NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PP -01 CONTRACT INFORMATION(Contractor to complete Blocks 1-4)
1.Contractor Information
Firm Name:V Lopez Jr and Sons Gen Eng Contractors Inc CAGE Code:
Address:1639 E Donovan Rd Santa Maria Ca 93454 DLNs Number:
Phone Number:8059281198
Email Address:[email protected]
Point of Contact: Butch Lopez Contact Phone Number: 8059281179
2.Work Performed as: ® Prime Contractor ❑Sub Contractor ❑Joint Venture ❑Other(Explain) Percent of project work performed:
If subcontractor,who was the prime(N ame/Phone ft
3.Contract Information
Contract Number:
Delivery/Task Order Number(if applicable):
Contract Type: ®Firm Fixed Price ❑ Cost Reimbursement ❑Other(Please specify):
Contract Title: Trunk Main Improvement Project
Contract Location: Guadalupe,CA
Award Date(mm/dd/yy):06/22/21
Contract Completion Date(mm/dd/yy): 01/26/22
Actual Completion Date(mm/dd/yy):05/23/22
Explain Differences:weather,minor redesigns, supply chain issues Original Contract Price(Award Amount): $1,550,949.60
Final Contract Price(to include all modifications, if applicable): $1,694,755.00 Explain Differences: redesigns,unexpected underground conditions
4.Project Description:
Complexity of Work ®High ❑Med ❑Routine
How is this project relevant to project of submission?(Please provide details such as similar equipment, requirements, conditions, etc.)
CLIENT INFORMATION (Client to complete Blocks 5-81
5.Client Information
Name: Shannon Sweeney
Title: Public Works Director
Phone Number: 805-356-3910
Email Address: ssweenev!i+ ci.--,uadalu e.ca.us
6.Describe the client's role in the project: Project Manager
7.Date Questionnaire was completed(mm/dd/ .V 1: 02/28/23
8.Client's Signature:
NOTE: NANT'AC REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO NAVFAC WITH THEIR PROPOSAL,AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON NAVFAC SOLICITATIONS.CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR HOWEVER,QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO NAVFAC.PLEASE CONTACT THE OFFEROR FOR NAVFAC POC INFORMATION.THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
Revised 7 December 2011 1
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT
YOUR EVALUATION OF THE CONTRACTORS PERFORMANCE
RATING DEFINITION NOTE
(E)Exceptional Performance meets contractual requirements and An Exceptional rating is appropriate exceeds many to the Government/Owner's when the Contractor successfully benefit. The contractual performance of the performed multiple significant events element or sub-element being assessed was that were of benefit to the accomplished with few minor problems for Government/Owner.A singular benefit, which corrective actions taken by the contractor however,could be of such magnitude that was highly effective. it alone constitutes an Exceptional rating.
Also,there should have been NO
significant weaknesses identified.
(VG)Very Good Performance meets contractual requirements and A Very Good rating is appropriate when exceeds some to the Government's/Owner's the Contractor successfully performed a benefit.The contractual performance of the significant event that was a benefit to the element or sub-element being assessed was Government/Owner.There should have accomplished with some minor problems for been no significant weaknesses identified. which corrective actions taken by the contractor
were effective.
(S)Satisfactory Performance meets minimum contractual A Satisfactory rating is appropriate when requirements.The contractual performance of there were only minor problems,or major the element or sub-element contains some minor problems that the contractor recovered problems for which corrective actions taken by from without impact to the contract. the contractor appear or were satisfactory. There should have been NO significant weaknesses identified.Per DOD policy,a
fundamental principle of assigning ratings
is that contractors will not be assessed a
rating lower than Satisfactory solely for
not performing beyond the requirements
_ of the contract.
(M)Marginal Performance does not meet some contractual A Marginal is appropriate when a requirements.The contractual performance of significant event occurred that the the element or sub-element being assessed contractor had trouble overcoming which reflects a serious problem for which the impacted the Government/Owner. contractor has not yet identified corrective
actions.The contractor's proposed actions
appear only marginally effective or were not
fully implemented.
(U)Unsatisfactory Performance does not meet most contractual An Unsatisfactory rating is appropriate requirements and recovery is not likely in a when multiple significant events occurred timely manner.The contractual performance of that the contractor had trouble the element or sub-element contains serious overcoming and which impacted the problem(s)for which the contractor's corrective Government/Owner.A singular problem, actions appear or were ineffective. however,could be of such serious magnitude that it alone constitutes an
unsatisfactory ratine.
(N)Not Applicable No information or did not apply to your contract Rating will be neither positive nor negative.
Revised 7 December 2011 2
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
Contractor Information(Firm Name):
Client Information(Name):
TO BE COMPLETED BY CLIENT
PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS
YOUR EVALUATION OF THE CONTRACTOR'S PERFORMANCE.
a)Quality of technical data/report preparation efforts E VG S M U N b)Ability to meet quality standards specified for technical performance E VG S M U N c)Timeliness/effectiveness of contract problem resolution without extensive E Vri S M U N customer guidance
d)Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements(without adverse effect on E VG S M U N performance)
2. St"lll;llL:I.EYFINIELINFSS OF'PtRFORN NC
i
a)Compliance with contract delivery/completion schedules including any significant intermediate milestones. (IJliquidated damages were assessed or E VG M U N the schedule was not met,please address below)
b)Rate the contractor's use of available resources to accomplish tasks E VG S M U N identified in the contract
4;.. CI; TIMER SAT1SFA
a)To what extent were the end users satisfied with the project? E VG S M U N b)Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes; E G S M U N responsiveness to administrative reports,businesslike and communication) c)To what extent was the contractor cooperative,businesslike,and concerned E VG S M U N with the interests of the customer?
d)Overall customer satisfaction E VG S M U N jt,�1:1`NAGENlENT,' PLRS[)N..
a)Effectiveness of on-site management,including management of E VG 5 M U N subcontractors,suppliers,materials,and/or labor force?
b)Ability to hire, apply,and retain a qualified workforce to this effort E VG S M U N c)Government Property Control E VG S M U N d)Knowledge/expertise demonstrated by contractor personnel E VG S M U N e)Utilization of Small Business concerns E VG S M U N f)Ability to simultaneously manage multiple projects with multiple disciplines E VG S M U N g)Ability to assimilate and incorporate changes in requirements and/or E VG S M U N priority,including planning,execution and response to Government changes h)Effectiveness of overall management(including ability to effectively lead, E VQ S M U N manage and control the program)
5.COST/FINAN(IAL MANA GLAIENT
a)Ability to meet the terms and conditions within the contractually agreed E VG 5 M U N price(s)?
Revised 7 December 2011 3
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
Contractor Information(Firm Name): _City of Guadalupe_
n _
Client Information(Name): Shannon Sweeney _
b)Contractor proposed innovative alternative methods/processes that reduced E VG M U N cost,improved maintainability or other factors that benefited the client c)If this is/was a Government cost type contract,please rate the Contractor's timeliness and accuracy in submitting monthly invoices with appropriate back- up documentation,monthly status reports/budget variance reports,compliance E VG S M U N with established budgets and avoidance of significant and/or unexplained variances(under runs or overruns)
d)Is the Contractor's accounting system adequate for management and ; No tracking of costs? If no,please explain in Remarks section. e)If this is/was a Government contract,has/was this contract been partially or completely terminated for default or convenience or are there any pending Yes No terminations? Indicate if show cause or cure notices were issued,or any default action in comment section below.
f)Have there been any indications that the contractor has had any financial Yes -No problems? If yes,please explain below.
a)To what extent was the contractor able to maintain an environment of safety,adhere to its approved safety plan,and respond to safety issues? E VG 5 M U N (Includes:following the users rules,regulations,and requirements regarding housekeeping,safety. correction of noted deficiencies etc.1 b)Contractor complied with all security requirements for the project and E VG S M U AI personnel secunly requirements.
7.GEN.1rILkL
a)Ability to successfully respond to emergency and/or surge situations (including notifying COR,PM or Contracting Officer in a timely manner E VG S M U N regarding urgent contractual issues).
b)Compliance with contractual terms/provisions (explain ifspecific issues) E VG S M U N c)Would you hire or work with this firm again?(If no,please explain below) Yes No d)In summary,provide an overall rating for the work performed by this E VG S M U N contractor.
Please provide responses to the questions above(if applicable)and/or additional remarks.Furthermore,please provide a brief narrative addressing specific strengths,weaknesses,deficiencies,or other comments which may assist our office in evaluating performance risk(please attach additional pages if necessary):
Revised 7 December 2011 4
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY