A1 CORRECTED PPQ.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES I

3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (if applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

SOUTHWEST DIVISION

NAVAL FACILITIES ENGINEERING COMMAND

CONTRACTS DEPARTMENT

1220 PACIFIC HIGHWAY

SAN D I EGO, CA 92132-5187

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county State and ZIP Code)

FACILITY CODECODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

is extended, is not extended.The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

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:

(a) By completing Items 8 and 15, and returning______ copies of the amendment; (b) By acknowledging receipt of this amendment on each copx of the offer submitted; or (c) By separate letter or telegram which includes a reference of the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY 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 telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible)

Except as provided herein, at/ terms and conditions of the document referenced in Item 19A or 10A, as heretofore changed, remains unchanged and In full force and effect

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

BYBY

(Signature of Contracting Officer)(Signature of Person Authorized to Sign)

STANDARD FORM 30 (REV. 10-83)

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

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 ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDERED IS MODIFIED TO REFLECTTHE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

D. OTHER (Specify type of modification and authority) x

AESmith1 Highlight

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

U.S. COAST GUARD

DOL-932

CONTRACTOR EVALUATION FORM

The Coast Guard, DOL-932 is currently procuring Grounds Maintenance Services as required by the U.S. Coast Guard Sector San Diego, San Diego, California, under solicitation 70Z08420QA1154300. As a result, we are performing a past performance survey and reference investigation on potential contractors for the upcoming contract.

The information contained herein is considered “Source Selection Information” in accordance with FAR 3.104. Therefore, it is asked that you treat it accordingly. While the results of the overall past performance survey may be discussed with the contractor, FAR

15.610 and 15.1004 prohibits the release of the name of the individual responding to the survey.

Responses to this questionnaire should be EMAILED TO: April E. Smith, USCG-

DOL-932 at april.e.smith@uscg.mil; NEEDED NO LATER THAN THE CLOSING

DATE OF THE POSTING.

Should you have any questions concerning this survey, please contact the above named person at (510) 437-5683.

This portion is to be completed by the Offeror.

Contract Number: Contract Number Here

Offeror’s Company Name: _________________________________________________

Address: _______________________________________________________________

Telephone/Fax Number: __________________________________________________

Point of Contact: ________________________________________________________

Email: ________________________________________________________________

Was work performed as a subcontractor under a prime contract?

If yes, include the following:

Prime Contract Number:

Prime Contractor’s Name:

Address:

Yes No mailto:april.e.smith@uscg.mil

Telephone/Fax Number: _________________________________________________

Point of Contact: Email: _________________________________________________

Project Title and Detailed Description of Work for which the Contractor was responsible to perform:

This portion is to be completed by the Respondent:

Name and Title of Evaluator:

Company Name:

Address:

Telephone/Fax Number:

Point of Contact:

Email:

1. Contractor performed as Prime Contractor Subcontractor Key Personnel

2. The description of work as stated above accurately or does not accurately describe the work that was performed by Contractor being rated.

3. The contract was IAW (check all that apply): FFP CR T&M IDIQ SCA

Davis Bacon Sole Source Subcontracting

4. The total dollar value awarded:

5. The total dollar value performed to date:

6. The Period of Performance awarded:

7. The Period of Performance performed to date:

Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION

FOR ANY RATINGS OF E, G, M or U.

E Exceptional Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

G Very Good Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

S Satisfactory Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

M Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub- element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective

N Neutral Performance was not observed or not applicable to the current effort being reported against.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

QUALITY

1 Followed approved quality control plan.

2 Provided effective quality control and/or inspection procedures to meet contract requirements.

3 Corrected deficiencies in timely manner and pursuant to their quality control procedures.

4 Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

SCHEDULE

1 Developed realistic progress schedules.

2 Met established project schedules.

3 Provided timely resolution of warranty defects.

4 Paid subcontractors/suppliers in a timely manner.

COST CONTROL

1 Provided accurate and complete line item cost proposals including all aspects of work required for each task.

2 Managed Government furnished materials and supplies effectively and not in a wasteful manner

MANAGEMENT

1 Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2 Home office participated in solving significant local problems.

3 Delegated authority to project managers and supervisors commensurate with contract requirements.

4 Provided timely resolution of contract discrepancies.

5 Identified problems as they occurred.

6 Suggested alternative approaches to problems.

7 Displayed initiative to solve problems.

8. Was responsive to contract changes.

9 Provided adequate project supervision.

10 Managed Program w/Integration & Coordination of the customer.

11 Managed Key Personnel

12 Managed Subcontracts

13 Integrity/Ethics Program

14 Reasonable and Cooperative in Behavior with Government personnel

REGULATORY

1 Complied with Environmental laws and regulations

2 Complied with Labor laws and regulations

3 Complied with other regulations, codes, and safety requirements.

4 How would you rate the contractor's overall performance?

Was the contractor ever issued a cure or show cause notice under the referenced contract?

Contract discrepancy reports (or equivalent) frequent YES/NO

ADDITIONAL COMMENTS ON ANY RATING ELEMENT CAN BE MADE BELOW:

Offeror Name:

Solicitation 70Z08420QA1154300

End of Survey

COAST GUARD ISLAND, BUILDING 54C

ALAMEDA, CA 94501-5100

April E. Smith

SAME AS BLOCK 6

The purpose of this Amendment 0001 is to correct ATTACHMENT 5 - Past Performance Questionnaire - from Surface Infrastructure Logistics Command (SILC) to Director of Operational Logistics (DOL); specifically DOL-932, and correct some language therein that was in error.

The time and date set for receipt of proposal remains unchanged; August 18, 2020, by 3:00 PM, PACIFIC