Questionnaire Team Member in Word Format.doc

USE THIS QUESTIONNAIRE FOR THE DESIGN TEAM PERSONNEL

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 Tier III Data Center New Construction project at Denver Federal Center in Lakewood, 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 29, 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: ____________________________________________________

USE THIS QUESTIONNAIRE FOR THE DESIGN TEAM PERSONNEL

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

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.

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.

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.

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.

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

Followed and maintained project budget

Design

Design submittals provided on time/schedule

Adequacy of submittals - re-submittals not excessive, clear/concise data

Timeliness of response to design comments

Inclusion of proper, industry accepted, documents

Plans comply w/applicable codes and are properly designed/stamped/approved

Quickly identifies design issues for resolution

Competency of design staff

USE THIS QUESTIONNAIRE FOR THE DESIGN TEAM PERSONNEL

Closeout

Submission of required documentation

Timeliness of submissions

Adequacy of As-Builts

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: ________________________________________________________________________

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. 2116 ATTN: Beverly Carey (8PSD) EMAIL: beverly.carey@gsa.gov Respondent Signature: _________________________________________ Date: ______________________

Part IV Projects

For Design/Build Team (DBT), Construction and/or Design Project Name

Project Address

Specific Building Function

(e.g., corporation HQ, federal office building)

New Construction or Renovation (circle one)

Name of Contractor (DBT)

Address of Offeror's office where project was managed

Name of Project Manager

Name of contractor's on-site Superintendent

Acreage of site-work including building Footprint(s)

Gross Square Feet

Office space including incidental areas

Parking Area

Parking structure

Construction Type (structural frame/floors) of Building

Design Excellence Strategies ________________________________________ Facade material(s) of Building _________________________________________ Other Items of Interest _________________________________________________ Construction Cost Original Award Amount

Construction Cost

Critical Dates Construction Start Date

Original Scheduled Completion Date

Actual Completion Date

Construction work performed by Offeror's work force

Number of claims against Offeror by owner

Total Dollar amount of claims

Nature of claims Provide a brief description of Project challenges and/or project-unique issues

How did the development and compromises in this project effect the design quality and performance of the building as it was designed and delivered by the DBT?

�Provide Date