Attachment_5_-_Past_Performance_Questionnaire_15_Jun_2016.pdf

PAST PERFORMANCE QUESTIONNAIRE Atch 5 (15 Jun 2016)

The below-named contractor/offeror is being considered for award of a contract for Grounds Maintenance Services at Peterson Air Force Base, 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: Tina.Crosby.3@us.af.mil, Renada.Cooper@us.af.mil and 21cons.lgcab@us.af.mil

MAIL: 21st Contracting Squadron/LGCAB Attn: Tina Crosby and Renada Cooper 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:_______________________________________________________ mailto:Tina.Crosby.3@us.af.mil

The Air Force Will use the information below to determine how closely the Contractor’s past performance matches the performance required for the Air Force. Please complete the information below.

SCOPE OF SERVICE: Please annotate if the Contractor provided Improved Grounds Maintenance, enter the total acreage maintained for Improved Grounds and place an X below the types of services provided for Improved Grounds Maintenance (Mowing and/or Irrigation Maintenance).

Provided Improved

Grounds Maintenance

Total Acreage of

Improved Grounds

Maintained

Mowing Irrigation Maintenance

SCOPE OF SERVICE: Please annotate if Contractor provided Snow/Ice Removal Operations, enter the total square feet serviced for Snow/Ice Removal Operations (not including roads and parking lots), and place an X below the types of surfaces the Contractor provided Snow/Ice Removal Operations (paved areas, sidewalks, steps, stairs, landings, entrance ramps, concrete pads and handicap ramps).

Provided

Snow/Ice

Removal

Operations

Total

Square

Feet

Serviced

(not including roads and parking lots)

Paved

Areas

Sidewalks Steps Stairs Landings Entrance

Ramps

Concrete

Pads

Handicap

Ramps

EXAMPLE AS FOLLOWS:

SCOPE OF SERVICE: Please annotate if Contractor provided Improved Grounds Maintenance, enter the total acreage maintained for Improved Grounds and place an X below the types of services provided for Improved Grounds Maintenance (Mowing and/or Irrigation).

Provided Improved

Grounds Maintenance

Total Acreage of

Improved Grounds

Maintained

Mowing Irrigation Maintenance

YES 65 Acres X X

SCOPE OF SERVICE: Please annotate if Contractor provided Snow/Ice Removal Operations, enter the total square feet serviced for Snow/Ice Removal Operations (not including roads and parking lots), and place an X below the types of surfaces the Contractor provided Snow/Ice Removal Operations (paved areas, sidewalks, steps, stairs, landings, entrance ramps, concrete pads and handicap ramps).

Provided

Snow/Ice

Removal

Total

Square

Feet

Paved

Areas

Sidewalks Steps Stairs Landings Entrance

Ramps

Concrete

Pads

Handicap

Ramps

Operations Serviced

(not including roads and parking lots)

YES 105,000

Sqft

X 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 service receiver’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 service receiver’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. GROUNDS MAINTENANCE

a. Contractor maintained grass at stated length, fertilized when required and irrigated as necessary.

E VG S M U N/A

b. Contractor maintained trees, shrubs, flower beds and rock gardens as required.

E VG S M U N/A

c. Contractor maintained and repaired irrigation systems as required. E VG S M U N/A

d. Contractor maintained pest control as required. E VG S M U N/A

e. Contractor provided snow/ice removal operations as required. E VG S M U N/A

COMMENTS/REMARKS________________________________________________________

2. QUALITY OF SERVICE

a. Contractor's responsiveness to emergency or special events. E VG S M U N/A

b. Contractor corrected deficiencies in a timely manner. E VG S M U N/A

c. Contractor’s ability to identify problems as they occurred. E VG S M U N/A

d. Contractor's ability to meet established project schedules. E VG S M U N/A

e. Contractor’s ability to prevent recurrence of identified problems. E VG S M U N/A

COMMENTS/REMARKS_______________________________________________________

3. BUSINESS RELATIONS (MANAGEMENT AND RESPONSIVENESS)

a. Contractor provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

E VG S M U N/A

b. Contractor’s ability to delegate authority to project managers and supervisors commensurate with contract requirements.

E VG S M U N/A

c. Contractor was responsive to contract changes. E VG S M U N/A

d. Contractor provided accurate and complete proposals for changes, required projects, etc.

E VG S M U N/A

e. Contractor provided adequate staffing to meet contract requirements.

E VG S M U N/A

f. Contractor provided effective recruitment and retainment of personnel in order to meet contract requirements.

E VG S M U N/A

g. Contractor provided effective subcontract management to meet contract requirements.

E VG S M U N/A

COMMENTS/REMARKS_______________________________________________________

4. INTERNAL QUALITY CONTROL

a. Contractor provided effective quality control and/or inspection procedures to meet contract requirements.

E VG S M U N/A

b. 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

COMMENTS/REMARKS_______________________________________________________

5. Did the contractor receive any notices or letters that addressed performance issues? 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 (please circle one below)?

Excellent Very Good Satisfactory Marginal Unsatisfactory

Printed Name of Respondent________________________________________________

Signature of Respondent___________________________________ Date____________

Job Title:________________________________________________________________