ATTACHMENT_6_Past_Performance_Questionaire.pdf

PDF 230 KB Posted

Attached to
Integrated Pest Management Program Federal contract opportunity
Solicitation number
HDEC05-19-R-0002
Issued by
Defense Commissary Agency

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Attachment 6 Past Performance Questionaire

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Text version

DEFENSE COMMISSARY AGENCY

PAST PERFORMANCE QUESTIONAIRE

HDEC05-19-R-0002

ATTACHMENT 6

Integrated Pest Management Services Continental US, Alaska, Hawaii, and Puerto Rico Commissaries

SURVEY MUST BE RETURNED BY APRIL 25, 2019

A. GENERAL INFORMATION: (To be completed by Offeror)

Contractor’s Name:

Address:

Telephone Number:

Email:

Point of Contact:

Project Title and Brief but Detailed Description of Work (including overall estimated price of effort):

Contract Number:

Total Contract Value (Base & Option Years):

Place of Performance:

Period of Performance:

Contractor Performed as a Prime or Sub-contractor:

PAST PERFORMANCE QUESTIONAIRE

HDEC05-19-R-0002

B. RESPONDENT INFORMATION: (Pages 2-4 are to be completed by Respondent)

Name of Respondent:

Title:

Address:

Telephone Number:

Email Address:

Note: If any of the information in Section A is incorrect, please make necessary changes.

C. E-MAIL COMPLETED QUESTIONNAIRE TO: (To be completed by Respondent)

Please email the completed survey to the below address no later than 3:00pm Eastern Time on 25 April 2019 to:

DeCA/LEAA ATTN: Barbara Desrochers Daniel Lindsey Email: barbara.desrochers@deca.mil Email: daniel.lindsey@deca.mil

Direct questions/comments to be submitted to the above individuals at (804) 734-8000 Ext. 86093 or Ext. 48774

NOTE: Past Performance Information Retrieval System (PPIRS) may be reviewed. Although you may have filed a Contractor Performance Assessment Report (CPARS) for the contract listed, we would appreciate your response to this survey because some of the questions relate to areas not covered by CPARS.

mailto:barbara.desrochers@deca.mil

PAST PERFORMANCE QUESTIONAIRE

HDEC05-19-R-0002

D. PERFORMANCE INFORMATION: (To be completed by Respondent) Rate the contractor in each of the areas of contract performance listed below by marking the block which represents your rating. PLEASE PROVIDE A NARRATIVE

EXPLANATION FOR ANY RATINGS OF UNSATISFACTORY OR MARGINAL.

EXCEPTIONAL Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

VERY GOOOD Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

SATISFACTORY Performance meets contractual requirements. The contractual performance of the element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL Performance does not meet some contractual requirements. The contractual performance of the element being assessed 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.

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.

Areas of Contract Performance: U ns at is fa ct or y

M ar gi na l

Sa tis fa ct or y

V er y G oo d

Ex ce pt io na l

N ot

A pp lic ab le

1 How would you rate the company's overall performance?

2 How would you rate the company's adherence to the agreed upon contract schedule?

3 How would you rate the company on taking appropriate corrective actions to any problems/issues encounter?

4 How would you rate the company's evaluation of sites/facilities and making recommendations for pest management improvements?

5 How would you rate the company's responsiveness to emergency calls or unscheduled service visits?

6 How would you rate the company on providing oversite/program management of multiple service locations?

7 How would you rate the professionalism of company’s service technicians?

8. How would you rate the company on providing deliverables (e.g. copy of business licenses, chemical utilization data or changes in service technicians) required by the contract/agreement?

9. How would you rate the responsiveness of the company's management to customer concerns?

10 Would you award another contract to this contractor? Please provide support for your answer in the Remarks section below.

Yes No

PAST PERFORMANCE QUESTIONAIRE

HDEC05-19-R-0002

REMARKS:

Please provide a paragraph supporting your above ratings. Explain the contractor’s greatest strengths and/or weaknesses and the rational for why your rationale for why you would not award a future contract to them.

Thank you for your prompt response and assistance!

Project Title and Brief but Detailed Description of Work (including overall estimated price of effort):
REMARKS:
Contractors Name:
Address:
Telephone Number:
Email:
Point of Contact:
Project Title and Brief but Detailed Description of Work including overall estimated price of effort:
Contract Number:
Total Contract Value Base Option Years:
Place of Performance:
Period of Performance:
Contractor Performed as a Prime or Subcontractor:
Name of Respondent:
Title:
Address_2:
Telephone Number_2:
Email Address:
SatisfactoryYes:
No:
undefined_2:
Check Box2: Off
Check Box3: Off
Check Box11:
0:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
1:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
2:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
3:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
4:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
5:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
6:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
7:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off
8:
0: Off
1: Off
2: Off
3: Off
4: Off
5: Off

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