W911SA-20-Q-3025 Attachment 5 Refuse Multi site Contractor Performance Checklist.xlsx
XLSX spreadsheet 2 MB Posted
- Solicitation number
- W911SA20Q3025
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 REPORT | Method 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: XX000 | Fac ID: XX000 | Fac ID: XX000 | Fac ID: XX000 | Fac ID: XX000 | Fac ID: XX000 | Fac ID: XX000 | Fac ID: XX000 | ||||||||||
| PWS PART 1 General, Yes or No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | |
| 1 | PWS # 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? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| PWS PART 5 Specific Tasks: Refuse & Recycling Services, 1, 0, n/a, n/o | SAT | UNSAT | SAT | UNSAT | SAT | UNSAT | SAT | UNSAT | SAT | UNSAT | SAT | UNSAT | SAT | UNSAT | SAT | UNSAT | |
| 2 | PWS 5.2.1 REFUSE and RECYCLING SERVICES: Did the Contractor collect all refuse and recycling from Contractor supplied dumpsters/containers? | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||||
| COMMENTS: | |||||||||||||||||
| 3 | PWS 5.2.1 REFUSE and RECYCLING SERVICES: Were the collections made according to schedules established and approved by the COR? | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||||
| COMMENTS: | |||||||||||||||||
| 4 | PWS 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? | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||||
| COMMENTS: | |||||||||||||||||
| 5 | PWS 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? | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||||
| COMMENTS: | |||||||||||||||||
| 6 | PWS 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? | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | ||||||||
| COMMENTS: | |||||||||||||||||
| PWS PART 7 Deliverables, Yes or No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | |
| 7 | 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 | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 8 | PWS 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? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 9 | PWS 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)? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 10 | PWS 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. | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 11 | PWS 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? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 12 | PWS 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? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 13 | PWS 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? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 14 | PWS 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? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 15 | PWS 5.3. Did the contractor invoice in iRAPT or SUS NLT the end of the month after the service occurred? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| 16 | PWS 5.4. Did the Contractor provide required annual CMRA data NLT 31 October? | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
| COMMENTS: | |||||||||||||||||
| Total: | 5 | 0 | 5 | 0 | 5 | 0 | 5 | 0 | 5 | 0 | 5 | 0 | 5 | 0 | 5 | 0 | |
| 100.00% Found Acceptable | 100.00% | 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 surveillance | Cumulative 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 | ||||||||||||||
| # | 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 |
| 1 | October | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 2 | November | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 3 | December | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 4 | January | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 5 | February | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 6 | March | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 7 | April | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 8 | May | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 9 | June | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 10 | July | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 11 | August | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| 12 | September | McCoy | 0 | ERROR:#DIV/0! | ||||||||||
| Totals | 0 | 0 | 0 | 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 .