PAST PERFORMANCE QUESTIONNAIRE.docx
DOCX document 54 KB Posted
- Attached to
- Cooking Exhaust Maintenance West Point B+4 FY25
- Solicitation number
- W911SD25RA007
About this file
This is a Past Performance Questionnaire template for a federal contract opportunity at West Point for inspecting and cleaning cooking hoods, exhaust ducts, and exhaust fans across multiple facilities. The questionnaire is designed to evaluate contractors' past performance on similar contracts, with sections covering contract identification, customer/agency details, evaluator information, and performance ratings across technical performance, program management, transition/phase-in, and employee retention categories.
The questionnaire uses a three-tier rating system (Satisfactory, Marginal, Unsatisfactory) to assess areas including quality of operations and maintenance, technical system testing, quality control, environmental safety procedures, contract management, workforce qualification, and ability to respond to emergencies. Evaluators must provide detailed explanations for any Marginal or Unsatisfactory ratings and indicate whether any contracts were terminated. The document also includes sections for narrative summaries and specific information about relevant past contracts, including contract numbers, costs, schedules, and points of contact.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment W911SD25RA0070001 SF 30 Questions and answers.pdf | ||
| Exhaust Hood Pics 3.zip | ZIP file | |
| Exhaust Hood Pics 1.zip | ZIP file | |
| Exhaust Hood Pics 4.zip | ZIP file | |
| Exhaust Hood Pics 2.zip | ZIP file | |
| Buidling names and numbers.pdf | ||
| Solicitation Amendment W911SD25RA0070000 SF 30 Attachment Cooking Exhaust Photos and Spreadheet.docx | DOCX document | |
| Solicitation Amendment W911SD25RA0070001 SF 30.pdf | ||
| PWS_PAST PERFORMANCE QUESTIONNAIRE.pdf | ||
| W911SD25RA007 Solicitation Cooking Exhaust.pdf | ||
| 52.212-2 ADDENDUM.docx | DOCX document | |
| 52.212-1 ADDENDUM.docx | DOCX document |
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INSPECT/CLEAN COOKING HOODS, EXHAUST DUCTS & EXHAUST FANS POST WIDE
Table of Contents ERROR! BOOKMARK NOT DEFINED..0 GENERAL INFORMATION………………………………………………………………………………2 Error! Bookmark not defined..1 Instructions…………………………………………………………………………………….2 Error! Bookmark not defined..2 Operating Hours………………………………………………………………………………2
1.3 Personnel………………………..………………………………………………………………2
1.4 Conduct of Personnel…………………………………………………………………………2
1.5 Identification………………………………………………………………………………….2
1.6 Scheduling………………………………………………………………………………………3
1.7 General Requirements and Procedures………………………………………………….3
1.7.1 Reporting……………………………………………………………………
1.7.1.1 Inspections, Cleaning, Maintenance and Reporting…………………………3
2.0 AREA INFORMATION………………………………………………………………………………….4
3.0 Period Of Performance……………………………………………………………………………4
4.0 Definitions…………………………………………………………………………………………..4
5.0 Inspection, Testing, Report Preparation ….. ……………………………...…………………4
5.1 Preventive Maintenance …………………………………………..…………………………………………4
5.2 Certification ……………………………………………………………………………………………….…4
5.3 Inspection and Testing Record Keeping/Report Preparation………………………………..…4
5.4 Repair…………………………………………………………………………………………………………………….4
6.0 Enviromental Compliance ………………………………………...5
6.1 Solid Waste ………………………………………5
6.2 Notification of Enviromental spoills…… ……………………………………..6
6.3 Materials ………………………………………………………………………………………6
7.0 Quality Control……………………………………………………………………………………..6
8.0 Submittals …………………………………………………………………………………………..6
9.0 Cleaning Timeframes…………………………………………………………………………… .7
Table 1 Building Names and Numbers………………………………………………………….…7
INSPECT/CLEAN COOKING HOODS, EXHAUST DUCTS & EXHAUST FANS POST WIDE
1. General The contractor shall provide all labor, equipment, materials, and supervision necessary to perform inspection and cleaning of commercial cooking related kitchen exhaust systems, in accordance with NFPA 96 requirements and all state and local requirements located at the United States Military Academy (USMA) West Point, NY during one (1) 12-month base period and four (4) 12-month option periods. The services shall be provided in accordance with the following Statement of Work.
1.1 Instructions
The Contractor shall adhere to the instructions given by the COR either verbally or in writing. The instructions will include a date by which the Contractor must respond. Contractor responses shall be made to the COR, who will then coordinate, accompany, and observe contracting personnel during work activities. All work shall conform to referenced state and federal regulations.
1.2 Operating Hours
The contractor shall perform all services during normal work hours (8:00 A.M. to 4:00 P.M.) Monday through Friday, excluding Federal Holidays, except as noted below.
1.3 Personnel
The Contractor shall provide a work force possessing the skills, knowledge, and training to satisfactorily perform the services required by this contract. Contractor shall supply provide qualified personnel well versed in all maintenance requirements. Personnel performing work under this contract shall remain employees of the Contractor and will not be considered employees of the Government.
1.4 Conduct of Personnel
The KO may require the Contractor to remove from the job site, any employee working under this contract for reasons of misconduct, security, or if found to be or suspected to be under the influence of alcohol, drugs, or another incapacitating agent. Contractor employees shall be subject to dismissal from the premises. Contractor employee dismissal shall not relieve the Contractor of the requirements to provide sufficient personnel to perform work under this contract, nor shall it allow the Contractor to submit work late.
1.5 Identification
The Contractor shall provide an identification badge for each employee performing services under this contract. The identification badges shall contain the Contractor’s name, employee’s name, contract number and project description. Each Contractor employee shall conspicuously display on their person the identification badge while performing work under this contract.
Security Requirements: Contractor personnel shall have to report to the Security Office Bldg. 1207 Visitors Center and apply and receive an ID to access West Point. Security will do a background check on everyone apply for an ID. The purpose of security screening is to ID those persons who may pose a threat to good order and discipline on West Point by either denying them access or placing restrictions on their movement. The following criteria will be used as a guideline for determining denial of access to West Point:
(I) (U) Any record of a felony conviction for a crime (includes murder, rape, sale of illegal drugs, grand theft, arson, and kidnapping).
| (2) | (U) Three or more misdemeanor convictions within the past five years (includes assault, theft of$500 or less, and excludes traffic violations). |
| (3) | (U) VCC personnel will NOT discuss the source of information or findings Subjects are not authorized to view the information under any circumstances. |
| (4) | (U) The Security Office is the final approval authority for any adjudication request for access denial. |
1.6 Scheduling
The contractor shall coordinate inspection and cleaning schedule with the Contracting Officer Representative (COR) a minimum of 15 days prior to the anticipated start of services.
The contractor shall submit a tentative itinerary of dates and times of the scheduled inspection and cleanings, listed by building number, so that conflicts and adjustments can be reconciled between the contractor and the COR. The contractor shall perform all services in a safe manner.
1.7 General Requirements and Procedures
The contractor shall perform services to include, but not limited to the following:
1. Cover all stationary equipment, under and adjacent to exhaust systems being cleaned.
2. Inspect and clean all ducts, louvers, fans, exhaust hoods, exhaust fans, filters and building surfaces where system(s) vent to the outside.
3. Disassemble, inspect, clean, and reassemble all components associated with cooking related exhaust systems.
4. Remove coverings, clean and wipe equipment, and wash floors to remove any grease or associated cleaning debris.
1.7.1 Reporting
The contractor shall submit a written report (with before and after pictures) documenting the services performed, the location where the services were performed, the condition of the system prior to the cleaning, and any discrepancies or problems noted during the inspection or cleaning. The report shall be submitted to the COR within a minimum of 10 days following the completion of any services performed. The contractor shall notify the COR immediately when safety or hazardous situations are confronted.
1.7.1.1 Invoicing for Inspections, Cleaning, Maintenance and Reporting Contractor will bill to the clin associated with each building for services provided.
2.0 Area Information USMA is a college campus with a full range of academic, social, and athletic activities. West Point is also a military installation and a national tourist attraction. West Point is a community with over one thousand five hundred (1,500) military personnel. This community has many recreational areas such as Lake Frederick located near Central Valley, and Round Pond. USMA is located just fifty (50) miles north of New York City, along the west bank of the Hudson River.
3.0 Period Of Performance
Contract will be a Base Year with 4 option years.
4.0 Definitions
· Contracting Officer (KO): A person duly appointed with the authority to enter and administer the contract on behalf of the Government.
· Contracting Officer Representative (COR): An individual, designated in writing by the KO, to act as an authorized representative of the KO to perform specific contract administrative functions within the scope and limitations as defined by the KO.
· Contractor: The individual and/or business performing the work described in this SOW. The Contractor is responsible for the proper completion of project activities in accordance with these contract specifications even where a subcontractor has been retained to perform the actual maintenance task.
5.0 Inspection, Testing, Report Preparation
The contractor shall perform annual, semi-annual, quarterly preventative maintenance and certifications on commercial kitchen exhaust systems to include the plenum water wash fire protection systems. The contractor shall ensure all exhaust systems are certified in accordance with government regulations following the preventative maintenance and cleaning process. The contractor shall provide the government with a written report of each exhaust system after the preventative maintenance and certification process cycle. The contractor shall use the following publications for guidance, American National Standards Institute (ANSI), National Fire Protection Association (NFPA96-2010 or later), Occupational Safety and Health Administration (OSHA), as well as manufacturers’ requirements. Workload and frequencies are listed in Appendix A.
5.1 Preventive Maintenance
The contractor shall perform the preventative maintenance of each kitchen exhaust system which primarily consists of inspecting, cleaning, adjusting, execution of minor repairs, and testing. The plenum water wash fire protection systems shall be inspected/maintained quarterly. The preventative maintenance schedule shall be closely coordinated between the contractor, Contracting Officer Representative (COR), and facility managers as to avoid any conflict with food preparations. These systems shall be cleaned according to industry standards using environmentally approved degreasing/cleaning materials and methods. The inspections shall include but not be limited to: mechanical systems, mechanical components, electrical control systems, fan blades, fan motors, fan belts, filters, fusible links, etc. Documentation of the preventative maintenances shall be maintained by the contractor. Copies shall be provided to the COR and Contracting Officer (CO). The contractor shall secure the exhaust system power if an imminent fire and/or safety concern is discovered. The electrical panel shall be tagged out in accordance with industry standards. The contractor shall notify the COR and Fire Department immediately.
5.2 Certification
The contractor shall certify that each exhaust system, to include plenum water wash fire protection system if applicable, after the preventative maintenance/repair cycle in accordance with NAFP96-2010 (or latest version), OSHA, and/or manufacturer’s recommendations. The contractor shall physically attach a waterproof/grease proof certification label to each exhaust hood containing legible pertinent information.
5.3 Inspection and Testing Record Keeping/Report Preparation
The contractor shall submit a written report (with before and after pictures) documenting the services performed, the location where the services were performed, the condition of the system prior to the cleaning, and any discrepancies or problems noted during the inspection or cleaning. The contractor shall provide a certification document/report for each exhaust system to the COR within two (2) weeks of cycle completion.
5.4 Repair
The contractor will supply the COR with a written report of any needed repairs found during the inspection and cleaning process. COR will review report and repairs will be made by a seprate DWP contract.
6.0 Enviromental Compliance
The contractor is required to comply with all applicable bases, local, state, and Federal environmental laws, and regulations, in effect at the time of performance of this contract. The contractor shall be responsible for obtaining and complying with any required operating permits. The contractor shall be responsible and liable for penalties, fines, or environmental damage claims that may be required or assessed by the local, state, or Federal governments because of the contractor’s performance, or failure to perform, during this contract. The government will inspect for environmental compliance at their discretion and will notify the COR of any discrepancies found. In addition, the contractor may be subject to contractual sanctions including, but not limited to, termination, suspension, and debarment and adverse past performance assessment.
6.1 Solid Waste
The contractor is responsible for the proper handling and disposal of solid waste. The contractor shall also be responsible for any enforcement action that may be taken by the State of New Jersey, other State or the Federal Government related to handling, transportation, and the proper disposal of solid waste materials. If notification, certifications, documentation, manifests, permits or any other written materials are required by law to be obtained, prepared and/or submitted, the contractor shall prepare same and provide a written copy to the COR. Any action, which violates permit requirements for compliance, must be reported to the DPW Environmental Compliance office immediately.
6.2 Notification of Enviromental spoills
If the contractor spills or releases any un-permitted substance, hazardous substance or hazardous waste into the environment, the contractor shall immediately report the incident to the Fire Department, the COR, and the CO. In the event of a spill or release, the contractor shall immediately contact base emergency 911 services. The contractor shall be liable for the costs of clean up and remediation of any spills or the release of such substance into the environment. The government shall provide the contractor with the following utilities: electricity, and water. The government will only provide reasonable amounts in accordance with the PWS.
6.3 Materials
All materials used in the performance of services on the installation shall follow industry standards, Local, Federal and State laws, and will be used according to manufactures' recommendations. Materials will be used for intended purposes and will be stored and utilized in accordance with industry standards. The contractor will submit Safety Data Sheets on all materials to be used fifteen (15) days prior to use for approval by the COR.
7.0 Quality Control
The Contractor shall submit a Quality Control Plan outlining their methods to assure the quality of their services.
8.0 Submittals
The Contractor shall submit the following with their Bid/Proposal:
· Company qualifications to perform this work (Project Descriptions, Certifications, Licenses, etc.).
· Qualifications, Certifications and Resumes of the personnel who will be performing the Work.
· Examples of the Inspection and Testing Checklists and Reports proposed to be used for this work.
9.0 Cleaning Timeframes
The contractor shall inspect and clean all exhaust systems, located at USMA West Point once every six (6) months during the life of the contract. In an order to prevent any interference with daily operations, all this major cleaning shall be completed during the periods of late December through early January (during Christmas Break) and mid-June.
The contractor shall inspect and clean the following hoods and exhaust systems two (2) additional times during the year in mid-March and mid-September: BLDG. 602 Grant Hall Snack Bar BLDG. 603 West Point Club BLDG. 622 Bowling Alley BLDG. 635 First Class Club BLDG. 655 Eisenhower Hall Snack Club BLDG. 745 Cadet Mess Hall (after 7:00 PM) BLDG. 1204 Burger King (after 7:00 PM) The contractor shall inspect and clean each exhaust system at these locations only once per year, in its entirety to include all the hoods, louvers, ducts and fans of the exhaust system. The following exhaust systems are located at Camp Buckner and Camp Natural Bridge. This cleaning shall be completed in mid-September: BLDG. 1701 Camp Natural Bridge and BLDG. 1534 Camp Buckner Barth Hall
TABLE 1
| Facility Number |
| Building Name |
| System |
| QTY |
| Cleanings per year |
| 140 |
| Lee CDC |
| Kitchen hood |
| 1 |
| 2x |
| 500 |
| Youth Activities Center |
| Kitchen hood |
| 1 |
| 2x |
| 602 |
| Grant Hall Snack Bar |
| Kitchen hood |
| 2 |
| 4x |
| 603 |
| West Point Club |
| Kitchen hood |
| 3 |
| 4x |
| 622 |
| Bowling Alley |
| Kitchen hood |
| 1 |
| 4x |
| 628 |
| Buffalo Soldiers Pavilion |
| Kitchen hood |
| 1 |
| 2x |
| 635 |
| First Class Club |
| Kitchen hood |
| 1 |
| 4x |
| 655 |
| Eisenhower Hall |
| Kitchen hoods |
| 2 |
| 4x |
| 700 |
| Michie Stadium Concessions |
| Kitchen hoods |
| 2 |
| 2x |
| 714 |
| Holleder Center |
| Kitchen hood |
| 1 |
| 2x |
| 718 |
| Ski Lodge |
| Kitchen hood |
| 1 |
| 2x |
| 721 |
| Fire Station No. 1 |
| Kitchen hood |
| 1 |
| 2x |
| 745 |
| Cadet Mess Hall (after 7pm) |
| Kitchen hoods |
| 1 |
| 4x |
| 950 |
| USMAPS |
| Kitchen hoods |
| 3 |
| 4x |
| 1203 |
| Fire Station No. 2 |
| Kitchen hood |
| 1 |
| 2x |
| 1204 |
| Burger King (after 7pm) |
| Kitchen hood |
| 2 |
| 4x |
| 1207 |
| Child Development Center |
| Kitchen hood |
| 1 |
| 2x |
| 1230 |
| Golf Course |
| Kitchen hood |
| 1 |
| 2x |
| 1534 |
| Barth Hall (Camp Buckner) |
| Kitchen hood |
| 1 |
| 1x |
| 1701 |
| Mess Hall Camp Natural Bridge |
| Kitchen hood |
| 1 |
| 1x |
ATTACHMENT 1: PERFORMANCE REQUIREMENTS SUMMARY
Required Services (Tasks) Performance Standards Acceptable Quality Levels Methods of Surveillance Incentive (Positive and/or Negative) (Impact on Contractor Payments)
EXAMPLES:
Submit a PM report of scheduled, completed, and outstanding tasks monthly (PWS C.2.1.2 (G))
Administer quality control program including subcontractor management in accordance with QCP
Submit management reports as required
100% of reports accurately depict current status
Contractor is in compliance with QCP 97% of the time
99%
95%
File reviews, periodic inspections, and random, observations, customer complaints
File reviews, periodic inspections, and random, observations, customer complaints
$500 for each documented instance when a report is submitted after the 15th of the month.
WAGE DETERMINATIONS
Service Contract Act WD # 2015-4159 Wage Determination Revision # Service(s) Standard (Area-Wide) Wage Determination Last Revised Date Dec 23, 2024 State and Counties State New York Counties Orange
LOCSALINSURANCE
FAR52.228-5 FILL IN:
The Contractor shall, at its own expense, provide and maintain during the entire performance period of this contract at least the following minimum insurance:
Workmen's Compensation coverage to comply with the statutory authority of the State of New York. Employer's liability coverage shall be in the minimum of$100,000.00.
General Liability: $500,000,000 with a $1,000,000 per occurrence limit. Hired, not owned vehicle collision coverage of $1,000,000 Automobile Liability insurance shall not be less than$200,000.00 per person and $500,000.00 per occurrence for bodily injury and $20,000.00 per occurrence for Property damage. Where the Financial Responsibility or compulsory Insurance Law of New York requires higher limits, the Automobile Liability insurance policy shall provide coverage of at least these limits.
ANTI-TERRORISM
Identification of Contractor personnel The company will have a law enforcement background check completed for all employees who will be entering Army-controlled installations or facilities(central area/Restricted area). Documentation of these checks will be made available to the COR upon request.
The company will provide to the COR, tendays in advance of the event, names and Social Security numbers of all employees who will be entering Army-controlled installations or facilities.
The company will ensure that its employees entering Army-controlled installations or facilities have obtained access badges and passes (if required) in accordance with facility regulations and that these badges and passes are obtained in advance so as not to delay the accomplishment of contracted services.
The company will return all issued U.S. Government Common Access Cards, installation badges, and/or access passes to the COR when the contract is completed or when a contractor employee no longer requires access to the installation or facility.
Contracting Official Representative (COR).
(I) Will ensure that all contractors/subcontractors are processed for a background check or National Agency Check with Inquiry(NACI) as needed. The background check is the minimal investigation to be adjudicated for a USMA Identification Card (yellow badge) versus the NACI, which requires fingerprinting and submission ofEQIP. NACis are required for contractors/subcontractors that require a CAC and/or government computer accounts.
(2) Will ensure that the USMA Form 13-16, Personnel Background Check, dated Apr 06, is correctly completed and signed by the COR who is a properly cleared Federal Employee.
(3) Will ensure that the USMA Form 13-16, Personnel Background Check, dated Apr 06, is submitted within 10 days prior to personnel starting projects on West Point, depending on when contract is awarded, and work is scheduled to start. Waivers are made for the 10-day suspense on a case-by-case basis, in emergency situations as needed only.
(3) Will ensure that all identified contractors requiring a CAC and/or government computer access, submit fingerprints and complete a NACI investigation submission via EQIP, prior to being issued a CAC and/or given access to the government computer network.
(4) Will ensure that all government issued identification and vehicle stickers are confiscated from contractors/subcontractors upon termination of employment or end of project. These items will be returned to MPD and DES.
Force Protection Conditions(FPCON's) Clause
a. During higher Force Protection Conditions (FPCON's) Contract personnel are required to comply with all Antiterrorism policies and procedures while on the installation. Contract personnel may be directed to enter the installation through certain access control points where they can best be identified and searched. Contractor personnel may be prohibited from certain portions of the installation during exercises and actual emergencies.
b. Contractors will comply with parking restrictions and will not park in unauthorized parking areas or within 82 feet of an inhabited building when directed.
(II) Access control roster(personnel and vehicles) must be provided. Names/ vehicles verified by the company and received background screening. Substitutes receive same vetting process prior to work. All contractor personnel and vehicles are subject to search while on the installation
(III) In the event of an identified restricted/exclusion area, the contractor personnel will not be authorized without specific permission or an escort.
(IV) Access may be denied during increased readiness or Force Protection Conditions (FPCON's).
Alien Employment The contractor shall not employ any alien who does not have a valid US Immigration 1-551 or 1-94. The contractor shall provide valid social security numbers and citizenship status of all employees to the Government, upon request.
E-Verify E-Verify is an Internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees. E-Verify is currently free to employers and is available in all 50states. E-Verify provides an automated link to federal databases to help employers determine employment eligibility of new hires and the validity of their Social Security numbers. E-Verify are the best means for determining employment eligibility of new hires and the validity of their Social Security numbers.
Contractors shall use E-Verify on all employees that will be working on this installation, under this contract. This shall be done prior to the employee starting work on the installation.
For E-Verify information: www.dhs.gov/E-Verifyl-888-464-4218
The United States Government has adopted a zero-tolerance policy regarding trafficking in persons. Additional information about trafficking in persons may be found at the website for the Department of State's Office to Monitor and Combat Trafficking in Persons' at http://www.state.gov/g/tip. Government contracts shall --
(5) Prohibit contractors, contractor employees, subcontractors, and subcontractor employees from --
a. Engaging in severe forms of trafficking in persons during the period of performance of the contract.
b. Procuring commercial sex acts during the period of performance of the contract; or
c. Using forced labor in the performance of the contract.
(b) Require contractors and subcontractors to notify employees of the prohibited activities described in paragraph (a) of this section and the actions that may be taken against them for violations; and
(c) Impose suitable remedies, including termination, on contractors that fail to comply with the requirements of paragraphs (a)and (b) of this section.
Contractor Vehicles - ensure the contractor understands the parking policy dated 29 July 2013. Contractors and construction vehicles can only park in pre-approved designated staging areas or as identified in their contract. Central Area Parking is reserved for Staff and Faculty and requires a special pass. In accordance with AR 190-5, persons who operate a motor vehicle on West Point shall be deemed to have given consent for the removal and temporary impoundment of the privately owned vehicle (POV) and construction equipment when it is:
(I) Parked illegally (II) Interfering with operations
(III) Creating a safety hazard (IV) Left unattended in a restricted or controlled area
(V) Parked in a Central Parking Area (CPA) lot without the proper CPA Pass
(VI) Parked in a reserved space authorized by the Installation Commander
The COR overseeing the contract will review and coordinate all contractor pass requests.
PAST PERFORMANCE QUESTIONNAIRE
Please return this completed questionnaire to:
Sonya.D.VanValkenburg.civ@army.mil. with W911SD-25-RA-0007 PPQ in the subject heading. Thank You
When filled in this document is source selection sensitive information IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
1. Contractor: _______________________________________________________________________________
1. Cage Code: _________________________________
1. Contract number: _______________________________________
1. Contract type: ______________________________
1. Was this a competitive contract? Yes _____ No _____
1. Period of performance: _________________________________________________________
1. Initial contract cost: $____________________________
1. Current/final contract cost: $_______________________________
1. Reasons for differences between initial contract cost and final contract costs:
1. Description of service provided: _____________________________________________________
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
1. Customer or agency name: ______________________________________________________________________________
1. Customer or agency description (if applicable): __________________________________________________________________________________
1. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3: EVALUATOR IDENTIFICATION
1. Evaluator's name: __________________________________________________________________________________
1. Evaluator's title: __________________________________________________________________________________
1. Evaluator's phone/fax number: __________________________________________________________________________________
1. Number of years evaluator worked on subject contract:
SECTION 4: EVALUATION
Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
CODE PERFORMANCE LEVEL
S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained 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 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.
US UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
NA NOT APPLICABLE - Unable to provide a score.
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| Technical Performance |
| S |
| M |
| US |
| NA |
T1. Quality & repeatability of operations & maintenance.
T2. Quality of technical system testing and certification efforts
T3. Quality/integrity of technical data/report preparation efforts
T4. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements
T5. Adequacy/effectiveness of environmental safety procedures
T6. Ability to implement current standard practices for computer hardware design, operation, maintenance, upgrades and configuration control
T7. Ability to implement current standard practices for computer software design, operation, maintenance, upgrades and configuration control
| Program Management |
| S |
| M |
| US |
| NA |
P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)
P2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)
P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance
P4. Understand/complied with customer objectives and technical requirements
P5. Successfully responded to emergency and/or surge situations
P6. Quality/effectiveness of sub-contracted efforts
P7. Effectiveness of material management (including Government Furnished Property or Material)
P8. Effectiveness of acquisition management
P9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer
P10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.
| Transition/phase-in |
| S |
| M |
| US |
| NA |
T1. Contractor ability to smoothly transition resources and personnel.
T2. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.
| Employee Retention/Attraction |
| S |
| M |
| US |
| NA |
E1. Ability to hire/apply a qualified workforce to this effort.
E2. Ability to retain a qualified workforce on this effort.
E3. Effectiveness of employee compensation towards quality of work.
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1. Please discuss each and every response for which you indicated M (Marginal) or US (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).
2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?
| Yes____ | Default____ | Convenience____ | Pending Terminations____ |
| No ____ |
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).
SECTION 5: NARRATIVE SUMMARY
Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?
Please provide any additional comments concerning this contractor’s performance, as desired.
Evaluator’s Signature Date
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:Sonya.VanValkenburg.civ@army.mil with W911SD-25-RA-0007-PPQ in the subject heading.
SPECIFIC RELEVANT CONTRACTS
Specific Relevant Contracts Sheet
The quoter shall provide documentation outlining the quoter’s past performance with contracts, as a prime or major subcontractor, which is the same or similar in nature, size, and complexity to the effort being procured under this Solicitation. The submittal shall include rationale supporting your assertion of relevance and how it was determined that the work performed previously was the same or similar in nature, size, and complexity to the work specified by this solicitation. Quoters are required to explain what aspects of the contracts are deemed relevant to the proposed effort, and to what aspects of the proposed effort they relate.
1. Contract Number, Award Date and Contract type.
1. Price/Cost – original awarded AND final (or projected final, if contract is current).
1. Delivery Schedule – original AND final (or projected final, if the contract is current).
1. Contact Information - Address and telephone number for the Government (or commercial) procuring contracting activity AND contract administrative activity (if applicable).
Name, telephone number, fax number and e-mail address for the following:
1. Procuring Contracting Officer (PCO)
1. Administrative Contracting Officer (ACO)
1. Government or commercial technical representative or COR Identify in specific detail for each contract listed, why or how you consider that effort relevant or similar to the effort required by this solicitation. In determining relevancy, consideration should be given but not limited to such things as project similarity, project, size and complexity, contract type, contract environment, division of company proposing, and subcontractor interaction.
1. Narrative explanation on each contract listed describing the objectives achieved and the following data: any cost growth or schedule delays encountered. For any Government contracts which did not/do not meet original requirements with regard to cost, schedule, or technical performance, a brief explanation of the reason(s) for such shortcomings and any demonstrated corrective actions taken to avoid recurrence. Quoters may include a discussion of efforts accomplished by the quoter to resolve problems encountered on prior contracts as well as past efforts to identify and manage program risk. Merely having problems does not automatically equate to an unacceptable rating, since the problems encountered may have been on a more complex program, or an quoter may have subsequently demonstrated the ability to overcome the problems encountered. The quoter is required to clearly demonstrate management actions employed in overcoming problems and the effects of those actions, in terms of improvements achieved or problems rectified. This may allow the quoter to be considered an acceptable past performance candidate.
1. Negative Performance Documentation. A copy of any cure notices, show cause letters or contract discrepancy reports received on each contract listed and a description of any corrective action by the quoter or proposed subcontractor.
10. Completion Date/Delivery Schedule. The contractor shall list each time the delivery schedule was revised and provide an explanation of why the revision was necessary.
File details come from the government source that posted it. Updated .