Attachment 3 Past Performance Questionnaire 1 Nov 19.docx

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

W91151-19-R-0005 Fort Hood, Texas Grounds Maintenance Service

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

Section I. (To be completed by the Offeror)

A. Contractor: _______________________________________________________________________________

B. Cage Code: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

I. Reasons for differences between initial contract cost and final contract costs:

J. Description of service provided: ______________________________________________________________

SECTION 2: IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:_______________________________________________________________________________ Title:________________________________________________________________________________ Date:_________________________________________________________________________________ Telephone Number: _____________________________________________________________________ Address:_____________________________________________________________________________ E-mail Address:_________________________________________________________________________

SECTION 3: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:______________________________________________________________ B. Customer or agency description (if applicable): _____________________________________________ C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

SECTION 4: EVALUATOR IDENTIFICATION

A. Evaluator's name: _____________________________________________________________________ B. Evaluator's title: ______________________________________________________________________ C. Evaluator's phone/fax number: ___________________________________________________________ D. Number of years evaluator worked on subject contract: ________________________________________

SECTION 5: EVALUATION (To be completed by Point of Contact – Evaluator in section 4)

The following questions pertain to the contractor’s record of past (within the past five years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

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

Exceptional (E) Performance meets contractual requirements and exceeds many to the Government’s 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.

Very Good (VG) Performance meets contractual requirements and exceeds some to the Government’s 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.

Satisfactory (S) 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.

Marginal (M) 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. (Explanation must be provided in Comments field below)

Unsatisfactory (US) 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. (Explanation must be provided in Comments field below)

A1. Contractor hired/retained qualified contract management staff in accordance with contract requirements

A2. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program to include subcontractors)

A3. Contractor was reasonable, cooperative, and responsive in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

A4. Timeliness/effectiveness of contract problem resolution without extensive customer guidance and work stoppage

A5. Understand/complied with customer objectives and technical requirements

A6. Successfully responded to emergency and/or surge situations

A7. Quality/effectiveness of sub-contracted efforts if applicable

A8. Effectiveness of material management (including Government Furnished Property or Material) if applicable

A9. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

A10. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer

A11. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

Comments:

B1. Ability to hire/apply a qualified workforce to this effort.

B2. Ability to manage/retain a qualified workforce on this effort.

B3. Ability to train workforce

Comments:

C1. Ability to acquire/retain and or owned sufficient equipment to accomplish the contract efforts.

C2. Ability to maintain equipment in working condition in accordance with establish maintenance plan and not impact performance.

Comments:

D1. Contractor ability to smoothly transition resources and personnel.

D2. Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.

Comments:

E1. Quality and effectiveness of daily operations

E2. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

E3. Quality and integrity of report preparation efforts

E4. Adequacy and effectiveness of quality control program and adherence to contract quality assurance requirements

E5. Ability to implement current industry standards to accomplish contract standards.

E6. Ability to implement current standard practices for the operation and maintenance of the equipment to perform services.

E7. Adequacy/effectiveness of environmental safety procedures

E8. Ability to effectively identify and correct deficiencies prior to final inspection and compliance

E9. Ability to respond to non-compliances identified during inspections and final acceptance by the customer

Comments:

F1. Timeliness of Performance for Services and Product Deliverables.

F2. Ability to adhere to schedule

F3. Ability to modify/adjust and communicate impacts to the schedule due to unforeseen conditions

F4. Ability to modify schedule due to customers request

Comments:

G1. Accuracy in forecasting contract costs

G2. Ability to perform within contract costs

G3. Ability to alert Government of unforeseen costs before they occur

G4. Sufficiency and timeliness of invoicing

Comments:

H1. Complied with industry standards and or federal regulations

H2. Complied with the Service Contract Act if applicable

H3. Complied with OHSA Safety Standards

H4. Complied with contract terms and conditions

Comments:

1. Please discuss the responses 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 6: 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.

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Attention: Sharon V. Jones Contracting Officer MICC-FH Mailing Address: 36000 Darnall Loop Room 1300B Fort Hood, Texas 76544

Or E-mail to: Contracting Offer sharon.v.jones.civ@mail.mil, Contract Specialist fredicinda.d.jones.civ@mail.mil, and Contract Specialist ena.g.baran.mil@mail.mil