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Advertised with Solicitation W9127821R0019
QUALITY OF PAST PERFORMANCE SURVEY FORM FOR DESIGN FIRMS (PPQ)
A. GENERAL INFORMATION:
Company Name & DUNS: _________________________________________________________ Address: _______________________________ Telephone Number: ________________________ ________________________________________ Point of Contact: _________________________ Name and Location of Project/Contract Number/Start and Completion Date:__________________ Contractor Performed as the Design Firm (Prime), the Design Sub-consultant
B. CLIENT INFORMATION:
Name of Client: ________________________ Title: ____________________________________ Address: _______________________________ Telephone Number: _______________________ Client’s Signature: _______________________________________________________________
C. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation.
| Unsatisfactory |
| Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective. |
Marginal Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
| 3 |
| None |
| No record of past performance or the record is inconclusive. |
| Satisfactory |
| Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. |
| Very Good |
| Performance met all contract requirements and exceeded some to the owner’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner. |
| Exceptional |
| Performance met all contract requirements and exceeded many to the owner’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner. |
PAST PERFORMANCE SURVEY FORM
The Design Firm:
| 1. |
| Provided experienced design managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified design personnel during the contract period. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 3. |
| Delegated authority to project design managers and supervisors commensurate with contract requirements. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 4. |
| Provided technically correct designs, code compliant, and complying with the contract requirements. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 5. |
| Followed approved quality control plan for design. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 6. |
| Provided effective quality control and/or technical review procedures to meet contract requirements. Responsive the customer review comments. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 7. |
| Corrected design errors or conflicting design information in timely manner and pursuant to their quality control procedures. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 8. |
| Provided timely responses to review comments. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 9. |
| Identified risks/problems as they occurred. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 10. |
| Suggested alternative approaches to problems. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 11. |
| Displayed initiative to solve problems. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 12. |
| Developed realistic progress schedules. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 13. |
| Met established project schedules. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 14. |
| Provided quality shop drawing reviews during the construction phase of the project. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 15. |
| Was responsive to contract changes. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 16. |
| Design Firms interaction with the Owner when developing project requirements. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 17. |
| Provided accurate and complete cost proposals including all aspects of work required. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 18. |
| Would you award another contract to this design firm? If not, explain in “remarks.” |
| YES |
| NO |
| 19. |
| OVERALL EVALUATION OF DESIGN FIRM’S PERFORMANCE. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
Remarks:________________________________________________________________________________________________________________________________________________________
Client’s Signature & Date: ___________________________________________________