Attch3PPQ_Grounds.pdf

FA5000-15-R-0028

Attachment 3

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

SECTION A - CONTRACTOR INFORMATION: Offeror is to complete this section prior to sending this form to each reference listed on the Past and Present Performance References form (Attachment 5).

CONTRACTOR COMPANY NAME: ADDRESS: CAGE CODE:

DUNS NUMBER:

POINT OF CONTACT: TELEPHONE NUMBER: FAX NUMBER:

CONTRACT NUMBER: CONTRACT TITLE:

SECTION B - RESPONDENT INFORMATION: To be completed by each reference providing information in Sections C & E.

This is a 3-page questionnaire---please complete all 3 pages.

TYPED/PRINTED NAME: TITLE: COMPANY/ORGANIZATION:

ADDRESS (Street, City, State, and Zip Code):

TELEPHONE NUMBER (to include area code):

FAX NUMBER (to include area code):

E-MAIL ADDRESS: SIGNATAURE: DATE:

RETURN COMPLETED QUESTIONNAIRE TO THE INDIVIDUAL LISTED BELOW:

POINT OF CONTACT AND E-MAIL ADDRESS:

Patrick Doup - : patrick.doup@us.af.mil Msgt Crews – thomas.crews@us.af.mil

MAILING ADDRESS:

673 CONS/LGCB

10480 Sijan Ave, Ste

JBER, AK 99506

TELEPHONE

NUMBERS

VOICE: (907) 552-

8116 or 552-5587

FAX: (907) 552-7496

COMPLETE & RETURN PRIOR TO 18 Mar 15, 1:00 p.m.

Alaska Daylight Standard Time (ADST)

SECTION C - CONTRACT SPECIFICS: To be completed by each reference. Some of this information is repeat from Section A and is requested only to confirm the information.

CONTRACT NUMBER CONTRACT TYPE (Firm-

Fixed Price, Cost Reimbursement, etc.):

PERIOD OF

PERFORMANCE:

COMPETITIVE CONTRACT?

YES NO

INITIAL CONTRACT VALUE: CURRENT/FINAL CONTRACT

VALUE:

CONTRACT BEING EVALUATED AS (indicate which):

PRIME CONTRACTOR SUBCONTRACTOR

CONTRACT TITLE: Civil Engineer Support Services, Elmendorf AFB, AK

BRIEF DESCRIPTION OF SERVICES:

APPROXIMATE SQUARE FOOTAGE: APPROXIMATE NUMBER OF BUILDINGS:

REASON FOR DIFFERENCE BETWEEN INITIAL AND CURRENT/FINAL CONTRACT COSTS:

SECTION D - EVALUATION CONFIDENCE RATING SCALE:

RATING DEFINITION

E Exceptional

Performance meets contractual requirements and exceeds many to the customers benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG Very Good

Performance meets contractual requirements and exceeds some to the customers benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S Satisfactory

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 appear or were satisfactory.

M Marginal

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions.

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 of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

NA Not Applicable Used if the rating(s) are not going to be applied to a particular area for evaluation.

SECTION E: CONTRACTOR'S PERFORMANCE RATINGS: To be completed by each reference using the rating scale in Section D.

QUALITY OF SERVICE E VG S M U NA

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

Maintenance of semi-improved Grounds – maintained grass at stated length.

Maintenance of un-improved Grounds – maintained grass at stated length (to include brush cutting).

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

Maintenance and repair of irrigation systems

Abillity to keep area’s clear of snow within contracted time frames

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

SCHEDULE E VG S M U NA

Responsiveness to snow fall, emergency or special events

MANAGEMENT E VG S M U NA

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

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

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

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

Identified problems as they occurred.

Was responsive to contract changes.

Contractor ensured the Project Manager or alternate was consistently available when work was performed.

Cooperated with customer personnel after award.

OVERALL ASSESSMENT E VG S M U NA

What is your overall assessment of this past performance for this contractor?

Would you hire this contractor again? If not, please explain.

Evaluator's Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address: patrick.doup@us.af.mil or thomas.crews@us.af.mil