Past Performance Survey Carpet.doc
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- Attached to
- Asbestos Abatement and Remove/Replace Carpet and Tile Federal contract opportunity
- Solicitation number
- FA4661-09-R-0008
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Past Performance Survey Carpet Tile IDIQ
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Text version
DEPARTMENT OF THE AIR FORCE
7TH CONTRACTING SQUADRON (ACC)
381 THIRD STREET
DYESS AIR FORCE BASE, TEXAS 79607-1581
CREATED: January 1994
OPR: HQ ACC/IMPSP (W. Bryson)
Attachment 3: Past Performance Questionnaire Solicitation FA4661-09-R-0008
MEMORANDUM FOR PROSPECTIVE EVALUATORS
FROM: 7 CONS/LGCA
381 Third Street
Dyess AFB TX 79607-1581
SUBJECT: Solicitation FA4661-09-R-0008, Asbestos Abatement and Remove/Replace Carpet and Tile Indefinite Delivery-Requirements, Past Performance Questionnaire
1. The 7th Contracting Squadron is conducting a proposal evaluation for subject solicitation at Dyess AFB, TX. Under the solicitation, the Air Force will perform a Performance Price Tradeoff (PPT) evaluation. The contractor listed in Section A of the attached questionnaire has identified your office as a source to evaluate the contractor’s past performance and it also authorizes release of this information to our office.
2. The individual most knowledgeable of the contractor’s day-to-day operations and overall condition of performance rendered should complete the survey. However, that individual is encouraged to supplement their own knowledge with the judgment of others in their organization.
3. Please complete the questionnaire as thoroughly as possible by indicating your ratings and providing comments wherever applicable. For any rating of E or U, request you provide an explanatory narrative and attach to your response. The narratives need not be lengthy, but should be detailed and descriptive. Use separate evaluation forms for each contract/order being evaluated.
4. Your time and effort in providing this information is greatly appreciated. The requested information is critical to our evaluation. Please complete and return the completed package as quickly as possible but not later than 2:00 PM CST 10 July 2009. You may email a scanned copy to april.kreps@dyess.af.mil, FAX it to 325-696-4084, or mail it to the following address:
7th Contracting Squadron
Attn: Ms. April Kreps
381 Third Street
Dyess AFB TX 79607
5. If you have any questions, please call Ms. April Kreps at (325) 696-1454. Thank you for your cooperation and quick response to this request.
//SIGNED//
RONALD G. MILLER
Contracting Officer
SECTION A: Contractor Information (to be completed by the contractor requesting evaluation prior to mailing. NOTE: Contractor shall also include a verbatim copy of each SECTION A (completed and mailed to the proposed respondents) and corresponding respondents’ name/address in VOLUME II (Past Performance), Refer paragraph L-4) A. Contractor’s name and address:
B. Point of Contact:
C. Phone/Fax Numbers (with area code) & E-mail Address:
D. Contract number:
E. Project Title or Description of Work performed under this project:
F. Contractor’s Role (Prime, sub, designer, etc.) _______________________________________________________________________
G. Contracting or Procurement Official (Name & Contact information): ____________________________________________________
H. Project Designer of Record (Name & Contact information): ____________________________________________________________
I. Contract Type: FORMCHECKBOX Firm-Fixed-Price FORMCHECKBOX Indefinite-Delivery/Indefinite Quantity Task Order FORMCHECKBOX Cost-Reimbursement
J. Project Award Date:
Scheduled Completion Date:
Current/Final Completion Date:
K. Project Award Amount:
Current/Final Project Amount:
L. Comments (if desired): _________________________________________________________________________________________
M. Authorization is hereby granted to provide the information requested in SECTION B of this Questionnaire.
(Signature)
(Name and Title of Authorizing Official) (Date)
SECTION B: RESPONDENT INFORMATION (to be completed by respondent.)
EVALUATED BY:
(Signature) (Date)
Address:
(Typed or Printed Name)
(Title)
Phone/Fax Numbers (with area code) & E-mail Address
NOTE: The identity of individual(s) providing reference information shall not be disclosed.
Performance Evaluation Instructions
· When responding to the descriptive statements, select the letter, which most accurately describes the contractor’s performance or situation. If the contractor has no record of past performance relevant to a particular question, select “Neutral.”
PERFORMANCE CONFIDENCE ASSESSMENTS
| Rating |
| Description |
Exceptional
(E)
| SUBSTANTIAL CONFIDENCE |
| Based on the offeror’s performance record, the government has a high expectation that the offeror will successfully perform the required effort. |
Very Good
(V)
| SATISFACTORY CONFIDENCE |
| Based on the offeror’s performance record, the government has an expectation that the offeror will successfully perform the required effort. |
Satisfactory
(S)
LIMITED
CONFIDENCE
Based on the offeror’s performance record, the government has a low expectation that the offeror will successfully perform the required effort.
Neutral
(N)
UNKNOWN
CONFIDENCE
No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.
Unsatisfactory
(U)
NO
CONFIDENCE
Based on the offeror’s performance record, the government has no expectation that the offeror will be able to successfully perform the required effort.
| E |
| V |
| S |
| N |
| U |
| High Confidence |
| Significant Confidence |
| Satisfactory Confidence |
| Unknown Confidence |
| Little Confidence |
Evaluation Areas
| I. |
| QUALITY CONTROL: |
| E |
| V |
| S |
| N |
| U |
| 1. |
| Contractor provided effective quality control and inspection procedures that resulted in a quality-finished project. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Contractor developed and submitted realistic progress schedule(s). |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Contractor provided well researched and clearly identified submittals that matched contract requirements. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Contractor completed all work with good workmanship and in conformance with the specifications, resulting in minor, if any, punchlist items. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 5. |
| Contractor designs were all concise, accurate and captured all details of the site visit. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 6. |
| Contractor thoroughly reviewed design package proposals for accuracy, completeness and compliance with contract requirements |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| II. |
| TIMELY PERFORMANCE: |
| E |
| V |
| S |
| N |
| U |
| 1. |
| Contractor met established project schedules to complete the project on time, as scheduled. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| 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 and identify if Liquidated Damages were assessed) |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Contractor provided timely cost/design proposals. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Contractor submitted the progress schedule and interim progress reports as required in a timely manner and the schedule was approved prior to actual construction. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 5. |
| Contractor provided on-time submittals as required. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 6. |
| Contractor provided payrolls for both their firm and their subcontractors’ employees as required and scheduled. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 7. |
| Contractor provided timely resolution of all punchlist items. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| III. |
| MANAGEMENT EFFECTIVENESS: |
| E |
| V |
| S |
| N |
| U |
| 1. |
| Contractor provided experienced/qualified managers and supervisors with the technical and administrative abilities needed to meet contract requirements. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Contractor hired quality subcontractors and effectively managed and coordinated their work. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Contractor hired, maintained, and replaced as necessary, qualified personnel and subcontractors/suppliers. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Contractor ensured the site manager had sufficient authority to make decisions and take actions during project performance to keep the project on schedule. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 5. |
| Contractor ensured the site manager was consistently present on site when work was performed. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 6. |
| Contractor provided timely and satisfactory response to warranty issues after project completion. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 7. |
| Contractor paid employees/subcontractors/suppliers as required. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 8. |
| The contractor cooperated to resolve problems, attended meetings and maintained communication to assure satisfactory resolution. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| IV. |
| PRICING: |
| E |
| V |
| S |
| N |
| U |
| 1. |
| The contractor submits proposals that accurately represent the work required. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| The contractor’s supporting price/cost information for modifications is accurate, complete and reasonable (not over inflated or under estimated). |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| How would you rate the contractor’s overall Pricing performance. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| V. |
| MANAGEMENT/SUPERINTENDENCE: |
| E |
| V |
| S |
| N |
| U |
| 1. |
| Site Manager ensured compliance to contact requirements and safety regulations. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Site Manager acted promptly to resolve problems and ensure work quality. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Site Manager had sufficient authority to make decisions or take actions during project performance. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Site Manager consistently present on site when work was performed. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| VI. |
| COMPLIANCE WITH LABOR STANDARDS: |
| E |
| V |
| S |
| N |
| U |
| 1. |
| Submitted payrolls in a timely manner. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Payrolls were complete and correct. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Compliance with labor laws and regulations with specific attention to the Davis-Bacon Act. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| VII. |
| COMPLIANCE WITH SAFETY STANDARDS: |
| E |
| V |
| S |
| N |
| U |
| 1. |
| Adequacy of Safety Plan. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Implementation of Safety Plan. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| VIII. |
| GENERAL PERFORMANCE: |
Please rate the contractor's performance on projects/task orders. (example: were any not accepted due to the quality of workmanship?)
(If yes, please briefly explain circumstances in comments section below)
Please rate the contractor in this area.
E
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments:
please rate the contractor on how well they complied with the specifications.
Please rate the contractor in this area.
E
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
please rate the contractor on FOD (Foreign Object Damage) and the contractor's response to FOD issues.
(If yes, please briefly explain circumstances in comments section below)
Please rate the contractor in this area.
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Please rate the contractor on how well they adhere to base standards for construction sites. (example: Site Cleaned up)
Please rate the contractor in this area.
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
PLease rate the contractor on how well they conduct and document daily self-inspections.
Please rate the contractor in this area.
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
please rate the contractor on how well the comply with submittal requirements. (example: Does the contractor install/use the materials that were submitted for approval or do they substitute "other materials" not approved by the government without notice?)
Please rate the contractor in this area.
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
please rate the contractor on "major differing site conditions" and how they routinely implement/negotiate contract Modifications.
Please rate the contractor in this area.
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
PLEASE RATE THE CONTRACTOR ON THE ABILITY TO WORK UNDER THE CHALLENGES ASSOCIATED WITH PAVING MILITARY STREETS AND TO MEET STRICT TIMELINES.
Please rate the contractor in this area.
V
S
N
U
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Global Power For America
SOURCE SELECTION SENSITIVE
File details come from the government source that posted it. Updated .