W911SA-20-Q-3025 Attachment 5 Refuse Multi site Contractor Performance Checklist.xlsx

XLSX spreadsheet 2 MB Posted

Attached to
Refuse/Recycle Services for MN0076 Mult-Site Locations in Minnesota
Solicitation number
W911SA20Q3025
Issued by

About this file

This document contains a contractor performance checklist and related federal contract opportunity. The contractor performance checklist is used to inspect performance on a refuse and recycling services contract across multiple sites in Minnesota. It includes 16 performance standards to evaluate the contractor's compliance with delivering refuse and recycling services, responding to issues, providing required documentation, and ensuring employee qualifications.

The related federal contract opportunity is a solicitation for refuse and recycling services at 8 locations in Minnesota. The requirement includes collection from the listed facilities between June 2020 and May 2021, with options to extend for 4 additional years. Interested vendors must monitor the SAM.gov website for issuance of the solicitation on December 6th, 2019 and any subsequent amendments. Questions are due by December 16th, 2019. The requirement is issued by the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.

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FACID CHECKLIST

CONTRACTOR PERFORMANCE INSPECTION CHECKLIST & SUMMARY REPORTMethod of Surveillance: Periodic Surveillance
Service Provided: Refuse / Recycling Services
Contractor Name:
Contract Number: Contractor email:
FAC ID:
Building Number(s):
Contracting Officer Representative:Meeting Contract Requirements
Designated Representative:
Contracting Officer:
Contract Specialist:
Fac ID: XX000Fac ID: XX000Fac ID: XX000Fac ID: XX000Fac ID: XX000Fac ID: XX000Fac ID: XX000Fac ID: XX000
PWS PART 1 General, Yes or NoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
1PWS # 1.6.15 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?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
PWS PART 5 Specific Tasks: Refuse & Recycling Services, 1, 0, n/a, n/oSATUNSATSATUNSATSATUNSATSATUNSATSATUNSATSATUNSATSATUNSATSATUNSAT
2PWS 5.2.1 REFUSE and RECYCLING SERVICES: Did the Contractor collect all refuse and recycling from Contractor supplied dumpsters/containers?11111111
COMMENTS:
3PWS 5.2.1 REFUSE and RECYCLING SERVICES: Were the collections made according to schedules established and approved by the COR?11111111
COMMENTS:
4PWS 5.2.2 REFUSE and RECYCLING SERVICES: Did the Contractor respond on site to troubleshoot, repair, or replace damaged Contractor supplied equipment within twenty-four (24) hours of request?11111111
COMMENTS:
5PWS 5.2.3 REFUSE and RECYCLING SERVICES: Were the dumpster(s) and/or container(s) relocated within the next pick up cycle after notification from the COR?11111111
COMMENTS:
6PWS 5.2.4 REFUSE and RECYCLING SERVICES: In the case of inclement weather, did the Contractor reschedule pickup with the COR within 24 hours after inclement weather has ended?11111111
COMMENTS:
PWS PART 7 Deliverables, Yes or NoYesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
7PWS 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?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
8PWS 1.6.14. 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?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
9PWS 1.6.15. 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)?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
10PWS 1.6.17.1. NCIC-III/TSDB: Did the contractor and contractor employees working on the contract obtain a background check for all contractor employees, including subcontractor employees, requiring unescorted access to government facilities. The background checks must include a check of the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB). These checks must be completed on applicable employees within 6 months from the Notice to Proceed date.YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
11PWS 1.6.17.2. 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?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
12PWS 1.6.17.3. Background Check: Did the contractor provide a law enforcement background check (to include any information entered into National Crime Information Center (NCIC-3) database) to the COR prior to any contractor employee entering government facility?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
13PWS 1.6.17.6. 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?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
14PWS 5.3. Did the Contractor submit the 88th RD Solid Waste Disposal into iRAPT or SUS NLT the end of the month after the service occurred?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
15PWS 5.3. Did the contractor invoice in iRAPT or SUS NLT the end of the month after the service occurred?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
16PWS 5.4. Did the Contractor provide required annual CMRA data NLT 31 October?YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo
COMMENTS:
Total:5050505050505050
100.00% Found Acceptable100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
0.0% - 99.99% Found Unacceptable
All tasks have been inspected in accordance with this checklist per method of surveillanceCumulative percentage:100.00%
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
#MonthContract NumberContractor NameContracting OfficeCustomerContract ValueType ContractKO NameCOR Supervisor NameCOR NameTotal PRS FactorsCompliant PRS FactorsNoncompliant PRS FactorsCompliant Rate
1OctoberMcCoy0ERROR:#DIV/0!
2NovemberMcCoy0ERROR:#DIV/0!
3DecemberMcCoy0ERROR:#DIV/0!
4JanuaryMcCoy0ERROR:#DIV/0!
5FebruaryMcCoy0ERROR:#DIV/0!
6MarchMcCoy0ERROR:#DIV/0!
7AprilMcCoy0ERROR:#DIV/0!
8MayMcCoy0ERROR:#DIV/0!
9JuneMcCoy0ERROR:#DIV/0!
10JulyMcCoy0ERROR:#DIV/0!
11AugustMcCoy0ERROR:#DIV/0!
12SeptemberMcCoy0ERROR:#DIV/0!
Totals000ERROR:#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 ChecklistFYXXTOTALS
OctNovDecJanFebMarAprMayJunJulAugSep
PERFORMANCE STANDARDPFPFPFPFPFPFPFPFPFPFPFPFSATUSAT
100
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2800
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3200
TOTALS00000000000000000000000000

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

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