FA480318R0004_Atth_4_-_PPQ.pdf

Attachment 4

* PAST PERFORMANCE QUESTIONNAIRE

MEMORANDUM FOR WHOM IT MAY CONCERN

FROM: 20th CONS/PKA 321 Cullen St.

SHAW AFB SC 29152-5105

Subject: Request for Performance Information, Solicitation # FA4803-18-R-0004, Operation and

Maintenance of Waste Water Treatment Plant and Waste Water Disposal Services.

1. One of the integral considerations in proposal evaluations is the verification of the offeror’s past performance on contracts, which reflect the offeror’s ability to perform on the proposed effort. This effort, solicitation number FA4803-18-R-0004 is for Waste Water Treatment and Pump and Haul Services for Shaw AFB, SC. We depend upon information received from agencies such as yours, which have had firsthand experience with the offeror, for the evaluation of their performance. Therefore, we request that the attached questionnaire be completed concerning the offeror’s present/past performance.

2. Our areas of interest are summarized in the enclosed questionnaire. You are urged to submit your comments on similar programs for which your activity has contracts or administers contracts with the offeror. Any additional information that you think would benefit Shaw AFB, SC in our evaluation of the offeror’s proposals would be appreciated. Please note we may contact the offeror on problem areas or concerns identified to see what corrective actions have been taken or will be taken.

3. Due to time constraints, it is imperative that the questionnaire be completed and returned by 2:00 PM on 7 June 2018 to:

20th CONS/PKA Attn: Nancy Hunt 321 Cullen St.

Shaw AFB SC 29152-5105

Mark documents “SOURCE SELECTION SENSITIVE/FOR OFFICIAL USE ONLY”

Completed questionnaires may be faxed to (803) 895-5339 or DSN 965-5339, or emailed to nancy.hunt@us.af.mil.

4. If additional information is required, please contact, Nancy Hunt at (803) 895-5349, or Daniel Kane at

(803) 895-9830.

DANIEL KANE

Contracting Officer mailto:nancy.hunt@us.af.mil

PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER: FA4803-18-R-0004

Operation and Maintenance of Waste Water Treatment Plant and

Waste Water Disposal

1. Please complete this questionnaire. The following is an explanation of the evaluation codes:

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY

RATINGS OF 1 OR 2.

1 2 3 4 5

UNKNOWN

CONFIDENCE

NO CONFIDENCE LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

SUBSTANTIAL

CONFIDENCE

No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

Based on the offeror’s performance record, the Government has no expectation that the offeror will be able to successfully perform the required effort.

Based on the offeror’s performance record, the Government has a low expectation that the offeror will successfully perform the required effort.

Based on the offeror’s performance record, the Government has an expectation that the offeror will successfully perform the required effort

Based on the offeror’s performance record, the Government has a high expectation that the offeror will successfully perform the required effort.

Evaluator please complete the following:

A. Contractor:

B. Subcontractor:

C. Contract number:

D. Total annual contract dollar amount:

E. Period of Performance: From: To:

Exercised Option Periods:

F. Description of services being performed:

PAST PERFORMANCE EVALUATION

SOLICITATION NUMBER: FA4803-18-R-0004

Waste Water Treatment and Pump and Haul Service

1. How well did management work to resolve problems encountered throughout the performance of the contract.

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

SUBSTANTIAL

CONFIDENCE

Narrative:

2. How well did the contractor demonstrate ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

3. How well did the home office participate in solving significant local problems?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

4. How well did the contractor provide effective quality control and/or inspection procedures to meet contract requirements?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

5. How well did the contractor comply with all regulations and guidelines?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

6. How effective was the contractor’s quality control program.

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

7. Did the contractor correct deficiencies in a timely manner in accordance with their quality control procedures?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

8. Based on your judgment of the contractor’s performance, would you award the contractor another contract?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

9. Did management personnel have sufficient experience to accomplish the requirements of the contract?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

10. Please rate the contractor’s demonstrated ability on this contract in each of the following service areas (if applicable). “Satisfactory” needs no further explanation; however, if possible, please provide a short explanatory narrative for performance deemed Unknown Confidence, Limited Confidence, or No Confidence.

a. Did contractor exhibit ability to identify and correct non-compliance issues or internal concerns (i.e.

management, personnel, scheduling, and quality issues)?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

b. The contractor prevents trends in unacceptable performance?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

c. During the course of the contract, was notification sent to contractor identifying unsatisfactory work:

[ ] Yes [ ] No

d. If answered, was immediate action taken by contractor to correct the situation? [ ] Yes [ ] No

e. How well did contractor meet required deadlines?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

f. How well did contractor respond to contract changes?

CONFIDENCE

NO

CONFIDENCE

LIMITED

CONFIDENCE

SATISFACTORY

CONFIDENCE

Please check “yes” or “no” to the following questions:

11. Has the contractor ever been given a cure notice, a show cause notice, a suspension of payment, or had a claim denied?

[ ] Yes (if Yes, please explain) [ ] No

12. Does the Offeror have experience hauling waste disposal in large volume?

13. Does the offeror have experience in operation of activated sludge treatment plants with a minimum 1.0 million gallon per day design capacity?

14. Does the offeror have experience operating a waste water treatment plant with chemical use of lime, chlorine (bleach), sodium bisulfite and HTH?

RESPONDENT(S) TO QUESTIONNAIRE

A. Name(s):

B. Phone Number(s):

C. Position/Duty Title :

Name of reviewer (print) ;

Location

Telephone Number

SOLICITATION NUMBER: FA4803-18-R-0004