TEL3_-_Past_Performance_Questionnaire_20180320.docx

SECTION L - ATTACHMENT L3

PAST PERFORMANCE QUESTIONNAIRE

Solicitation W911S8-18-R-0004 Custodial Services Directorate of Public Works, Ft Bliss, TX

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

The Mission and Installation Contracting Command at Joint Base Lewis-McChord (MICC-JBLM) is in the process of selecting a contractor for Custodial Services for the Directorate of Public Works, on Ft Bliss, TX.

A component of proposal evaluation is the verification of an offeror’s past performance on contracts reflecting their ability to perform on the proposed effort. MICC-JBLM depends on firsthand experience to form conclusions and your completion of this questionnaire will aid in assessing the offeror’s probability of meeting the Solicitation’s requirements. We depend on information received from agencies such as yours, which have firsthand experience with an offeror, for the evaluation of the offeror's performance on those contracts. Our areas of interest in the offeror are summarized in the enclosed questionnaire.

Your prompt response is critical to the timely completion of this Source Selection and is greatly appreciated.

Please complete this questionnaire, sign, and return directly only to the contract specialist, SSG Justino Surla, via email to justino.r.surla.mil@mail.mil and usarmy.jblm.acc-micc.list.proposals@mail.mil by (OFFEROR INSERT date/time of RFP closure specified in block 8 of the SF 1449 prior to transmitting to reference for completion). Use the following text for the SUBJECT LINE: “W911S8-18-R-0004, PPQ.”

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/email: _____________________________________________________________________________________________________________

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

G1. Restroom cleanliness.

G2. Floor surfaces cleanliness (e.g. carpet, tiled).

G3. Break room cleanliness.

G4. Cleanliness of trash and recycling receptacles.

G5. Stairs including hard rails and wall surfaces.

G6. Entryways including floor surfaces, glass, and door handles.

G7. Cleanliness of elevators.

G8. Window cleaning (exterior & interior).

G9. Dusting.

G10. Overall appearance of Custodial Service equipment such as floor machines, vacuums, mop buckets, carts, etc.

G7. Quality of the regularly scheduled tasks completed by custodial staff.

G8. Professional conduct and appearance of custodial staff and appearance.

M1. Effectiveness of overall contract management (including ability to effectively lead, manage and control)

M2. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

M3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

M4. Understand/complied with customer requirements

M5. Successfully responded to changes in scope or surge capacity

M6. Quality/effectiveness of sub-contracted efforts

M7. Effectiveness of material management (including Government Furnished Property or Material if applicable)

M8. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements

M9. Adequacy/effectiveness of environmental safety procedures.

M10. Contractor implemented responsive/flexible processes to improve quality and timeliness of performance.

M11. Quality of deliverables i.e. reports, logs, trackers, schedules, etc (on-time and accurate).

M12. Qualified personnel with certifications to perform annual training required in contract.

M13. Adequacy / effectiveness of compliance with environmental regulations.

M14. Implementation of energy star equipment.

M15. Ability to implement industry standard practice for custodial operations, equipment maintenance, supply distribution.

T1. Contractor ability to smoothly transition resources and personnel.

T2. Contractor effectiveness on maintaining continuity of mission support while phasing in/out resources and personnel to support other efforts.

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 / employer working relationship.

1. Please discuss EACH response for which you indicated UA (unacceptable) 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 to this contractor in the future or having them perform custodial services for you again?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date