Attachment 5 Past Performance Questionnaire.pdf

PRESENT / PAST PERFORMANCE EVALUATION QUESTIONNAIRE

SNOW REMOVAL SERVICES

FAIRCHILD AFB, WA

SOLICITATION NO: FA462020Q0008

1. Your assistance is respectfully requested in providing information on the attached performance questionnaire. The importance of your opinion cannot be overstated. This survey measures the present/past performance of prospective offeror for providing Snow Removal Services at Fairchild AFB, WA.

2. INSTRUCTIONS FORM COMPLETION: Please fill this questionnaire in by hand or type, and please email the results to the Contracting Officer (s), Zachery W. Ray at zachery.ray.2@us.af.mil, and to the Contract Specialist, Clifford Dockter at clifford.dockter@us.af.mil. Email submissions are preferred. You can also return by mail to the following address:

92 CONS/PKA

Contracting Officer

Attn: Zachery Ray

110 W. Ent St

Fairchild AFB WA 99011

3. Please direct questions to Zachery Ray (509) 247-2608. Your Participation is greatly appreciated.

4. PLEASE RETURN NO LATER THAN: 16 June 2020, at 1:00 PM (Pacific Time)

Section A: Contractor Information.

Contractor’s name and address:

a. Point of Contact:

b. Phone #:

c. Contract Number:

d. Project Title:

e. Period of Performance:

SECTION B: RESPONDENT INFORMATION

a. Respondent’s name and address: Organization: _

Address:

City: _ State: _ Zip: _

FA46202020Q0008

Attachment 5

Past Performance Questionnaire (PPQ) mailto:zachery.ray.2@us.af.mil mailto:clifford.dockter@us.af.mil

FA46202020Q0008

Attachment 5

Past Performance Questionnaire (PPQ)

b. Respondent’s Name and Title:

Signature:

c. Commercial Phone #: DSN Phone #:

Fax #: E-Mail:

d. Contract Type:

e. Award Amount: $ Final Amount: $

f. What was the job title for this project?:

What were the scope and major functions performed under this contract?

If you have questions regarding this questionnaire, please call Zachery Ray @ 509-247-2608.

For any ratings less than satisfactory rating, please provide explanation in Remarks section below.

1 2 3 4

Unsatisfactory Marginal Satisfactory Very Good

Performance does not Performance does not meet Performance meets Performance meets meet most contractual some contractual contractual contractual requirements requirements and requirements. The requirements. The and exceeds some to the recovery is not likely in contractual performance of contractual performance Government’s benefit. The a timely manner. The the element or sub-element of the element or sub- contractual performance of contractual performance being evaluated reflects a element contains some the element or sub-element of the element or sub- serious problem for which minor problems for being evaluated was element contains a the contractor has not yet which corrective actions accomplished with some serious problem(s) for identified corrective actions. taken by the contractor minor problems for which which the contractor’s The contractor’s proposed appear or were corrective actions taken by corrective actions actions appear only satisfactory the contractor was appear or were marginally effective or were effective.

ineffective. not fully implemented.

MANAGEMENT PERFORMANCE:

1. How well did the contractor coordinate daily work with supervisors

Including arrangement of back-up personnel?

1 2 3 4 N/A

2. How effective was the contractor in maintaining professional business relationships with government personnel and in resolving contract issues?

1 2 3 4 N/A

3. How effective was the contractor in maintaining documentation? 1 2 3 4 N/A

TECHNICAL PERFORMANCE:

1. How was the overall appearance and professionalism of contractor personnel?

1 2 3 4 NA

2. Did the company respond to any unscheduled service calls in a timely manner?

1 2 3 4 N/A

3. How well did the contractor perform snow removal?

1 2 3 4 NA

4. Did contractor personnel possess any and all required training and certificates?

1 2 3 4 N/A

5. Did the contractor submit reports in an accurate and timely manner? 1 2 3 4 N/A

6. Was the contractor knowledgeable and experienced with performing snow removal?

1 2 3 4 N/A

7. What types of equipment and attachments were used in the performance of the contract? Please list all (i.e. Loader w/14’ snow box, Grader, Dump Truck w/10’ blade, tractor w/broom attachment).

FA46202020Q0008

Attachment 5

Past Performance Questionnaire (PPQ)

FA462020Q0008

Attachment 4

Past Performance Questionnaire (PPQ)

CORRECTIVE ACTION HISTORY:

1. Have there been any show cause or cure notices issued or legal actions taken? (circle one)

YES NO

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).

2. If Contract Discrepancy Reports (CDR) were issued, were they addressed appropriately? If so, how? (circle one)

YES NO N/A

If yes, explain and indicate the status.

EVALUATION SUMMARY:

1. Overall evaluation of the contractor. (Circle one and explain.) 1 2 3 4

2. Would you enter into another contract with this contractor? (circle one)

YES NO N/A

If no, please explain.

Additional Remarks: