Custodial_Past_Performance_Questionnaire_14_Apr_15_Att_6.doc
DOC document 74 KB Posted
- Attached to
- Custodial Services for PAFB and CMAFS Federal contract opportunity
- Solicitation number
- FA2517-15-R-5004
About this file
Attachment 6 Past Performance Questionnaire
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| CMAFS_Square_Footage_Appendix_A2_14_Apr_2015.pdf | ||
| PAFB_Square_Footage_Appendix_A1_14_Apr_2015.pdf | ||
| WD_22_Dec_14_Att_3.pdf | ||
| Custodial_QASP_14_Apr_5_Att_7.docx | DOCX document | |
| Price_List_20_Apr_15_Att_2.pdf | ||
| Client_Authorization_Letter_14_Apr_15_Att_8.docx | DOCX document | |
| FA2517-15-R-5004_Draft_RFP.pdf | ||
| PAFB_and_CMAFS_Custodial_PWS_14_Apr_15_Att_1.doc | DOC document | |
| Custodial_CBA_2014-2017_Att_5.pdf | ||
| Consent_Letter_14_Apr_15_Att_9.docx | DOCX document | |
| Workload_Estimate_20_Apr_15_Att_4.pdf |
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Text version
FA2517-14-R-5002
PAST PERFORMANCE QUESTIONNAIRE Att 6 The below-named contractor/offeror is being considered for award of a contract for Custodial Services at Peterson Air Force Base and Cheyenne Mountain Air Force Station, Colorado. A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Completed questionnaires can be returned via email or mail to the following:
When filled in this document is source selection sensitive information iaw FAR 2.101 & 3.104
EMAIL: Jeremy.Rash@us.af.mil, Tina.Crosby.3@us.af.mil and Troy.Thomas.11@us.af.mil
MAIL: 21st Contracting Squadron/LGCAB
Attn: Jeremy Rash
Building 1324
580 Goodfellow St.
Peterson AFB, CO 80914-1648
A. GENERAL INFORMATION
Offeror’s Name:__________________________________________________________
Address: _______________________________________________________________ Telephone Number:_____________________ Point of Contact:____________________
B. RESPONDENT INFORMATION
Name:_________________________________ Title:___________________________ Organization & Address:___________________________________________________
Telephone: _______________ FAX:_______________ Email:____________________
C. CONTRACT INFORMATION
Contract Title:____________________________________________________________
Period of Performance:____________________ Contract Number:_________________
Dollar Amount of Contract:_________________________________________________
Services Performed:_______________________________________________________ SCOPE OF SERVICE: Please enter the total number of buildings serviced, total sqft serviced, and place an X below the type(s) of buildings or categories serviced
| Total # of Buildings Serviced |
| Total Square Footage Serviced |
| Child Care Facilities |
| Medical Facilities |
| Distinguished Visitor Area Cleaning |
| Fitness Centers |
| Emergency Clean-up & Response |
| Admin Areas |
EXAMPLE AS FOLLOWS:
SCOPE OF SERVICE: Please enter the total number of buildings serviced, total sqft serviced, and place an X below the type(s) of buildings or category serviced
| Total # of Buildings Serviced |
| Total Square Footage Serviced |
| Child Care Facilities |
| Medical Facilities |
| Distinguished Visitor Area Cleaning |
| Fitness Centers |
| Emergency Clean-up & Response |
| Admin |
Areas
| 15 |
| 780,000 |
| X |
X
| X |
| X |
D. PERFORMANCE INFORMATION
The Air Force will use your survey responses to determine a level of confidence, based on the offeror’s past performance record, concerning the offeror’s ability to successfully perform our requirement in accordance with the contract. Please assign one of the following ratings to each of the questioned areas listed below. The ratings selected will indicate the degree of doubt or confidence concerning performance in each area.
RESPONDENT WILL NOT FURNISH ANY PAST PERFORMANCE INFORMATION TO OFFEROR SUBMITTING A PROPOSAL FOR THIS SOLICITATION.
| Rating |
| Description |
| EXCELLENT (E) |
| The Offeror’s performance met contractual requirements and exceeded many requirements to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| VERY GOOD (VG) |
| The Offeror’s performance met contractual requirements and exceeded some requirements to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| SATISFACTORY (S) |
| The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the Contractor appeared or were satisfactory. |
| MARGINAL (M) |
| The Offeror’s performance did not meet some contractual requirements. The contractual performance reflected a serious problem for which the contractor had not identified corrective actions or proposed actions appeared only marginally effective or were not fully implemented. |
| UNSATISFACTORY (U) |
| The Offeror’s performance did not meet most contractual requirements, and recovery was not in a timely manner. The contractual performance contained a problem(s) for which the contractor’s corrective actions appeared or were ineffective. |
| NOT APPLICABLE (N/A) |
| Not applicable or unknown. Did not observe performance in this area. No performance record is identifiable. |
E. PEFORMANCE EVALUATION AREAS
Please use the above ratings and their assigned definitions to describe the offeror’s performance in the following areas:
1. ACQUISITION OF MATERIALS
| a. Contractor's ability to maintain and restock required supplies appropriate to customer needs |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| b. Contractor’s ability to obtain badges, vehicle passes, security clearances and escorts as required |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| c. Contractor’s ability to procure and use approved chemicals |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| d. Contractor's overall compliance |
| E |
| VG |
| S |
| M |
| U |
| N/A |
COMMENTS/REMARKS________________________________________________________
2. QUALITY OF SERVICE
| a. Contractor’s overall quality and timeliness of customer service |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| b. Contractor’s attention to detail for basic cleaning |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| c. Contractor’s willingness and effectiveness in correcting identified deficiencies |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| d. Contractor's ability to manage its workforce during fluctuating workloads |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| e. Contractor's ability to meet emergency, urgent or routine timelines |
| E |
| VG |
| S |
| M |
| U |
| N/A |
COMMENTS/REMARKS_______________________________________________________
3. BUSINESS RELATIONS (MANAGEMENT AND RESPONSIVENESS)
| a. Contractor provided experienced managers and supervisors with technical and administrative abilities to meet contract requirements |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| b. Contractor maintained appropriate staffing levels (number/qualifications) |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| c. Contractor provided timely response to management deficiencies |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| d. Contractor’s overall management and responsiveness |
| E |
| VG |
| S |
| M |
| U |
| N/A |
4. INTERNAL QUALITY CONTROL PLAN
| a. Contractor provided and maintained an acceptable inspection system |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| b. Contractor adhered to its quality control plan |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| c. Contractor’s ability to maintain an effective key control program |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| d. Contractor’s quality control resulted in little/no work on your part to achieve acceptable service (i.e. few failed inspections) |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| e. Contractor’s overall quality control |
| E |
| VG |
| S |
| M |
| U |
| N/A |
5. If a government contract, did the contractor receive any Performance Assessment Reports, Letters of Concern, or Cure Notices?_____________ If yes, please describe:
6. If given the opportunity, would you award another contract to this contractor?_______
Please explain response below:
7. How would you rate the contractor’s overall performance? E VG S M U N/A Printed Name of Respondent_____________________________________
Signature of Respondent___________________________________ Date____________
Job Title:________________________________________________________________
Thank you for taking the time to complete this questionnaire.
FA2517-14-R-5002
FA2517-15-R-5004
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