Part III Questionnaire.pdf
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- Solicitation number
- RECOVERY-GS-08P-10-JA-C-XXXX-CMa
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RECOVERY - Tier III Data Center Construction Management as Agent GS-08P-10-JA-C-0002 Past Performance Questionnaire
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Phase 1 – Request For Qualifications GS-08P-10-JA-C-0002 CMa Services for the Tier III Data Center New Construction, DFC Lakewood, CO
GSA, Rocky Mountain Region Denver Federal Center Service Center i
Part III Past Performance Questionnaire
Note: Completed questionnaires shall be considered confidential information and may not be seen or reviewed by the contractor/Offeror. Mail or email completed questionnaires directly to:
Attention: Beverly Carey, Contracting Officer General Services Administration Denver Federal Center Service Center (8PSD) Building 41, Denver Federal Center Lakewood, CO 80225
Beverly.Carey@gsa.gov
Name:
Company: ________________________________________________
Role/position during construction: _____________________________
Current Telephone No.: _____________________________________
(Use this cover sheet for each past performance questionnaire submitted)
Denver Federal Center Service Center ii
USE THIS QUESTIONNAIRE FOR THE CONSTRUCTION MANAGEMENT COMPANY’S PAST
PERFORMANCE
CONTRACTOR PERFORMANCE EVALUATION QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
U.S. GENERAL SERVICES ADMINISTRATION
PUBLIC BUILDINGS SERVICE
ROCKY MOUNTAIN REGION
OVERVIEW
The Offeror shown below is submitting qualifications for Construction Manager (as Agent) services on the Byron G.
Rogers FOB Modernization project in Denver, Colorado, and provided your name as a customer reference. Part of our evaluation process requires information on the Offeror’s past performance. Your participation is important to us and responses are required by October 27, 2009, 2:00 PM (Mountain Time) for inclusion in our evaluation. Your assistance is greatly appreciated.
SECTION 1: Contract Identification To be completed by the Offeror and provided to the customer referenced
Name of Offeror being evaluated: _______________________________________
Project Number/Title: _________________________________________________
Project Location:_____________________________________________________
Project Description: ___________________________________________________
Project Award Amount: $_______________________________________________
Project Final Dollar Amount: $___________________________________________
Year Completed: _________ Project Manager: _________________________
SECTION 2: Respondent Identification
Name of Evaluator: ________________________________________________
Relation to Contract/Project: ___________________________________________
Company Name: ____________________________________________________
Phone Number (Commercial/DSN): ____________________________________
Email Address: ____________________________________________________
Denver Federal Center Service Center iii
SECTION 3: Rating of Offeror To be completed by the customer:
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
Score Performance Level
5 EXCELLENT - The contractor’s performance meets contractual requirements and exceeds many
(requirements) to the Government’s or customer’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
4 VERY GOOD- The contractor’s performance meets or exceeds contractual requirements to the
Government’s or customer’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
3 ACCEPTABLE – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appears, or were, satisfactory.
2 MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.
1 UNACCEPTABLE – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
N NOT APPLICABLE - Unable to provide a score.
5 4 3 2 1 N Management Professional conduct Cooperation/responsiveness –timely, solicits feedback, suggests alternatives Offeror is easy to work with, friendly, courteous Oversight of project management Quickly/professionally resolves issues/disputes Review/resolution of project issues
Denver Federal Center Service Center iv
SECTION 4: Narrative Summary Please indicate in writing any additional comments you have of the Offeror and suggestions you may have concerning the following categories:
Strengths of performance:
Weaknesses of performance:
Additional Thoughts:
Would you hire this firm again? __________________________________________________________
Denver Federal Center Service Center v
SECTION 5: Submission Thank you for taking the time to fill out this questionnaire. As stated above, when filled in this document is source selection sensitive information IAW FAR 3.104. When completed please mail, hand-deliver, or email directly to:
U.S. General Services Administration Public Buildings Services P.O. Box 25546 Denver, Colorado 80225-0546 PHONE: (303) 236-8000, Ext. 5257 ATTN: Beverly Carey (8PSD) EMAIL: beverly.carey@gsa.gov
Respondent Signature: _________________________________________ Date:_______________
Denver Federal Center Service Center vi
USE THIS QUESTIONNAIRE FOR THE PROJECT CONSTRUCTION MANAGER AND PROJECT
ENGINEER’S PAST PERFORMANCE
CONTRACTOR PERFORMANCE EVALUATION QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
U.S. GENERAL SERVICES ADMINISTRATION
PUBLIC BUILDINGS SERVICE
ROCKY MOUNTAIN REGION
OVERVIEW
The Offeror shown below is submitting qualifications for Construction Manager (as Agent) services on the Byron G.
Rogers FOB Modernization project in Denver, Colorado, and provided your name as a customer reference. Part of our evaluation process requires information on the Offeror’s past performance. Your participation is important to us and responses are required by October 27, 2009, 2:00 PM (Mountain Time) for inclusion in our evaluation. Your assistance is greatly appreciated.
SECTION 1: Contract Identification To be completed by the Offeror and provided to the customer referenced
Name of Offeror being evaluated: _______________________________________
Project Number/Title: _________________________________________________
Project Location:_____________________________________________________
Project Description: ___________________________________________________
Project Award Amount: $_______________________________________________
Project Final Dollar Amount: $___________________________________________
Year Completed: _________ Project Manager/Engineer: __________________
SECTION 2: Respondent Identification
Name of Evaluator: ________________________________________________
Relation to Contract/Project: ___________________________________________
Company Name: ____________________________________________________
Phone Number (Commercial/DSN): ____________________________________
Email Address: ____________________________________________________
Denver Federal Center Service Center vii
SECTION 3: Rating of Offeror To be completed by the customer:
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
Score Performance Level
5 EXCELLENT - The contractor’s performance meets contractual requirements and exceeds many
(requirements) to the Government’s or customer’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
4 VERY GOOD- The contractor’s performance meets or exceeds contractual requirements to the
Government’s or customer’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
3 ACCEPTABLE – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appears, or were, satisfactory.
2 MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.
1 UNACCEPTABLE – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
N NOT APPLICABLE - Unable to provide a score.
Management Professional conduct Cooperation/responsiveness –timely, solicits feedback, suggests alternatives Offeror is easy to work with, friendly, courteous Oversight of project management Quickly/professionally resolves issues/disputes
Performance Submittals provided on time/schedule Adequacy / Accuracy of submittals Timeliness of response to comments Quickly identifies issues for resolution
Denver Federal Center Service Center viii
Closeout Submission of required documentation Timeliness of submissions Format of closeout documentation
SECTION 4: Narrative Summary Please indicate in writing any additional comments you have of the Offeror and suggestions you may have concerning the following categories:
Strengths of performance:
Weaknesses of performance:
Additional Thoughts:
Would you work with this individual again? _________________________________________________
Denver Federal Center Service Center ix
SECTION 5: Submission Thank you for taking the time to fill out this questionnaire. As stated above, when filled in this document is source selection sensitive information IAW FAR 3.104. When completed please mail, hand-deliver, or email directly to:
U.S. General Services Administration Public Buildings Services P.O. Box 25546 Denver, Colorado 80225-0546 PHONE: (303) 236-8000, Ext. 5257 ATTN: Beverly Carey (8PSD) EMAIL: Beverly.Carey@gsa.gov
Respondent Signature: _________________________________________ Date: _______________
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