Attachment 9 - Past Performance Questionnaire.docx

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Attached to
70FBR121R00000001 - FEMA Region 1 - Landscaping and Snow Removal
Solicitation number
70FBR121R00000001
Issued by

About this file

This solicitation is seeking proposals for landscaping and snow removal services at the Federal Regional Center in Maynard, Massachusetts. The services are required for a base year with potential four option years. This is a 100% small business set aside issued by FEMA Region 1. Proposals are due by August 13, 2021 and must include separate volumes for technical approach, past performance history, and pricing. The site visit will be limited to two representatives per company by prior confirmation to the points of contact. All work must comply with applicable federal, state and local regulations. Interested parties must register in SAM and review the wage determination, Section 889 requirements, and COVID-19 protocols attached.

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RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.

RATING
DEFINITION
Outstandting (O)
Indicates the contractor’s performance record within the area of evaluation Exceeded that required by the contract.
Above Average (AA)
Indicates the contractor’s performance record within the area of evaluation Met All contractual requirements.
Satisfactory (S)
Indicates the contractor’s performance record within the area of evaluation Met Essentially All contractual requirements.
Marginal (M)
Indicates the contractor’s performance record within the area of evaluation Met Some of the contractual requirements. However, changes to the contractor’s existing processes may be necessary in order to achieve contract requirements.
Unsatisfactory (U)
Indicates the contractor’s performance record within the area of evaluation Failed to Meet the minimum Government requirements.
Unknown or Not Applicable (N/A)
The question does not apply. No performance record identifiable within the area of evaluation.

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS:

Return via email to the address shown below. Forms may be emailed to:

Christopher.Kelly@fema.dhs.gov Contracting Officer

SOURCE SELECTION SENSITIVE WHEN COMPLETED

*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****

RESPONDENT IDENTIFICATION AND RATINGS

(Part 1 Contractor submitting Proposal fill-in) Reference is provided for: ____________________________________

Contract Number or Project Title______________________________________________________

Date of Award/Completion Date______________________________________________________

Location_________________________________________________________________________

Dollar Amount____________________________________________________________________

Brief Description of work and your role in the referenced contract: ___________________________

(Part 2 Person providing Reference) Reference is provided by: ___________________________

Company/Agency: _________________________________________________________________

Business Address; ________________________________________________________________

Telephone Number: _______________________________________________________________

E-Mail Address: __________________________________________________________________

Relationship to Contract: ___________________________________________________________

If information above (Part 1) is not accurate, please indicate.

OFFEROR Name___________________________

Please check the appropriate rating.

(1) How responsive was the contractor’s quality program in identifying, correcting, and preventing initial and recurring problems?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(2) How complete were the contractor’s quality procedures and how well did employees follow them?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(3) Overall, how would you rate the quality of service?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(4) Rate timeliness in meeting requirements and adhering to contract schedules and/or deadlines.
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(5) Rate the contractor’s response to unanticipated or emergency service requirements.
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(6) Rate the effectiveness, capability, and level of knowledge and experience of personnel performing required services.
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(7) Did the contractor provide adequate, competent and qualified management, key personnel and technical personnel capable of meeting contract requirements?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

OFFEROR Name______________________

(8) How effectively did your contractor’s key management personnel support the initial contract startup, management of contingency situation, provide a quality plan, and respond to problems and changes?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(9) Rate the contractor’s compliance with contract requirements and accuracay of reports.
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(10) How timely and effective were the contractor’s responses to and resolution of technical problems?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(11) Overall, how would you rate this contractor’s business practices, customer relationship, and ability to successfully perform? Did the contractor demonstrate a reasonable and cooperative business relationship with the Government’s contract management personnel?
O
AA
S
M
U
NA

REMARKS:_________________________________________________________________________________

(12) How effective was the contractor’s safety program to ensure compliance with federal, state and local regulations? Did the contractor implement and follow their safety plan?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(13) How innovative was the contractor in performing the technical aspects of this contract and resolving problems? How well did the contractor respond to and act on customer feedback? (Customer Satisfaction)
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

(14) How would you rate the Contractor’s overall performance?
O
AA
S
M
U
NA

REMARKS: ____________________________________________________________________________________

OFFEROR Name______________________

SOURCE SELECTION SENSITIVE WHEN COMPLETED

(15) What were the contractor’s top documented strengths, if any, in performing the contract requirements?

REMARKS: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(16) What were the contractor’s top documented weaknesses, if any, in performing the contract requirements?

REMARKS: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(17) Please Provide Any Additional Information You Feel Is Important Not Covered Elsewhere:

REMARKS: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Thank you for your remarks. Please ensure that you return this questionnaire to the Contracting Agency. Do NOT return to the evaluated contractor.

NAME OF PERSON SUBMITTING REFERENCE

DATE

CONTACT PHONE NUMBER

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