ATTACH 4 PAST PERFORMANCE EVALUATION QUESTIONNAIRE.pdf

ATTACHMENT 4 – PAST PERFORMANCE

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Base Laundry and Dry Cleaning

Solicitation FA4625-12-R-0010

The below-named contractor/offeror is being considered for award of a contract for Base Laundry and

Dry Cleaning Services at Whiteman AFB, MO. 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 fax, email or mail to the following:

509 CONS/LGCB

ATTN: Beatriz Baum

727 Second St., Ste 124A

Whiteman AFB, MO 65305

Or FAX to: (660) 687-4822

Or email: 509cons.sollgcb@whiteman.af.mil

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:_______________________

Total contract value, including all modifications and options:__________________________________

Annual contract expenditures:__________________________________________________________ mailto:509cons.sollgcb@whiteman.af.mil

Total occupied square footage of facilities supported:_______________________________________

Number of separate and distinct commodities provided under contract:_________________________

Description of contract effort:___________________________________________________________

(Include whether the effort supported a moving or packing and crating contract)

D. PERFORMANCE INFORMATION

PERFORMANCE INFORMATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question (E, G, S, M, U or N). This scale is defined as follows:

CODE PERFORMANCE RATING

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds 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.

G GOOD- The contractor’s performance meets contractual requirements and exceeds 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.

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or was satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance 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.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NEUTRAL – Performance was not observed or not applicable to the current effort being reported against.

1. CUSTOMER SATISFACTION:

aa. Customer would have no reservation in awarding another contract to the Contractor.

bb. Cooperative, businesslike and concerned with the interest of the customer.

cc. Provided prompt and courteous service when responding to customer complaints.

Overall rating for Customer Satisfaction E G S M U N

2. ORGANIZATION:

aa. Contractor demonstrated clear, logical lines of authority from program manager. Demonstrated technical sufficiency including site superintendents and quality control.

bb. Contractor demonstrated the level of decision-making authority was delegated to staff members, project managers had on-site decision making authority.

cc. Contractor provided dedicated on-site staff (if required by contract)

Overall rating for Organization E G S M U N

3. QUALITY:

aa. Contractor provided effective quality control and inspection procedures which resulted in a qualityfinished project.

bb. Contractor willingness and effectiveness to correct identified deficiencies.

cc. Contractor’s ability to follow security and information security procedures.

dd. Contractor maintained records and reported data IAW standards.

ee. Contractor provided professional appearance and conduct.

ff. Contractor provided well researched and clearly identified submittals that matched contract requirements.

gg. Contractor identified and expediently resolved safety problems.

hh. How well the contractor complies with environmental requirements.

ii. Contractor provided a quality program to ensure contracted services are performed in accordance with contract and implemented procedures to identify, and ensure non-recurrence of defective services.

Overall rating for contractor’s Quality E G S M U N

4. TIMELINESS:

aa. Contractor was able to meet specific response times and scheduled time frames for completion of specific tasks

bb. Contractor performed all work without the issuance of a

CURE NOTICE or a SHOW CAUSE LETTER (if a notice was issued, please describe the circumstances on a separate sheet of paper)

cc. Contractor’s overall compliance in providing the correct commodity items on time and at a fair and reasonable price.

dd. Contractor met time constrained deadlines and delivered products on-time.

ee. Contractor provided on-time delivery within original delivery date.

Overall rating for contractor Timeliness E G S M U N

5. RESPONSIVENESS:

aa. Contractor acted promptly to resolve problems, ensuring compliance with contract, and regulations.

bb. Contractor was reasonable and cooperated to resolve problems, attended meetings as needed, and maintained communication with the Government to keep the projects on schedule or minimize the delay.

cc. Contractor identified problems as they occurred;

corrective action taken when problems occurred, displayed initiative to solve problems; and performed as a “Team

Member”.

dd. Contractor realigned schedules to meet customer needs when changes occurred.

ee. The contractor’s quality control person demonstrated good working relationships with the Government inspectors and the Contracting staff.

ff Contractor’s responsiveness to replace/repair damaged goods

Overall rating for contractor’s Responsiveness E G S M U N

6. MANAGEMENT:

aa. Contractor provided experienced managers and supervisors with technical and administrative abilities to meet contract requirements.

bb. Contractor effectively managed materials requirements.

cc. Contractor’s ability to provide personnel with the needed expertise and knowledge.

dd. Contractor’s ability to track deliveries/goods and receive status of deliveries/goods.

ee. Contractor provided experienced managers and/or supervisors with technical and administrative abilities to meet contract requirements.

ff. Contractor hired quality subcontractors and effectively managed and coordinated their work.

Overall rating for contractor’s Management E G S M U N

COMMENTS/NARRATIVE Please provide any comments or narrative pertaining to the ratings above.

At a minimum discuss all responses for which you indicated E (Exceptional) M (Marginal) or U

(Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

If given the opportunity, would you award another contract to this contractor?___________________

Please explain response below:

Please provide any additional comments concerning this contractor’s performance, as desired.

LEGEND OF TERMS

OFFEROR: The contractor for which past performance is being evaluated

SOLICITATION NUMBER: The procurement document number the government uses to identify a specific

Request for Proposal (RFP)

RESPONDENT: The person and/or organization evaluating past performance

CONTRACT NUMBER: If the offeror had a contract or purchase order with your company/firm, the identifying contract number associated with awarded contract/purchase order

CONTRACT TITLE: Project title of work performed

CONTRACT VALUE: Contract/purchase order total dollar value, including all modifications and options

BRIEF DESCRIPTION OF WORK: Describe type of work being performed, to include whether the contract included airframe mission planning and/or intelligence support specifically in weapons employment.

Thank you for your prompt response and assistance!