Atch_5_PPQ.pdf

FA7000-13-R-0009

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Sample Cover Letter

(The format to be used shall be substantially as follows:)

Company: Date

Address:

1. We are contemplating offering a proposal for a solicitation from the 10th Contracting

Squadron located at United States Air Force Academy, CO. The solicitation is for Grounds

Maintenance & Landscaping Services. This proposal requires that we provide past performance information. Please complete the attached past performance questionnaire and return it via mail or email to:

Mail:

10 CONS/LGCA

Attn: FA7000-13-R-0009/Erica Wilson

8110 Industrial Drive, Suite 200

USAF Academy, CO 80840-2315

E-mail: erica.wilson.7@us.af.mil

2. In order to ensure this questionnaire is considered, please forward this survey to arrive at the above address, no later than 23 July 2013 at 12:00 PM, MST. Upon completion, please notify my office that the survey has been accomplished.

Name & Title of Individual

Name of Company

1 Attachment:

Past and Present Performance Questionnaire mailto:erica.wilson.7@us.af.mil

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name: __________________ Telephone Number: ____________________

Address: __________________________

__________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________*

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 3 years, please complete separate evaluation forms for those contracts as well.

B. RESPONDENT INFORMATION:

Name of Respondent: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________

_____________________________ Email Address: _____________________

C. RETURN COMPLETED QUESTIONNAIRE VIA MAIL, FAX OR EMAIL TO:

Mail:

10 CONS/LGCA

Attn: FA7000-13-R-0009/Erica Wilson

8110 Industrial Drive, Suite 200

USAF Academy, CO 80840-2315

E-mail: erica.wilson.7@us.af.mil

D. PERFORMANCE INFORMATION: Choose the appropriate letter 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 Exceptional, Marginal or Unsatisfactory. A block for the narrative is provided at the end of each Section for

Quality of Work, Technical Performance, Schedule and Business Relations.

mailto:erica.wilson.7@us.af.mil

E G S M U N

Exceptional Good Satisfactory Marginal Unsatisfactory Neutral

Performance meets 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 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 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.

Performance does 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.

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.

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

Place an “X” in the appropriate column using the definitions matrix on the previous page.

1 Quality of Work

1.1 The contractor followed an approved quality control plan.

1.2 The contractor implemented procedures to find and correct performance discrepancies.

1.3 The contractor complied with all required federal, state, city, and local environmental policies and plans.

1.4 The contractor provided specialized/licensed personnel to perform specialized tasks (i.e. herbicide application, tree trimming, etc.) as required by federal, state, and local laws and regulations.

1.5 The contractor responded appropriately to any “Notices of Violations” from environmental enforcement authorities and took actions to correct the deficiency.

1.6 The contractor complied with safety standards and/or number of safety related incidents, code compliance, as applicable.

1.7 The contractor responded appropriately to any safety deficiencies received from the safety enforcement authorities (OSHA, Safety Office, etc.) and took actions to correct the deficiencies.

1.8 The contractor rectified any noted deficiencies in the work in a timely and efficient manner.

1.9 The contractor demonstrated the ability to cut grass and perform other grounds maintenance services such as: policing, plant bed maintenance, special event support, etc. during periods of inclement weather.

1.10 The contractor had the ability to perform routine work when additional special event support was required without allowing the routine work to fall below required performance standards.

1.11 Did the contractor adapt well to changing requirements.

1.12 During any instances of facility damage caused by grounds maintenance operations were repairs made in a timely and acceptable manner.

1.13 Did the contractor provide maintenance and repair services for synthetic turf? If so, were the services accomplished considered acceptable.

1.14 Did the contractor provide cemetery maintenance and burial support: if so, was the support provided acceptable.

1.15 Did the contractor perform airfield grounds maintenance services in support of Bird Aircraft Strike Hazard (BASH) programs? If so, were these services acceptable.

1.16 Please provide your observations regarding Quality.

2 Technical Performance

2.1 The contractor provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.

2.2 The contractor demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.

2.3 The contractor’s employees were knowledgeable with respect to the tasks assigned.

2.4 The contractor provided a safety plan that was adequate and implemented properly.

2.5 The contractor’s crewmembers possessed and used the appropriate Personal

Protective Equipment (PPE).

2.6 The contractor’s tools and equipment were in safe condition and included all appropriate safety features.

2.7 The contractor provided and effectively managed quality subcontractors and ensured those subcontractors complied with all contract requirements.

2.8 How well was the contractor able to manage the work site in projects?

2.9 How has the contractor performed in projects involving soil and compaction testing?

2.10 How does the contractor respond to short notice grounds maintenance due to

VIP visits (special events, etc.)?

2.11 The contractor is reliable during inclement weather (snow/ice removal for sidewalks; ramps; steps) when response times are critical for areas?

2.12 The contractor maintained NCAA fields to standard.

2.13 How well was the contractor able to remove snow/ice from synthetic turf fields?

2.14 How well did the contractor mark NCAA field athletic fields?

2.15 Rate the contractor’s ability to install SOD on grave sites.

2.16 How well did the contractor excavate grave sites?

2.17 Rate the contractor on grave preparation.

2.18 Rate the contractor on back-filling graves.

2.19 Rate the contractor on their ability to install the vault and vault lids for funeral support.

2.20 Rate the contractor on their ability to install casket placers and lowering devices.

2.21 How well did the contractor install and remove safety liners for grave sites?

2.22 Rate the contractor’s ability to install the base and grave markers in a timely manner.

2.23 How well did the contractor keep, maintain and update a hard copy map of all gravesites?

2.24 Please provide your observations regarding Technical Performance.

3 Schedule

3.1 The contractor developed a realistic progress schedule and maintained scheduled progress.

3.2 The contractor was responsive to changes and provided complete, accurate and reasonable cost proposals that met the requirements of the stated change request.

3.3 The contractor took immediate corrective actions to improve schedule problems, if applicable.

3.4 Please provide your observations regarding Schedule.

4 Business Relations

4.1 The contractor identified problems as they occurred, displayed initiative to solve the problems and offered alternative solutions to problems encountered during the project.

4.2 The project manager or superintendent had the authority to carry out the day-to-day operations of the project.

4.3 The contractor paid their employees, subcontractors and/or suppliers in a timely manner. Address any problems in the narrative.

4.4 The contractor provided the appropriate guarantees, warranties and other required close out documents as required by the contract.

4.5 How would you rate the relationship between the contractor and client’s/customer’s team?

4.6 How would you rate the overall corporate management, reasonableness and cooperative conduct of the contractor?

4.7 Please provide your observations regarding Business Relations.

5 Summary

5.1 Would you award another contact to the company being evaluated? If no, please explain.

YES/NO

5.2 Is the contractor rated in CPARS?

5.3 Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:

5.4 Additional Remarks:

5.5 Overall rating for this firm:

E

G S M U N