Attachment 6 - PPQ Questionaire .pdf

23 CONS/Services Flight Solicitation/RFQ#: FA483022Q0007 Title: Custodial Services Moody AFB, GA

Past and Present Performance Questionnaire 28 Feb 2022

SUBJECT: Request for Past Performance Evaluation

TO: ________________________________________

You have been identified as a point of contact for a past and/or present performance evaluation of the firm listed on the attached questionnaire. This firm is currently being considered for a Base Custodial Services contract at Moody AFB, GA.

Your prompt attention to this questionnaire will be greatly appreciated. If you have any questions concerning this request, I can be contacted at ________________________________.

Please submit completed questionnaire to the Government Contract Specialist identified on the attached questionnaire.

Contractor Signature

1 Attachment:

Past and Present Performance Questionnaire

23 CONS/Services Flight Moody AFB, GA

Solicitation/RFQ#: FA483022Q0007 Title: Custodial Services

I. GENERAL INFORMATION: To Be Completed by the Contractor

A. Offeror Information:

Name (Company/Division):

CAGE Code: DUNS Number:

If Other than the Prime Offeror, Identify Prime Offeror:

B. Program Title:

C. Contract Specifics:

Contracting Agency or Customer:

Contract Number:

Contract Type: ______ Firm Fixed Price (FFP) Contract, ______FFP Task Order or Purchase Order, _____ Cost Reimbursable or Other Contractual Arrangement Period of Performance (include options):

Contract Dollar Value:

Has the contract been entered into the Contractor Performance Assessment Reporting System (CPARS)?

Yes or No Contract Environment: _______ Performance on an Air Force or Air Force Reserve Base, ____Performance on a DoD Installation within the United States _____ Performance at a Federal, State, County or City facility within the United States, ____ Other Performance Location.

D. Description of Contract as ___________ Prime or __________Subcontractor Indicate the type of services provided and highlight portions considered most relevant to the Base Custodial acquisition.

E. Size of Specialized Cleaning Facilities: Size of Child Development Center_____ SF, Size of Youth/School Age Center ____ SF, Size of Gymnasium____ SF

F. Number of building cleaned on a weekly basis: ____

NOTE: Buildings may only be counted once, even if they may be cleaned more than once on a weekly basis. For example, if building 595 is cleaned 3 times a week, it would still only be counted as 1 building.

II. RESPONDENT INFORMATION:

To Be Completed/Accomplished By the Respondent

Name of Respondent: _____________________ Title: ______________________ Address: ___________________________________________________________ Telephone Number: __________________________________________________ Fax Number: ________________________________________________________ Email Address: ______________________________________________________

Is the information provided by the Contractor in Section I, General Information accurate? ______ Yes ______No If not explain which information is not accurate:

C. SEND COMPLETED SURVEY FORM TO ALL THE EMAIL ADDRESS BELOW:

Contracting Officer: Ms. Marry Twitty mary.twitty.1@us.af.mil Contract Specialist : Mr. Victor Houston victor.houston.1@us.af.mil 23 CONS Organization Inbox 23CONS.LGCB@us.af.mil mailto:mary.twitty.1@us.af.mil mailto:victor.houston.1@us.af.mil

III. PERFORMANCE INFORMATION:

To Be Completed/Accomplished By the Respondent

Choose the appropriate letter on the scale (E, G, S, M, U, N) that most accurately describes the contractor’s performance or situation or N/A if performance in this area is not applicable to the effort addressed.

PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF M or U.

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral Performance meets contractual requirements and exceeded many 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.

Performance meets contractual requirements and exceeded some 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.

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.

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.

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.

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

CONTRACTOR’S NAME: ____________________ CONTRACT #: _______________

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

Contractor Performance or Situation E G S M U N N/A

1. How well did the contractor implement an orderly transition from the incumbent contractor?

2. How well did the contractor comply with contractual terms and conditions including the preparation and timely/accurate submission of any required documents?

3. How well did the contractor attract and retain qualified and fully trained personnel at all levels within their organization to ensure contract compliance?

4. How well did the contractor manage personnel clearances in order to regularly service secured locations?

5. How well does the contractor’s organization provide the necessary manning, training, equipment, and supplies to meet contractual requirements?

6. How would you rate the contractor’s critical key management and technical staff in terms of expertise, knowledge and qualifications?

7. Rate contractor’s ability to respond to workload fluctuations, e.g. budgetary fluctuations that resulted in increased or decreased activities.

8. How willing was the contractor to improve and correct noncompliance issues or concerns?

9. How well did the contractor comply with all Federal, State, EPA, OSHA and local regulatory requirement’s?

10. How well did the contractor handle, remove, document and properly dispose of hazardous /non-hazardous wastes.

11. How well did the contractor meet the special performance requirements at Child Development Centers (or equivalent)? If the Contractor did not perform at Child Development Centers (or equivalent), rate as N/A.

12. How well did the contractor meet the special performance requirements at Fitness Centers? If the Contractor did not perform at Fitness Centers, rate as N/A.

Contractor Performance or Situation E G S M U N N/A

13. How would you rate the overall performance of the contractor under this contract?

14. Was the contractor ever issued a default, cure or show cause notice, Notice of Violation under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

15. Would you award another contract to this contractor? If not, explain in “remarks.” YES/NO

16. If a Government Contract, is the contractor rated in CPARS? YES/NO

Remarks (provide detail regarding unfavorable ratings, especially those concerning performance at child development centers and youth centers and fitness centers):