DRAFT Section J - Attachment XX Past Performance Questionnaire 2 Jun 09.doc
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- Integrated Solid Waste Management (ISWM) Federal contract opportunity
- Solicitation number
- FA3002-09-R-0035
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DRAFT Section J - Attachment XX Past Performance Questionnaire 2 Jun 09
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DEPARTMENT OF THE AIR FORCE
AIR EDUCATION AND TRAINING COMMAND
FA3002-09-R-0035
Attachment XX
MEMORANDUM FOR PROJECT OWNERS
FROM:
AETC CONTRACTING SQUADRON/LGCS
2021 First Street West
Randolph AFB, TX 78150-4302
SUBJECT: Past Performance Questionnaire
1. 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. We depend on information received from agencies such as yours that have had firsthand experience with the offeror, and for the evaluation of their performance. Therefore, we request the attached questionnaire be completed concerning the offeror’s past and present performance.
2. The Government’s areas of interest in the offeror are summarized in the enclosed questionnaire. Because of your association with the offeror, you are encouraged to submit supporting comments in addition to your ratings on Resource Management for Refuse Collection Services and Recycling Services or similar programs for which your activity has contracts or administers contracts with the offeror. Any additional information you think would benefit the Government in our evaluation of the offeror’s proposal would be appreciated. Please note we may contact the offeror on problems or areas of concern identified to see what corrective actions have been taken or will be taken. Even though the offeror was required to provide points of contact for each reference provided to the Government, the individual’s name completing this questionnaire will not be disclosed to the offeror.
3. The offeror will need to fill out sections A through D then forward to the applicable agencies for validation. Each agency will complete the questionnaire and return it to the points of contact listed below. Please be advised that once this document is filled out it is Source Selection Sensitive IAW FAR 2.101 and FAR 3.104.
4. Due to time constraints, it is imperative that the questionnaire be completed and returned not later than TBD to Capt Michelle Adams at michelle.adams@randolph.af.mil and aetc.iswm.at@randolph.af.mil. All documents should be marked Source Selection Sensitive/For Official Use Only. We would appreciate the questionnaire be returned to us by e-mail to michelle.adams@randolph.af.mil and aetc.iswm.at@randolph.af.mil.
5. If additional information is required, do not hesitate to contact me at michelle.adams@randolph.af.mil or (210) 652-9590.
//SIGNED//
MICHELLE R. ADAMS, Capt, USAF
Contracting Officer, CFCM
PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
A. GENERAL INFORMATION: The contractor is to completely fill out Sections A and B. The contracting agency will verify the information, highlight any discrepancies and add additional information, if necessary:
Contractor’s Name/Cage Code: ____________________ Telephone Number: ______________________
Address: __________________________ Fax Number: ______________________
Point of Contact: ______________________
Project Title and Complete Description of Work (Explain corrective actions taken in the past, if any, for substandard performance and any current performance problems such as cost overruns, extended performance periods, numerous warranty calls and comments regarding compliance with contract terms and conditions, etc.): __________________________________________________________________________________________
Contract Number Provided by Offeror: ___________________ Dollar Amount Per Year of Contract: ________
Contract Period or Dates of Performance: ______________________
Recycling Revenue Generated Per Year: ___________
Percentage Increase in Recycling Volume and Revenue Per Year: _____________
Annual Diversion of Non-hazardous Solid Waste: _________ Type of Commodities Recycled: _____________ Number and Size of Dumpsters: _______ Type and size of equipment used for recycling:_____________
Number of Pick-ups: Weekly____Monthly____Annually______
Annual Tonnage: __________
Composting Facility: Yes/No Solid Waste: ________
If yes, what type_________________
Food Waste: __________
Recyclable Commodities: ________
Contractor performed as the ( Prime Contractor ( Sub-Contractor ( Key Personnel.
B. RESPONDENT INFORMATION: This information must be provided and verified by the contractor prior to submitting the contracting agency to ensure the information is up-to-date.
Contracting Agency/Customer Name:_____________________ Title: ____________________________ Address: _____________________
Telephone Number: _________________________ _____________________________
Fax Number:
Email Address: _________________________ C. E-MAIL COMPLETED SURVEY FORM TO: michelle.adams@randolph.af.mil and aetc.iswm.at@randolph.af.mil D. PERFORMANCE INFORMATION: Choose the appropriate letter on the scale (E, G, S, M, U, and N) that most accurately describes the contractor’s performance or situation. 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 with many exceeded 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 with some exceeded 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 was 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 NUMBER: _______________
Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.
Place an “X” in the appropriate column using the definitions matrix above.
| The contractor: |
| E |
| G |
| S |
| M |
| U |
| N |
| 1. |
| Demonstrated the ability to mobilize with minimum initial investment costs. |
Comments:
| 2. |
| Provided creative ways to reduce, reuse and recycle commodities in remote locations. |
Comments:
| 3. |
| Provided creative ways to reduce, reuse and recycle commodities in metropolitan areas. |
Comments:
| 4. |
| Demonstrated ability to process recycling commodities in a manner that maximizes revenue. |
Comments:
| 5. |
| Demonstrated ability to reduce solid waste disposal tonnages associated with non-revenue generating commodities. |
Comments:
| 6. |
| Demonstrated ability to maximize recycling revenue by optimizing facility space for staging to accumulate recyclable commodities. |
Comments:
| 7. |
| Demonstrated capability to implement and sustain continuous improvement in diversion processes and recycling revenue generation throughout the duration of performance. |
Comments:
| 8. |
| Reported accurate and timely information to the user for weight tickets, landfill receipt, diversion metrics and recycling revenue receipts. |
Comments:
| 9. |
| Demonstrated ability to reduce program costs throughout the life of the program by increasing diversion and maximizing recycling sales. |
Comments:
| 10. |
| New equipment procurements and/or processes consistently strengthened program. |
Comments:
| 11. |
| Ability to forecast equipment maintenance requirements, avoiding excessive equipment down time. |
Comments:
| 12. |
| Ability to ensure consistent operations during equipment failure or maintenance. |
Comments:
| 13. |
| Efficiently handled equipment failures. |
Comments:
| 14. |
| Demonstrated the capability to cost effectively implement EPA certified Resource Management processes. |
Comments:
| 15. |
| Properly disposed of waste. |
Comments:
| 16. |
| Ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. |
Comments:
| 17. |
| The contractor properly proposed and maintained the appropriate number of personnel. |
Comments:
| 18. |
| Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
Comments:
| 19. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
Comments:
| 20. |
| Identified problems as they occurred. |
Comments:
| 21. |
| Suggested alternative approaches to mitigate problems. |
Comments:
| 22. |
| Met established project schedules including mobilization, pick-up schedules, etc. |
Comments:
| 23. |
| How would you rate the contractor's overall performance? |
Comments:
| 24. |
| Ability to forecast and control cost. |
Comments:
| 25. |
| Would you award another contract to this contractor? If not, please explain. |
| YES/NO |
Comments:
| 26. |
| Did you have to initiate adverse action against the contractor for correction to ensure compliance? If yes, please explain. |
| YES/NO |
Comments:
CONTRACTOR’S NAME: ___________________ CONTRACT NUMBER _______________
Remarks:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
FOR OFFICIAL USE ONLY
FOR OFFICIAL USE ONLY
SOURCE SELECTION SENSITIVE INFORMATION
_954828686
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