Atch 5 Past Performance Questionnaire.docx
DOCX document 55 KB Posted
- Attached to
- Whiteman AFB Recycling Services Federal contract opportunity
- Solicitation number
- FA462524Q1019
About this file
This document is a past performance questionnaire template for a recycling services contract opportunity at Whiteman Air Force Base. The 509th Contracting Squadron is seeking to competitively award a recycling services contract to collect and process approximately 1600 tons of municipal solid waste daily from 20 facilities, along with 200 trash receptacles, 150 roll-off containers, and various volumes of recyclable materials including cardboard, paper, scrap metal, batteries, and appliances. Respondents are asked to provide ratings and comments on the past performance of offerors in areas such as maintaining professional relationships, staffing and equipment, record keeping, safety, oversight, issue identification, corrective actions, payments, regulatory compliance, and cost effectiveness. Completed questionnaires must be returned by August 29th, 2023 to be considered in evaluating offeror past performance for this opportunity.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch 4 Provisions and Clauses 15 Dec 23.pdf | ||
| FA462524Q1019 Questions and Answers.pdf | ||
| Atch 2 Price Schedule and Amendment Acknowledgement v2.xlsx | XLSX spreadsheet | |
| Atch 4 Provisions and Clauses.pdf | ||
| Atch 3 SCA WD 2015-5089 Rev 22 12 Jul 2023.pdf | ||
| FA462523Q1019 Combined Synopsis-Solicitation Recycling Services.pdf | ||
| Atch 1 FA462524Q1019 PWS Recycling.pdf | ||
| PWS Atch 1 Recycling Map.pdf | ||
| Atch 2 Price Schedule.xlsx | XLSX spreadsheet |
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Text version
CUI
When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
FA462523R1013, Attachment 5 The 509th Contracting Squadron of the Air Force Global Strike Command is in the process of competitively selecting a source for Recycling services on Whiteman AFB.
One of the considerations in proposal evaluation is the verification of the offerors’ past performance on contracts or other work efforts which reflect the offerors’ ability to perform on the proposed effort. We depend on information received from organizations such as yours, which have had first-hand experience with the offeror, for the evaluation of the offerors’ performance on those contracts or work efforts.
Our areas of interest regarding the offeror are summarized in the enclosed questionnaire. In order to meet the acquisition milestones, we request your written response no later than 29 August 2023. This schedule will allow us sufficient time to analyze the data prior to the start of source selection.
To assist you in preparing your response and expediting your reply, the questionnaire may be filled out electronically and e-mailed to 509CONS.PKA.Services@us.af.mil (Attn: A1C Morgan McGuckin). Please call A1C McGuckin at 660-687-2489 or Tammie Clippert at 660-687-5425 if you have any questions. Your completed questionnaire will become a part of the official source selection records.
Your assistance is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this Source Selection.
Tammie Clippert Contracting Officer
Attachment Past Performance Questionnaire
Controlled By: 509 Bomb Wing Controlled By: 509th Contracting Squadron CUI Category: PROCURE/SSEL Distribution/Dissemination Controls: FED ONLY POC: Tammie Clippert, tammie.clippert@us.af.mil, 660-687-5425
Section 1: Contract Identification
| A. Contractor (Company/Division and CAGE Code): |
| Click or tap here to enter text. |
| B. Contract Number: |
| Click or tap here to enter text. |
| C. Contract Type (e.g., fixed price, cost reimbursable, etc.): |
| Click or tap here to enter text. |
| D. Project Title: |
| Click or tap here to enter text. |
| F. Period of Performance |
| 1. Original Completion Date: |
| Click or tap to enter a date. |
| 2. Actual Completion Date: |
| Click or tap to enter a date. |
| 3. Reason for difference (if applicable): |
| Click or tap to enter a date. |
| G. Contract Dollar Value |
| 1. Original contract dollar value: |
| $Click or tap here to enter text. |
| 2. Actual contract dollar value: |
| $Click or tap here to enter text. |
3. Reasons for difference (if applicable):
Click or tap here to enter text.
H. Description of work performed:
Type description of work here.
Relevant work is comparable to commercial refuse and recycling collection and processing comparable to approximately (annually):
1600 tons of municipal solid waste, food container waste daily at 20 facilities, 200 trash receptacle (public cans) collections, 150 roll-off containers, 180 tons of cardboard, 45 tons of mixed office paper, 170 tons of scrap metal, 6 tons of lead acid batteries, 150 appliances with removal of ODS.
| I. Was this a competitively awarded contract? |
| ☐Yes ☐ No |
| J. Contractor’s Role: |
| ☐ Prime Contractor ☐ Subcontractor |
Section 2: Customer or Agency Identification
| A. Customer or agency name: |
| Click or tap here to enter text. |
| B. Customer or agency description (if applicable): |
| Click or tap here to enter text. |
| C. Geographic description of work performed under this contract (i.e., local, nationwide, worldwide, other Commands): |
| Click or tap here to enter text. |
Section 3: Respondent Identification
| A. Respondent’s name: |
| Click or tap here to enter text. |
| B. Respondent’s title: |
| Click or tap here to enter text. |
| C. Respondent’s phone/fax number/e-mail address: |
| Click or tap here to enter text. |
Section 4: Performance Information
In the table below, indicate your rating for the contractor’s performance by placing an “X” in the appropriate block to the right of each question. Provide supporting information for each response in the space provided. Attach additional pages if more space is needed. The performance rating scale is defined as follows:
Code Performance Rating
E EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
V VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
S SATISFACTORY – Performance meets contractual requirements. The contractual performance being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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 being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
| N/A | NOT APPLICABLE – Unable to provide a rating. Contract did not include performance for this aspect, performance was not observed, or information was not available. Do not know. |
| The Contractor: | |
| E | |
| V | |
| S | |
| M | |
| U | |
| NA |
1. Developed and maintained a cooperative and productive professional working relationship through all phases of the contract.
Comments:
2. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
3. Maintained sufficient staffing and equipment to complete the work in an effective and efficient manner.
4. Kept/Provided a full and comprehensive record of all required actions, as required by the terms of the contract.
5. Demonstrated the ability to complete work in a safe and timely manner.
6. Promptly identified problems, hazardous material, or other site issues to the Agency.
7. Maintained adequate oversight of subcontractor personnel and of work performed.
8. Suggested solutions to problems.
9. Corrected deficiencies in timely manner and corrective action was effective.
10. Paid all employees, subcontractors, and suppliers as required by the terms of the contract.
11. Discarded all waste or hazardous material in accordance with state, federal, local, and environmental procedures/regulations.
12. Provided and used the proper personal protective equipment (PPE) for all work in accordance with OSHA regulations.
13. Partnered with the Agency to find cost effective solutions to issues encountered during the course of work.
14. How would you rate the contractor’s overall performance on this contract?
15. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain.
☐ Yes ☐ No
16. Would you award another contract to this contractor? If not, explain.
EXPLANATION:
☐ Yes ☐ No
Additional remarks (these are important; please include comments):
[click and pick the date]
Respondent’s Signature Date
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:
E-Mail to: 509CONS.PKA.Services@us.af.mil (Attn: A1C Morgan McGuckin) CUI Page 2 of 6
File details come from the government source that posted it. Updated .