21Q0001__FloorSweepers_PastPerformance Questionnaire.docx

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Attached to
Floor Sweeper Preventative Maintenance & Parts Rep
Solicitation number
W912GY21Q0001
Issued by

About this file

This document contains a past performance questionnaire and details of a federal contract opportunity. The past performance questionnaire requests information about an offeror's performance on previous contracts to maintain and repair floor sweepers. It must be completed and returned by January 4, 2021. The related federal contract opportunity is for floor sweeper preventative maintenance and parts replacement services at Sierra Army Depot in Herlong, California. The requirement has an estimated start date of January 28, 2021. The NAICS code is 811318 and the size standard is $8,000,000. The solicitation will be conducted under FAR Parts 12 and 13.5 and is open to all responsible sources. Questions must be submitted in writing by a specified date. Offerors must fill out and submit past performance questionnaires reflecting similar work experience prior to proposal submission. Responses should be submitted electronically to the provided distribution box by the closing date.

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PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

Army Contracting Command – Warren Sierra Army Depot, CA

The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to W912GY21Q0001 – Sierra Army Depot (SIAD) Floor Sweeper Maintenance and Repair. The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).

a.Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number.
b.Include the contractor’s name and address, the title and/or description of the type of work performed, the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation.
c.Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.
d.Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient.
e.Due to time constraints, it is important that the questionnaire be completed and returned by the date proposal is due January 4th, 2021 by 1000. Please FAX or e-mail your response to the Contract Specialist whose number and address is shown at the bottom right corner of the questionnaire.

Thank you for your time and participation.

PAST PERFORMANCE QUESTIONNAIRE

YOUR NAME & TITLE

YOUR ORGANIZATIONAL NAME AND ADDRESS

TEL NO.

FAX :

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE OR DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

CONTRACT TYPE:

|_| FIXED PRICE |_| COST + FEE

|_| COMPETITIVE |_| NON-COMPETITIVE

|_| SET-ASIDE

|_| SEALED BID |_| NEGOTIATED

|_| SEALED BID |_| NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT
RATING
1
2
3
4
5
6
NA
1.Contractor demonstrated a thorough understanding of technical requirements of the contract/task.
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Comments:

2.Contractor anticipated/identified and resolved problems effectively.
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Comments:

3.Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.
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Comments:

4. Rate the Contractor’s use of available resources to accomplish tasks identified in the contract.
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Comments:

5. Contractor was responsive to most questions, inquiries and general communication.
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Comments:

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE ELEMENT
RATING
1
2
3
4
5
6
NA
6.Contractor met scheduled contract service dates.
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Comments:

7.Contractor provided accurate, complete and high quality service repairs.
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Comments:

8.Contractor complied with the terms of the contract.
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Comments:

9.Contractor was diligent in forecasting and controlling contract cost.
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Comments:

10. I would recommend award to this contractor again.
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Comments:

1
0 – 25% of the time
Strongly Disagree
PLEASE RETURN COMPLETED RESPONSE TO:

Army Contracting Command-Detroit Sierra Army Depot Contracting Office ATTN: Alaine Barrea 74 Currant Street Building 60 Herlong, CA 96113 E-MAIL: alaine.f.barrea.civ@mail.mil

FAX: 530-827-4722

2
26 – 40% of the time
Disagree
3
41 – 55% of the time
Somewhat Disagree
4
56 – 70% of the time
Somewhat Agree
5
71 – 85% of the time
Agree
6
86 – 100% of the time
Strongly Agree

NA

No Knowledge of This Element

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

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