PROJECT INFORMATION WORKSHEET.doc

PROJECT INFORMATION WORKSHEET

The information provided on this worksheet will be utilized in the evaluation of Factor 1, Construction Past Performance, and Factor 2, Corporate Relevant Specialized Experience.

1. Project Title/Description?

(For task order contracts, attach a list of task orders to this sheet, to include description, cost, dates of construction start/completion or percent complete if not completed, for each task order)

2. Location:

3. Contract Number:

4. Procuring activity:

5. Procurement Point of Contact and Telephone Number:

6. Address and telephone number of owner/customer:

7. Type of Project (private sector, Government, planned unit development, etc.):

8. General nature of the Contract:

9. Nature of Involvement in this project (i.e., General Contractor, subcontractor, designer)

10. Award Date:

11. Original Contract Amount:

12. Final Contract Amount:

13. Original Completion Date:

14. Final Completion Date:

15. Explanation for any differences between original and final contract costs and completion dates:

16. Total number of Man hours including all subcontractors:

17. Total number of Lost Time Accidents including all Subcontractors:

18. Is performance documentation provided?

If not, state reason

MATOC IDIQ CONSTRUCTION/SERVICES

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

1. Contractor/Name & Address (City and State):

2. Type of Contract: Fixed Price ______ Cost Reimbursement ______

Other (Specify) _______________________________

3. Title of Project/Contract Number:

4. Description of Work: (Attach additional pages as necessary)

5. Complexity of Work: High ______ Mid ______ Routine ______

6. Location of Work: ________________________________________________

7. Date of Award: ____________________________

8. Status:

Active ______ (provide percent complete)

Complete ______ (provide completion date)

9. Name, address and telephone number of Contracting Officer’s Technical Representative:

10. QUALITY OF CONSTRUCTION:

Evaluate the contractor’s performance in complying with contract requirements, quality achieved and overall technical expertise demonstrated.

Excellent Quality

Good Quality

Acceptable Quality

Marginal Quality

Unacceptable or Experience Significant Quality Problems

Remarks: _______________________________________________________________

11. TIMELINESS OF PERFORMANCE:

To what extent did the contractor meet the contract and/or individual task order schedules if the contract was an indefinite delivery type contract?

Completed Substantially Ahead of Schedule (Excellent)

Completed Ahead of Schedule (Good)

Completed on Schedule with Minor Delays Under Extenuating Circumstances (Acceptable)

Completed Behind Schedule (Marginal)

Experienced Significant Delays without Justification (Unacceptable)

Remarks: _______________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________

12. CUSTOMER SATISFACTION:

To what extent were the end users satisfied with:

Exceptionally Satisfied (Excellent)

Highly Satisfied (Good)

Satisfied (Acceptable)

Somewhat Dissatisfied (Marginal)

Highly Dissatisfied (Unacceptable)

Remarks: ________________________________________________________________

13. SUBCONTRACTOR MANAGEMENT

How well did the contractor manage and coordinate subcontractors, suppliers, and the labor force?

Excellent management and coordination of subcontractors

Good Management and coordination of subcontractors

Acceptable management and coordination of subcontractors

Marginal management and coordination of subcontractors

Unacceptable management and coordination of subcontractors

Remarks: _____________________________________________________________

14. SAFETY

How well did the Contractor implement and maintain it’s Accident Prevention Program? Did it have an effective safety incentive program? Were there excessive lost time accidents?

Excellent Documentation

Good Documentation

Acceptable Documentation

Marginal Documentation

Unacceptable

15. DOCUMENTATION

To what extent were the contractor’s reports and documentation accurate, complete and were they submitted in a timely manner?

Excellent Documentation

Good Documentation

Acceptable Documentation

Marginal Documentation

Unacceptable Documentation

16. OTHER REMARKS:

Use the space below to provide other information related to the contractor’s performance. This may include the contractor’s selection and management of subcontractors, flexibility in dealing with contract challenges, their overall concern for the Government’s interest (if applicable), project awards received, etc.