SOLICITATION ATTACHMENT 05 - Past Performance Questionnaire for Architect-Engineer.pdf

SOLICITIATION ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE FOR ARCHITECT-ENGINEER

INSTRUCTIONS: The Offeror is responsible for the completion of Section 1 of the Past Performance Questionnaires for each Similar Project. After completing Section 1 of the Past Performance Questionnaire for each Similar Project, the Offeror shall distribute the Past Performance Questionnaires to the References who will complete Section 2. Each Reference, after completion of Section 2, shall submit the completed Past Performance Questionnaire directly to the GSA Contracting Officer in accordance with the instructions to Offerors for submission of proposals.

Past Performance Questionnaires shall be submitted directly to:

Christie VandenDries, Contracting Officer at christie.vandendries@gsa.gov

Email subject lines should reference “Solicitation No. 47PJ0024R0061, Mike Mansfield FB/CH Seismic Retrofit DB” Similar Project (SP) means a project for renovation, repair, or alteration of an existing commercial or government office or courthouse building. The project must feature all of the following:

Substantial completion occurred within the last 12 years prior to the submission deadline for Phase 1 proposals;

The renovation or repair project covered a minimum of 25,000 gross square feet;

The building must have been listed on the National Register of Historic Places during the period of the renovation or repair;

The total cost at award of the contract for project was at least $20 million; and The project substantially used the design–build or integrated project delivery (IPD) methods. For the purposes of this evaluation factor, IPD is defined as the execution of a multiparty agreement in which the owner or developer contracted with a single offeror to provide all or substantially all, of the design and construction services for that project.

SECTION 1 – TO BE COMPLETED BY THE OFFEROR

Name of Offeror/Firm: ____________________________________________________________________________________________

Contract Number: ________________________________________________________________________________________________

Was the Offeror the Prime Contractor: ______________________________________________________________________________

Place of Performance (City and State): ________________________________________________________________________________

Period of Performance (include start date and substantial completion date): ___________________________________________________

Was the delivery method DB or IPD: _________________________________________________________________________________

Gross Square Footage of Commercial Building Construction: ______________________________________________________________

Contract Value at initial award: $____________________________________________________________________________________

Total Contract Value (including modifications): $_______________________________________________________________________

Briefly describe all construction work performed under this contract (address construction of site utilities, storm drainage, grading, roads, and security):

Continued on next page mailto:christie.vandendries@gsa.gov

Section 2 – TO BE COMPLETED BY THE REFERENCE NOTE: If the offeror holds or has held other contracts with your agency/organization in the last twelve (12) years, that meet the Similar Project definition, please complete separate evaluation forms for those contracts as well.

Name of Respondent/Title: _____________________________________________

Firm Name: _________________________________________________________

Address: ____________________________________________________________

Phone: _____________________________________________________________

Email: ______________________________________________________________

Performance Information: Please check the level of the Offeror’s overall performance in each of the past performance categories listed below.

Check “N/A” if the factor does not apply to the contract being rated. If any portion of the contract performance was performed by subcontractors, please include the subcontractor’s performance on the same chart.

KEY: Poor – A Poor rating indicates the Offeror/Firm completely failed to meet the requirements.

Marginal – A Marginal rating indicates the Offeror/Firm failed to meet some of the contract requirements.

Average – An average rating indicates the Offeror/Firm met the contract requirements.

Very Good – A Very Good rating indicates the Offeror/Firm exceeded some of the contract requirements.

Excellent – An Excellent rating indicates the Offeror/Firm significantly exceeded the contract requirements.

PAST PERFORMANCE CATEGORY Poor Marginal Average Very Good

Excellent N/A

Quality of Design and Construction Documents

Timeliness of Required Documentation

Communicating and Interfacing with Government/Company Personnel

Achieving Project Design Goals Within the Allowable Budget

Creativity of Solutions to Design Issues

Overall Rating of the Contractor’s Performance

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1. Would you award to this contractor again? YES ________ NO __________

2. Could you provide another contact for further information? YES ________ NO __________

Remarks: (Please provide detailed facts concerning specific events/actions to justify your rating. Attach additional pages if necessary):