W911SA-21-Q-3015 Attachment 8 Custodial Contractor Performance Checklist V 1.6 (18 JAN 2019).xlsx

XLSX spreadsheet 2 MB Posted Feb 12, 2021

Attached to: Custodial Services for KS032 in Topeka, KS
Solicitation number: W911SA-21-Q-3015
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy

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File	Type	Posted
W911SA-21-Q-3015 Amendment 2.docx	DOCX document	Mar 11, 2021
W911SA-21-Q-3015 Amendment 1.docx	DOCX document	Mar 5, 2021
W911SA-21-Q-3015 Attachment 2 KS032 Custodial Drawings 13 Aug 2020.docx	DOCX document	Feb 12, 2021
W911SA-21-Q-3015 Attachment 3 KS032 Custodial_AT-OPSEC Cover Sheet.pdf	PDF	Feb 12, 2021
W911SA-21-Q-3015 Attachment 4 Custodial Service Ticket Template V 1.6 (18 JAN 2019).docx	DOCX document	Feb 12, 2021
W911SA-21-Q-3015 Attachment 7 88th RD FM Form 452 V 1.6 (18 JAN 2019).xlsx	XLSX spreadsheet	Feb 12, 2021
W911SA-21-Q-3015 Attachment 6 88th RD FM Form 451 V 1.6 (18 JAN 2019).xlsx	XLSX spreadsheet	Feb 12, 2021
W911SA-21-Q-3015 Solicitation.docx	DOCX document	Feb 12, 2021
W911SA-21-Q-3015 Attachment 9 SUS Trifold.pdf	PDF	Feb 12, 2021
W911SA-21-Q-3015 Attachment 5 Custodial Contractor Rest Room Cleaning Sheet V 1.6 (18 JAN 2019).docx	DOCX document	Feb 12, 2021
W911SA-21-Q-3015 Attachment 1 KS032 Custodial Price Schedule (blank).xlsx	XLSX spreadsheet	Feb 12, 2021

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FACID CHECKLIST

CONTRACTOR PERFORMANCE INSPECTION CHECKLIST & SUMMARY REPORT V 1.6	Method of Surveillance: Periodic Surveillance
Service Provided: Custodial Services
Contractor Name:
Contract Number: Contractor email:
FAC ID:
Building Number(s):
Contracting Officer Representative:	Meeting Contract Requirements
Designated Representative:
Contracting Officer:
Contract Specialist:

PWS PART 1 General, Yes, No, or n/a		Yes	No
1	PWS # 1.6.16 ID OF EMPLOYEE'S: Are contractor personnel wearing ID badges in a conspicuous place on the front exterior clothing above the waist and are the contractor personnel wearing the ID badges on the employee list provided by the contractor?	Yes	No
	COMMENTS:
PWS PART 5 Specific Tasks: General Requirements, 1, 0, n/a, n/o		SAT	UNSAT
2	PWS 5.1 MANAGEMENT: For required cleaning services not scheduled via the T&F, has the contractor met with the COR and determined a schedule for the days of the week these services will be perfomed?	1
	COMMENTS:
3	PWS 5.2.22 JANITOR CLOSET: is the closet kept neat and clean and odor free?	1
	COMMENTS:
PWS PART 5 Specific Tasks: Annual Requirements (April), 1, 0, n/a, n/o		SAT	UNSAT
4	PWS 5.2.1 INTERIOR WINDOW SURFACES: Are the interior window frames, casings, sills and glass free of cobwebs, film, dirt, smudges, water and other foreign matter?	n/a
	COMMENTS:
5	PWS 5.2.2 EXTERIOR WINDOWS SURFACES: Are the exterior window frames, casings, sills and glass free of cobwebs, film, dirt, smudges, water and other foreign matter?	n/a
	COMMENTS:
6	PWS # 5.2.9 STRIP WAX: Did the Contractor strip wax from floors completely removing all marks, scuffs, stains, heel marks, etc. (except in cases in which there is damage to the floor surface), and did the Contractor remove all non-fixed/movable items (defined in 2.1.12) prior to stripping and replace these items after waxing and buffing was completed?	n/a
	COMMENTS:
7	PWS# 5.2.10 SEAL, POLISH, or WAX AFTER STRIPPING: Was a sufficient amount of wax and coats of wax used to fully protect the floor surface and once wax dried was the reflectance uniform with no visible streaks or swirls, and were the baseboards, doors and other adjacent surfaces wax free from floor finish or residue upon completion?	n/a
	COMMENTS:
8	PWS# 5.2.11 BUFFING / BURNISHING: Did the Contractor buff all floors to a glossy appearance free of scuff marks, heel marks, and other stains and have a uniform coating?	n/a
	COMMENTS:
9	PWS# 5.2.15 EXTRACTION CLEANING, CARPET SHAMPOO: Did the Contractor shampoo carpet free of visible litter, stains, soils, deeply embedded dirt, and other residue?	n/a
	COMMENTS:
PWS PART 5 Specific Tasks: Semi-Annual Requirements, 1, 0, n/a, n/o		SAT	UNSAT
10	PWS 5.2.12 SPRAY BUFFING: Did the Contractor spray buff the floor surface and restore a uniform gloss and protective finish to the resilient tile?	n/a
	COMMENTS:
11	PWS# 5.2.20 HIGH DUSTING: Were all high dusting areas free of cobwebs, dust, lint, litter, soil and smudges?	n/a
	COMMENTS:
PWS PART 5 Specific Tasks: Monthly Requirements (Monday after BA), 1, 0, n/a, n/o		SAT	UNSAT
12	PWS# 5.2.3 REMOVE TRASH & RECYCLABLES: Did the Contractor remove trash and recyclables after Drill Weekend?	1
	COMMENTS:
13	PWS# 5.2.4, 5.2.7, 5.2.13 VACUUM: Did the contractor vacum carpets free of visable litter, grit and stains?	1
	COMMENTS:
14	PWS# 5.2.5 SWEEP/DUST MOP: Did the Contractor sweep/dust mop floors after Drill Weekend?	1
	COMMENTS:
15	PWS # 5.2.6 DAMP MOP: Did the Contractor Damp Mop all required floors after after Drill Weekend?	1
	COMMENTS:
16	PWS# 5.2.19 LOW DUSTING: Were all low dusting areas free of dust, lint, litter, and soil?	1
	COMMENTS:
17	PWS# 5.2.25.4 RESTROOM WALLS AND PARTITIONS: Do wall and partitions have have a clean, uniform appearance, free of streaks, spots and any evidence of soil?	1
	COMMENTS:
18	PWS# 5.2.34 INTERIOR GLASS: Is glass free of film, dirt, smudges, water and other foreign matter?	1
	COMMENTS:
PWS PART 5 Specific Tasks: Weekly Requirements (Monday), 1, 0, n/a, n/o		SAT	UNSAT
19	PWS# 5.2.3 REMOVE TRASH & RECYCLABLES: Did the Contractor remove trash and recyclables?	1
	COMMENTS:
20	PWS# 5.2.4, 5.2.7, 5.2.13 VACUUM: Did the contractor vacum carpets free of visable litter, grit and stains?	1
	COMMENTS:
21	PWS # 5.2.5 SWEEP/DUSTMOP: Did the Contractor sweep/dust mopfloors free of litter, dust, foreign debris and spots caused by spills?	1
	COMMENTS:
22	PWS # 5.2.6 DAMP MOP: Did the Contractor damp mop floors so that they have a uniform appearance, with no streaks, swirl marks, detergent residue, or any evidence of soil, stains, film, debris, or standing water?	1
	COMMENTS:
23	PWS# 5.2.7 WALK OFF MATT CLEANING: Were the mats free of soil and grit?	1
	COMMENTS:
24	PWS# 5.2.16 SWEEP STAIRWAYS: Is surface area free of litter, dust and foreign debris?	1
	COMMENTS:
25	PWS# 5.2.21 CLEAN DRINKING FOUNTAINS & SINKS: were all fountains & sinks disinfeced and free of streaks, stains, spots, smudges, and other obvious soil residue?	1
	COMMENTS:
PWS PART 5 Specific Tasks: Twice Weekly Requirements (Monday & Thursday), 1, 0, n/a, n/o		SAT	UNSAT
26	PWS# 5.2.3 REMOVE TRASH & RECYCLABLES: Did the Contractor remove trash and recyclables?	1
	COMMENTS:
27	PWS 5.2.25.1 TOILET BOWLS AND URINALS: Is the the surface, including fittings and plumbing pipes, free of scale, scum, mineral deposits, rust, stains, dirt and grime?	1
	COMMENTS:
28	PWS 5.2.25.2 RESTROOM WASH BOWLS: is the surface, including fixtures and plumbing pipes, free of grease, dirt, soil, stains?	1
	COMMENTS:
29	PWS 5.2.25.3 RESTROOM FLOORS: Does the floor have a clean uniform appearance with no streaks, swirl marks, detergent residue or any evidence of soil remaining on the floor surface?	1
	COMMENTS:
30	PWS 5.2.25.5 GLASS CLEANING IN RESTROOM: Do the mirrors and glass surfaces have a clean uniform appearance free of streaks, spots and cleaning solution residue?	1
	COMMENTS:
31	PWS 5.2.25.6 SHOWERS & STALLS: Do the showers and stalls have a clean uniform surface free of all soil and residue?	1
	COMMENTS:
32	PWS 5.2.26 SINKS HAND WASHING AREAS: Is the surface area free of grease, dirt, soil, stains and residue?	1
	COMMENTS:
PWS PART 7 Deliverables, (Yes, No, or n/a)		Yes	No
33	PWS 1.6.2. Quality Assurance: When issued an NCR did the contractor provide corrective action and/or provide an acceptable corrective action plan by the suspense date?	Yes	No
	COMMENTS:
34	PWS 1.6.11. Hazardous Materials: Is the Safety Data Sheet (SDS) maintained in the same location as stored cleaning materials and chemicals?	Yes	No
	COMMENTS:
35	PWS 1.6.15. Key Personnel: Did the contractor provide contact information of the designated and alternate POC 5 days after contract award and update this contact information as changes occur?	Yes	No
	COMMENTS:
36	PWS 1.6.16. ID Badge List: Did the contractor provide an employee list of issued ID cards prior to contractor empolyee(s) entering the building(s), and if changes occurred did the contractor provide an updated list prior to new employee's entering the building(s)?	Yes	No
	COMMENTS:
37	PWS 1.7.1. AT Level 1 Training: Did Contractor provide the COR certificates verifying all employees completed AT Level 1 Training within 30 days of the contract start date or new hire start date?	Yes	No
	COMMENTS:
38	PWS 1.7.2.1. NCIC-III/TSDB: Did the contractor request via COR, a background check for all contractor employees, including subcontractor employees, requiring unescorted access to government facilities?	Yes	No
	COMMENTS:
39	PWS 1.7.2.1.1.a. Did the COR receive completed 88th RD Forms 451 and 452 from Contractor Project Manager?	Yes	No
	COMMENTS:
40	PWS 1.7.5. iWATCH Training: Was this training to be completed within 30 calendar days of Notice to Proceed and within 30 calendar days of new employees commencing performance with the results reported to the Contracting Officer no later than 60 calendar days after Notice to Proceed?	Yes	No
	COMMENTS:
41	PWS 5.4., 5.5. Did the Contractor submit a service ticket the end of the month after the service occurred?	Yes	No
	COMMENTS:
42	PWS 5.5. Did the contractor invoice in the appropriate invoicing system?	Yes	No
	COMMENTS:
43	PWS 5.6. Did the Contractor provide required annual CMRA data NLT 31 October?	Yes	No
	COMMENTS:
	Total:	23	0
85.00% - 100.00% Found Acceptable		100.00%
0.0% - 84.99% Found Unacceptable
All tasks have been inspected in accordance with this checklist per method of surveillance
Summary Report (Required):
Designated Representative name and date of inspection:
NAME: DATE:
COR name and date of reviewed and accepted inspection results:
NAME: DATE:

W911SAXXXXXXX LOG

W911SAXXXXXXX Performance FYXX

Month

Contract Number

Contractor Name

Contracting Office

Customer

Contract Value

Type Contract

KO Name

COR Supervisor Name

COR Name

Total PRS Factors

Compliant PRS Factors

Noncompliant PRS Factors

Compliant Rate

October

McCoy

ERROR:#DIV/0!

November

McCoy

ERROR:#DIV/0!

December

McCoy

ERROR:#DIV/0!

January

McCoy

ERROR:#DIV/0!

February

McCoy

ERROR:#DIV/0!

March

McCoy

ERROR:#DIV/0!

April

McCoy

ERROR:#DIV/0!

May

McCoy

ERROR:#DIV/0!

June

McCoy

ERROR:#DIV/0!

July

McCoy

ERROR:#DIV/0!

August

McCoy

ERROR:#DIV/0!

September

McCoy

ERROR:#DIV/0!

Totals

ERROR:#DIV/0!

W911SAXXXXXXX Performance FYXX W911SAXXXXXXX Performance FYXX October November December January February March April May June July August September 0 0 0 0 0 0 0 0 0 0 0 0

W911SAXXXXXXX Performance

Contractor Performance Inspection Checklist

FYXX

TOTALS

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

PERFORMANCE STANDARD	P	F	P	F	P	F	P	F	P	F	P	F	P	F	P	F	P	F	P	F	P	F	P	F	SAT	USAT
1																									0	0
2																									0	0
3																									0	0
4																									0	0
5																									0	0
6																									0	0
7																									0	0
8																									0	0
9																									0	0
10																									0	0
11																									0	0
12																									0	0
13																									0	0
14																									0	0
15																									0	0
16																									0	0
17																									0	0
18																									0	0
19																									0	0
20																									0	0
21																									0	0
22																									0	0
23																									0	0
24																									0	0
25																									0	0
26																									0	0
27																									0	0
28																									0	0
29																									0	0
30																									0	0
31																									0	0
32																									0	0
TOTALS	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0

USAT Factors

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

W911SAXXXXXXX Compliance Rates

File details come from the government source that posted it. Updated Feb 12, 2021.