PAST_PERFORMANCE_QUESTIONNAIRE_(2).pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: ____________________ Telephone Number: ____________________ Address: __________________________ Fax Number: _________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

Did this project include Improved Grounds Maintenance*? YES / NO ____Acres Did this project include Semi-Improved Grounds Maintenance*? YES / NO ____Acres Did this project include Tree/Shrub/Hedge Pruning? YES / NO ____Acres/SF Did this project include Bedding/Planted Area Maintenance? YES / NO ____Acres/SF Did this project include BASH/Airfield or airport Maintenance? YES / NO ____Acres Did this project include Munitions/magazine Maintenance? YES / NO ____%Slope Did this project include Power line right-of-ways? YES / NO ____Miles Did this project include tree removal? YES / NO Did this project include maintenance of drainage ditches? YES / NO Did this project include operation of irrigation systems? YES / NO Did this project include grounds fertilization? YES / NO Did this project include pest management for grounds areas? YES / NO

Contract Number Provided by Offeror: ___________________ Dollar Amount: ________*

Contract Period or Dates of Performance Provided by Offeror: ______________________* Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

* Note: If offeror holds or has held other contracts with your agency/organization in the last 5 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: ___________________ Title: __________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Fax Number: _____________________ _____________________________ Email Address: _____________________

C. FAX OR EMAIL COMPLETED SURVEY FORM TO: Attn: Scott D. Rogge, 843-963- 4485, or email at scott.rogge.1@us.af.mil.

D. PERFORMANCE INFORMATION: Choose the appropriate rating 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 NOGO or

UNCON.

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets/met 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/met 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 were effective.

Performance meets/met 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.

does not meet/did 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/did 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.

was not observed or not applicable to the current effort being reported against.

Place an “X” in the appropriate column using the definitions matrix above.

The contractor: E G S M U N

1. Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2. Maintenance of Improved Grounds – maintained grass at stated length, fertilized when required and irrigated as necessary

3. Maintenance of trees, shrubs, flower beds and rock gardens IAW applicable standards

4. Maintenance and repair of irrigation systems

5. Responsiveness to emergency or special events

6. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

7. Delegated authority to project managers and supervisors commensurate with contract requirements.

8. Home office participated in solving significant local problems.

9. Provided effective quality control and/or inspection procedures to meet contract requirements.

10. Corrected deficiencies in timely manner and pursuant to their quality control procedures.

11. Identified problems as they occurred.

12. Suggested alternative approaches to potential problems, i.e. displayed initiative to solve problems

13. Met established project schedules.

14. Was responsive to contract changes.

The contractor: E G S M U N

15. Paid subcontractors/suppliers in a timely manner.

16. Provided accurate and complete line item cost proposals including all aspects of work required for each task.

17. Cooperated with Government personnel after award.

18. How would you rate the contractor's overall performance on this contract?

19. Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.”

YES/NO

20. Would you award another contract to this contractor? If not, explain in “remarks.”

YES/NO

Remarks:______________________________________________________________________