DB Questionnaire 10-01-09.pdf

GS-08P-09-JA-C-0089

RECOVERY – Tier III Data Center Design/Build Amendment 0001

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 Design and Construction Division (8PC) 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)

USE THIS QUESTIONNAIRE FOR THE DESIGN-BUILDER

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 Design/Build services on the RECOVERY Tier III Data Center Design/Build, 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 29, 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: ____________________________________________________

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/superintendents Quickly/professionally resolves issues/disputes Review/resolution of subcontractors issues Clear line of supervision on construction site, effective Followed and maintained project budget Implementation of Subcontracting Plan (applicable to large businesses)

Construction Compliance with laws and regulations Coordination\control of subcontractors – ensures adherence to work schedule Resource Management – maintains good construction pace/work environment Site Management (i.e. materials properly staged/stored, job site cleanliness) Adequacy & adherence of initial progress schedule/submission of revisions Resolution of Delays Timely completion of punch-list items Adequacy and implementation of Safety Plan Use of specified/equal materials Identification/correction of deficient work in a timely manner Quality of workmanship Adequacy of QC Testing – provides all tests as required

Closeout/Warranty Submission of required documentation Timeliness of submissions Adequacy of As-Builts - maintains accurate red line drawings on site per specs Format of closeout documentation Warranty response Correction of noted deficiencies

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: ________________________________________________________________________

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: ______________________