Past_Performance_Questionnaire.docx

THIS IS FOR INFORMATIONAL PURPOSES ONLY. OFFEROR IS TO SUBMIT REFERENCES AND THE REFERENCER MUST COMPLETE THE QUESTIONNAIRE AND FORWARD IT TO THE CONSTRACT SPECIALIST.

INSTRUCTIONS FOR PAST PERFORMANCE QUESTIONNAIRE

Instructions for Past Performance Reference:

1. You have been designated as the point of contact for information relative to the past performance history/experience of an offeror competing on a task for the Federal Bureau of Prisons.

2. Please complete the attached Past Performance Questionnaire and return it to Nikki N. Adkins, Contract Specialist, at facsimile number (202) 616-6055.

3. It is very important that you complete and return this Questionnaire at your very first opportunity and no later than Thursday, February 19, 2015.

4. The information you provide is necessary and is considered an important component of the evaluation process.

5. The information contained herein shall be treated as source selection sensitive and will not be provided to the contractor(s), including sources.

6. You may be contacted by the FBOP during the course of the evaluation process for further information. If you are other than a Federal Agency and require consent from the contractor/offeror to release information, the contractor/offeror will provide you with that consent (if not provided concurrent with these Instructions and Questionnaire).

7. In the event you are a Federal Agency and you have performance evaluation records generated under FAR Subpart 42.15, please forward those records to me concurrent with the return of the completed Questionnaire.

Please complete and return this form to me via facsimile at (202) 616-6055.

If you have any additional questions, please contact me at (202) 307-0954.

Thank you, Nikki N. Adkins, Contract Specialist Property Management Section

PAST PERFORMANCE QUESTIONNAIRE

I. CONTRACT IDENTIFICATION

A. CONTRACTOR’S NAME ________________________________

B. CONTRACT NUMBER/LOCATION _______________________________

C. CONTRACT TYPE _______________________________

(Fixed Price, etc.)

D. PERIOD OF PERFORMANCE _______________________________

E. ACTUAL OR ESTIMATED MAXIMUM _______________________________

CONTRACT TOTAL

(Including all option periods and modifications)

F. CLIENT IDENTIFICATION

1. NAME OF GOVERNMENT ACTIVITY: Include Point of Contact, Phone number, Fax number and Address.

2. NAME OF COMMERCIAL ACTIVITY: Include Point of Contact, Phone number, Fax number, and Address.

RFP No:RFP0700CCPNP10137 500 First Street Parking Garage Contracting Officer: Nikki N. Adkins Telephone: (202) 307-0954/ Fax (202)616-6055 E-mail: nxadkins@bop.gov

II. ASSESSMENT OF CONTRACTORS PERFORMANCE

Please rate the contractors performance in the following categories on a scale of 0 to 4 as follows: 0 = Unacceptable; 1 =Poor; 2 = Marginal to Fair; 3 = Good to Excellent; and 4 = Outstanding to Superior. Also, please provide a detailed explanation/narrative in support of each rating in the space provided. If the space is insufficient, please continue on an attached sheet.

A. Past Performance Quality Control and Quality Assurance

RATING:

Please rate/explain the quality of the contractor's performance, including fulfillment of contractual requirements, quality of design, commitment to Owner satisfaction, professionalism and dependability, and workmanship. Also rate the timeliness of the contractor's performance. Was the project completed and if so, were the milestones/phases achieved in a timely manner. Did the contractor properly provide, progress/schedules?

Explanation/Narrative:_______________________________________________

B. Relevance of Past Performance

RATING:

Please explain the type/scope/magnitude of related services provided by the contractor or contractor's team.

Explanation/Narrative:_______________________________________________ ___________________________________________________________________

C. Demonstrated Commitment of Team Members and Key Personnel

RATING:

Please rate the contractor's leadership/management abilities relative to its use of subcontractors/team members. Please explain the rating and discuss the extent of the contractor's reliance upon team members/subcontractors for performance and how did the team members/subcontractors function and cooperate during performance? Please rate and explain the contractor's personnel turnover, if any, including turnover of key/critical personnel and turnover of team members/subcontractors.

Explanation /Narrative: ___________________________________________ ___________________________________________________________________

D. Performance Problems:

RATING:

Were there any successful legal challenges of the documents/reports prepared by this contractor? Did the contractor contribute to any performance problems on the projects? If yes, please identify the performance problems. Include Contractor’s ability to communicate with the Owners. Was the Owner kept informed on performance, including realistic progress reports and realistic assessment of problems. Was contractor’s cost control capabilities accurately tracked in a timely manner and/or accurately projected cost relative to any changes.

Explanation/Narrative: ______________________________________________________________________________ RFP No:RFP0700CCPNP10137 500 First Street Parking Garage Contracting Officer: Nikki N. Adkins Telephone: (202) 307-0954/ Fax (202)616-6055 E-mail: nxadkins@bop.gov

III. WOULD YOU USE THE CONTRACTOR AGAIN (including team members and subcontractors)? Please explain the basis for your conclusion.

Explanation/Narrative: ___________________________________________________________

IV. OVERALL RATING AND ADDITIONAL COMMENTS

Please provide an overall rating of the Contractor and please provide any additional comments that you believe will be helpful relative to the Federal Bureau of Prisons evaluation of the contractor.

Printed Name of Individual Providing Reference

Signature of Authorized Representative / Reference Date