ed directly to PBS. Please contact the offeror for PBS POC informa�on. The government reserves the right to verify any and all informa�on on this form.

3. CONTRACT INFORMATION

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: ☐ Firm Fixed Price ☐ Cost Reimbursement ☐ Other (Please explain)

Contract Title:

Contract Loca�on:

Award Date (mm/dd/yy):

Contract Comple�on Date (mm/dd/yy):

Actual Comple�on Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price ( to include all modifica�ons, if applicable ):

Explain Differences:

4. PROJECT DESCRIPTION

Complexity of Work: ☐ High ☐ Med ☐ Rou�ne

How is this project relevant to the project of submission? ( Please provide details such as similar equipment, requirements, condi�ons, etc. )

Use the following adjec�ve ra�ngs and defini�ons in your evalua�on of the Contractor’s performance .

RATING DEFINITION NOTE

(E) Excep�onal

Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which correc�ve ac�ons taken by the contractor were highly effec�ve.

An Excep�onal ra�ng is appropriate when the Contractor successfully performed mul�ple significant events that were of benefit to the

Government/Owner. A singular benefit, however, could be of such magnitude that it alone cons�tutes an Excep�onal ra�ng. Also, there should have been NO significant weaknesses iden�fied.

(G) Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which correc�ve ac�ons taken by the contractor were effec�ve.

A Good ra�ng is appropriate when the

Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses iden�fied.

(S) Sa�sfactory

Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which correc�ve ac�ons taken by the contractor appear or were sa�sfactory.

A Sa�sfactory ra�ng is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses iden�fied. Per DOD policy, a fundamental principle of assigning ra�ngs is that contractors will not be assessed a ra�ng lower than Sa�sfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet iden�fied correc�ve ac�ons.

The contractor's proposed ac�ons appear only marginally effec�ve or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(U) Unsa�sfactor y

Performance does not meet most contractual requirements and recovery is not likely in a �mely manner. The contractual performance of the element

An Unsa�sfactory ra�ng is appropriate when mul�ple significant events occurred that the contractor had trouble overcoming and which impacted the

TO BE COMPLETED BY CLIENT

or sub-element contains serious problem(s) for which the contractor's correc�ve ac�ons appear or were ineffec�ve.

Government/Owner. A singular problem, however, could be of such serious magnitude that it alone cons�tutes an unsa�sfactory ra�ng.

(N) Not Applicable

No informa�on or did not apply to your contract

Ra�ng will be neither posi�ve nor nega�ve.

CLIENT INFORMATION

Client Point of Contact Informa�on

Name:

Title:

Phone Number:

Email Address:

Project Informa�on

Contract Type:

Contract Title:

Contract Loca�on:

Describe your role in the project:

Date Ques�onnaire was completed (mm/dd/yy):

Client’s Signature:

Instruc�ons: Please select the adjec�ve ra�ng that best reflects your evalua�on of the contractor’s performance.

1. QUALITY: E G S M U N

(a) Quality of technical data/report prepara�on efforts. ☐ ☐ ☐ ☐ ☐ ☐

(b) Ability to meet quality standards specified for technical performance.

(c) Timeliness/effec�veness of contract problem resolu�on without extensive customer guidance.

(d) Adequacy/effec�veness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance).

2. SCHEDULE/TIMELINESS OF PERFORMANCE: E G S M U N

(a) Compliance with contract delivery/comple�on schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below.)

(b) Rate the contractor’s use of available resources to accomplish tasks iden�fied in the contract.

3. CUSTOMER SATISFACTION: E G S M U N

(a) To what extent were the end users sa�sfied with the project?

(b) Contractor was reasonable and coopera�ve in dealing with your staff (including the ability to successfully resolve disagreements/disputes; responsiveness to administra�ve reports, businesslike and communica�on).

(c) To what extent was the contractor coopera�ve, businesslike, and concerned with the interests of the customer?

(d) Overall customer sa�sfac�on. ☐ ☐ ☐ ☐ ☐ ☐

4. MANAGEMENT/ PERSONNEL/LABOR E G S M U N

(a) Effec�veness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

(b) Ability to hire, apply, and retain a qualified workforce to this effort.

4. MANAGEMENT/ PERSONNEL/LABOR - Con�nued E G S M U N

(c) Government Property Control. ☐ ☐ ☐ ☐ ☐ ☐

(d) Knowledge/exper�se demonstrated by contractor personnel.

(e) U�liza�on of Small Business concerns. ☐ ☐ ☐ ☐ ☐ ☐

(f) Ability to simultaneously manage mul�ple projects with mul�ple disciplines.

(g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execu�on and response to Government changes.

(h) Effec�veness of overall management (including ability to effec�vely lead, manage and control the program).

5. COST/FINANCIAL MANAGEMENT E G S M U N

(a) Ability to meet the terms and condi�ons within the contractually agreed price(s)?

(b) Contractor proposed innova�ve alterna�ve methods/processes that reduced cost, improved maintainability or other factors that benefited the client.

(c) If this is/was a Government cost type contract, or a CMc/CMc at Risk Contract, please rate the Contractor’s �meliness and accuracy in submi�ng monthly invoices with appropriate back-up documenta�on, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).

(d) Is the Contractor’s accoun�ng system adequate for management and tracking of costs? ( If no, please explain in the comment sec�on below.)

☐ Yes ☐ No

(e) If this is/was a Government contract, has/was this contract been par�ally or completely terminated for default or convenience or are there any pending termina�ons?

( Indicate if show cause or cure no�ces were issued, or any default ac�on in comment sec�on below.)

☐ Yes ☐ No

(f) Have there been any indica�ons that the contractor has had any financial problems? ( If yes, please explain in the comment sec�on below.)

☐ Yes ☐ No

6. SAFETY/SECURITY E G S M U N

(a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues? (Includes: following the users rules, regula�ons, and requirements regarding housekeeping, safety, correc�on of noted deficiencies, etc.).

(b) Contractor complied with all security requirements for the project and personnel security requirements.

7. GENERAL E G S M U N

(a) Ability to successfully respond to emergency and/or surge situa�ons (including no�fying COR, PM or Contrac�ng Officer in a �mely manner regarding urgent contractual issues).

(b) Compliance with contractual terms/provisions (If there were specific issues, please explain in the comments sec�ons below

(c) In summary, provide an overall ra�ng for the work performed by this contractor.

8. SUSTAINABILITY

Did this project include sustainable methods, materials, processes or cer�fica�ons? (See Whole Building Design Guide for acceptable requirements. Link to guide WBDG Green Building Standards and Cer�fica�on Systems .) (If yes, please explain in the comments sec�on below.)

☐ Yes ☐ No

9. SUMMARY

Would you hire or work with this firm again? (If no, please explain in the comments sec�on below.)

☐ Yes ☐ No

COMMENTS SECTION

Please provide addi�onal informa�on below, and a�ach addi�onal pages if necessary.

Please provide responses to the above ques�ons (if applicable) and/or addi�onal remarks. Also please provide a brief narra�ve addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evalua�ng performance risk (please a�ach addi�onal pages if necessary) :