PERFORMANCE QUESTIONNAIRE for 36C78622R0020 Georgia NC Expansion Ph 2 Construction 922CM3006(8-8-2022).pdf
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- Attached to
- Y1FE--36C78622R0020 | Georgia NC; Expansion Ph 2 Construction 922CM3006 (VA-21-00103342)
- Solicitation number
- 36C78622R0020
About this file
This performance questionnaire requests feedback on a contractor's past performance on a construction project. It solicits ratings and comments on quality, performance, schedule, technical requirements, cost control, customer satisfaction, and overall assessment for a contract to construct approximately 6,624 pre-placed double-depth crypts, 362 oversized preplaced double-depth crypts, 294 traditional full casket gravesites, 6,944 in-ground cremation sites, and 7,300 columbarium niches at the Georgia National Cemetery. The related federal contract opportunity is a solicitation from the Department of Veterans Affairs National Cemetery Administration to conduct expansion Phase II construction work at the Georgia National Cemetery location for $922CM3006.
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Comments (for any ratings of E, G, M, or U, please provide some brief comments about strengths & weaknesses you observed in this contractor that help us understand your rating.
Feel free to provide additional pages if necessary):
PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and return it via email to: Kellyann Bruno (Kellyann.bruno@va.gov)
Desired Response Date: _________________
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
1a. CONTRACTOR NAME & ADDRESS: 2. CONTRACT NO.:
3. CONTRACT AWARD DATE:
4. COMPLETION DATE:
5. CONTRACT VALUE (with options): $ 1b. NAME OF PRIME CONTRACTOR (If this questionnaire is for a team member)
6. TYPE OF CONTRACT:
7. PROJECT TITLE, LOCATION, AND DESCRIPTION (AND TOTAL CONSTRUCTION VALUE AT PROJECT COMPLETION):
Please add a continuation page if additional space necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.
E = Exceptional S = Satisfactory U = Unacceptable G = Very Good M = Marginal N/O = Not Observed
A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).
E G S M U N/O
B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
E G S M U N/O
C. Schedule – Assess the timeliness of contractor against the schedule of activities.
E G S M U N/O
D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.
E G S M U N/O
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
E G S M U N/O
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.
E G S M U N/O
G. Overall Assessment.
E G S M U N/O
File details come from the government source that posted it. Updated .