36C10E20Q0097-0001000.docx

PAST PERFORMANCE QUESTIONNAIRE

Contract Opportunity Amendment to a Previous Combined Solicitation

CLASSIFICATION CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

BASE NOTICE TYPE

RESPONSE DATE (MM-DD-YYYY)

ARCHIVE

DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

NAICS CODE

CONTRACTING OFFICE

ADDRESS

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

DESCRIPTION

See Attachment

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

GENERAL INFORMATION

PLACE OF PERFORMANCE

* = Required Field Contract Opportunity Amendment to a Previous Combined Solicitation S201 Amendment to Add QASP to Janitorial Service RFQ 36C10E20Q0097 20006 36C10E20Q0097 03-13-2020 N

SDVOSBC

561720 Department of Veterans Affairs Veterans Benefits Administration Office of Acquisition 1800 G. Street N.W.

Washington DC 20006 Van Hale Van.Hale@va.gov Department of Veterans Affairs Veterans Benefits Administration VA Fort Harrison Regional Office 3633 Veterans Drive Bldg. 167 Fort Harrison, MT 59636 59636

USA

Van.Hale@va.gov Contracting Officer

Amendment 0001 incorporates a Quality Assurance Surveillance Plan (QASP) into Section D of the Request for Quote (RFQ) 36C10E20Q0097

5.

PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF

SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By comp leting Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV.

11/2016) is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITE M 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 4

3.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes refere nce to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14.

DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A.

NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY

APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

VA

4360-000019 00101 Department of Veterans Affairs Veterans Benefits Administration Office of Acquisition 1800 G. Street N.W.

Washington DC 20006 00101 Department of Veterans Affairs Veterans Benefits Administration Office of Acquisition 1800 G. Street N.W.

Washington DC 20006 To all Offerors/Bidders

36C10E20Q0097 03-02-2020

X X X

N/A

a. The purpose of Amendment 0001 to Request for Quote (RFQ) is to incorporate a Quality Assurance Surveillance Plan (QASP) into Section D of Solicitation 36C10E20Q0097.

b. Contractors shall acknowledge this amendment with their quote submission.

c. All other terms and conditions of the solicitation remains unchanged.

Van Hale Contracting Officer

VBA14L2-0953

CONTINUATION PAGE

D.3 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

For: Janitorial Services Contract Description: The Contractor shall provide janitorial services at the VA Fort Harrison Regional Office in accordance with the Performance Work Statement.

1.0. INTRODUCTION:

1.1. This QASP has been developed to evaluate Contractor actions while performing the contract. It is designed to provide an effective surveillance method of monitoring contractor performance for each listed performance objective as outlined in the Requirements Summary. With successful performance, the contractor will be entitled to favorable Past Performance Reports. Successful performance will be met if the performance standards are exceeded over the period of performance as determined by the CO using input received from the COR. Remedies for non-performance of work would include poor performance reports to be used as part of the evaluation criteria on future competitions, notification to contractor’s corporate headquarters of poor performance, and possibly non-payment for services not performed or unacceptable deliverables.

1.2. The QASP provides a systematic method to evaluate the services the Contractor is required to furnish.

1.3. This QASP is based on the premise that Contractor staff shall be fully qualified and have the level of experience necessary to accomplish the requirements of this PWS. In addition, contractor personnel shall be acceptable to the Government in terms of personal and professional conduct, and in technical knowledge. Contractor personnel should have sufficient written and verbal communication skills to support VA requirements. Should any contractor personnel be determined to be unacceptable in terms of technical competency or unacceptable personal conduct while on-site or while working on contract activities, the contractor shall immediately remove and replace the unacceptable on-site personnel at no additional cost to the Government. Contractor personnel are to serve in a support role; final decisions regarding VA business will always be made by Government personnel.

1.4. The Contractor, and not the Government, is responsible for management and quality control actions to meet the terms of the contract. The role of the Government is quality assurance to ensure contract standards are achieved.

2.0. REQUIREMENTS SUMMARY:

Basic Restroom/ Shower Cleaning

3.0. CONTRACT REQUIREMENTS: Janitorial Services includes all of the requirements as stated in the Performance Work Statement (PWS).

3.1. Primary Method of Surveillance: The contractor shall monitor performance against the established schedule, milestones, risks, and resource support outlined in the approved Project Schedule. The contractor shall report any deviations in the Monthly Written Progress Report. These are due to the COR no later than the third workday following the end of each month throughout the project's duration. The Monthly Written Progress Reports will cover all work completed during the preceding month and will present the work to be accomplished during the subsequent month. This report will also identify any problems that arose and a statement explaining how the problem was resolved. This report will also identify any problems that have arisen but have not been completely resolved with an explanation.

3.2. Performance Threshold: The performance threshold for each objective is as stated above in the Requirements Summary.

3.3. Level of Surveillance: All deliverables will be inspected 100% by the COR for acceptance.

3.4. Documenting Performance

a. Acceptable Performance The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.

b. Unacceptable Performance When unacceptable performance occurs, the COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COR file.

When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the COR. The Government shall review the contractor's corrective action plan to determine acceptability.

Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the Contracting Officer.