Attachment D PPQ.pdf

Attachment D

Past Performance Questionnaire

DE‐RP65‐11WJ91848

Department of Energy Western Area Power Administration Rocky Mountain Customer Service Region

P.O. Box 3700 Loveland, CO 80539-3003

TO: Past Performance References

FROM: U.S. Department of Energy Western Area Power Administration ATTN: Fred Girany, Contract Specialist P.O. Box 3700 Loveland, CO 80539-3003

RE: Request for Current/Past Performance Information

Western Area Power Administration has issued solicitation, DE-RP65-11WJ91848, to request proposals for a contractor to perform mechanized tree clearing and forest management services.

One of the integral considerations in proposal evaluations is the verification of the offeror’s past and present performance on contracts, which reflect the offeror’s ability to perform on the proposed effort of Mechanized Tree Clearing and Forest Management. We depend on information received from agencies such as yours, which have had firsthand experience with the offeror, and for the evaluation of their performance.

Our areas of interest in the offeror are summarized in the enclosed questionnaire. You are urged to submit your comment on other similar contracts your entity has has/had with the offeror. Any additional information that you think may benefit the Government in our evaluation of the offeror's proposal is appreciated. Please note we may contact the offeror on problem areas or concerns identified, to determine whether corrective actions have been taken or are in process. The offeror is required by our solicitation to provide points of contact for each reference provided to the Government. The name of the individual completing the questionnaire will not be disclosed to the offeror.

Due to time constraints it is imperative that the questionnaire be completed and returned no later than April 25, 2011, to Fred Girany, Contract Specialist, via email at girany@wapa.gov. If you are unable to scan and email the document, please fax to ATTN: FRED GIRANY at 970-461-7377, and call to confirm receipt. Please submit your completed questionnaire with a fax cover sheet and clearly market “Source Selection Sensitive/For Official Use Only.

If additional information is required, please contact Fred Girany at (970) 461-7295. Your time and effort is greatly appreciated.

//signed//

Fred Girany 1 Attachment Contract Specialist mailto:girany@wapa.gov

When completing the Questionnaire, please use the following definitions as a guide:

Exceptional (E) Performance meets contractual requirements and exceeds many to the Government’s benefit.

The contractual performance of the services being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good (VG) Performance meets contractual requirements and exceeds some to the Government’s benefit.

The contractual performance of the services being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory (S) Performance meets contractual requirements. The contractual performance of the services contains some minor problems for which corrective actions taken by the contractor appear satisfactory.

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

Unsatisfactory (U) Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the services contains serious problem(s) for which the contractor’s corrective actions do not appear to be effective.

Unknown (N/A) Does not apply to your contract, or you did not observe performance in this area.

Please respond to the items regarding this contractor’s past performance by checking the appropriate box. For all ratings, please provide a narrative explaining how the contractor either exceeded, or failed to meet, your requirements. If the contractor had problems in a specific area, but you determined it did not have a significant impact on the overall project, please state this in your narrative remarks.

PAST PERFORMANCE QUESTIONNAIRE

Solicitation DE-RP65-11WJ91848

1. COMPANY NAME OF OFFEROR (CONTRACTOR) For Whom you are Providing a Reference:

2. CONTRACT INFORMATION: Complete the following information on the Offeror that is currently providing services for your agency/company, or that has provided services within the past 3 years.

a. Offeror’s POC:

Name: Address:

Title:

Phone:

Email:

b. Contract Number:

c. Project/Program/Contract Title:

d. Contract Type:

Firm Fixed Price Fixed Price Incentive Cost Plus Award Fee Cost Plus Incentive Fee Other:

e. Place of Performance:

f. Period of Performance: thru

g. Total Contract Dollar Value (as of this date): $

h. Total Number of Contractor Personnel (as of this date):

i. Brief Description of Contracted Service(s):

3. RATINGS:

a. Rate the contractor’s organizational support structure and their ability to provide an adequate span of control and supervision.

E VG S M U N/A

Narrative:

b. Rate the qualifications and competency of the contractor’s employees as well as the

Contractor’s ability to replace personnel with qualified personnel as necessary without project delays or disruption to operations.

c. Rate the contractor’s demonstrated ability comply with all environmental requirements and restrictions.

d. Rate the contractor’s execution of their safety program and provide a narrative regarding any work related injuries.

e. Rate the contractor’s ability to identify problems as they occurred, suggest approaches to the identified problems, and the initiative displayed to solve such problems.

f. Rate the contractor’s effectiveness in working with landowners.

g. Rate the contractor’s execution of the Performance Work Statement or required services.

h. Rate the contractor's overall equipment fleet condition and maintenance and their ability to select the correct equipment type to most efficiently complete the required work.

i. Based on your judgment of the contractor’s performance, would you award the contractor another Government contract?

Yes (please explain) No (please explain)

j. What were the contractor's strong points, if any, and what did you like best about their performance?

k. What were the contractor's weak points, if any, and what did you like least about their performance?

l. Please rate overall customer satisfaction with the contractor's performance.

4. OTHER: The following information will help us track the responses received, as well as resolve whatever differences may arise between your perception of the contractor’s performance and the contractor’s perception of their performance. NOTE: The Federal Acquisition Regulation (FAR) requires that the offeror be given an opportunity to respond to adverse past performance information.

a. Evaluator’s Name & Title:

b. Description of your role/responsibilities in this contract:

c. Telephone:

d. Agency/Company Name and Address:

Federal Government State/Local Government Commercial Firm

e. Length of involvement in the contract:

f. Date of questionnaire completion: