APPENDIX 1 - Past Performance Questionnaire.docx

15JPSS26Q00000012 DOJ Cafeteria II

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS TO OFFERORS SENDING REFERENCE QUESTIONNAIRE FORMS:

Section A (Part I and Part II) shall be completed by the offeror (the firm requesting the reference) prior to issuing the questionnaire. The offeror shall send the questionnaire forms for relevant cafeteria work that is in progress or completed in the past three (3) years to clients who will provide the reference. It is the responsibility of the offeror to follow-up and encourage client references to submit the questionnaires by the proposal due date. The completed questionnaires shall be submitted via e-mail directly from the person providing the reference. The Department will not accept completed questionnaires sent from the offeror.

INSTRUCTIONS TO PERSON PROVIDING REFERENCE:

The U.S. Department of Justice (DOJ or Department) is currently conducting a competitive procurement for cafeteria services. The winner of which will operate in the Contractor’s name, a foodservice facility for the purpose of dispensing food, nonalcoholic beverages and such other items as may be authorized by the Government.

In order to accurately evaluate the firm’s present/past performance, your assistance is requested in obtaining and verifying the present/past performance history of this firm. As a reference for work performed by the firm identified in Section A of this questionnaire, your candid response will assist the evaluation process. Please complete Section B (Part I and Part II) of the questionnaire as thoroughly as possible. The questionnaire must be submitted to Andrew.s.martin@usdoj.gov no later than February 18, 2026 at 5:00 p.m. ET . An earlier submission is highly recommended. The subject in the submission e-mail shall clearly indicate: Past Performance Questionnaire Submission for <Firm’s Name> and the message shall originate from the reference’s government or commercial e-mail system.

In addition to this questionnaire, you may receive a follow-up phone call or e-mail to confirm or clarify information. Your input into this evaluation is greatly appreciated. If you have questions regarding this questionnaire or require assistance, please submit inquiries to Andrew.s.martin@usdoj.gov.

Sincerely, Andrew S. Martin

Andrew S. Martin Contracting Officer

SECTION A

TO BE COMPLETED BY OFFEROR (THE FIRM REQUESTING THE REFERENCE)

PART I: OFFEROR INFORMATION

NAME AND ADDRESS OF FIRM BEING EVALUATED:

PART II: PRESENT/PAST PERFORMANCE INFORMATION

AGENCY/CLIENT NAME:

CONTRACT/ORDER NUMBER (IF AVAILABLE, PLEASE SPECIFY. OTHERWISE, INDICATE N/A):

TYPES OF DEBT COLLECTION AND LITIGATION ACTIVITY PERFORMED (E.G., SPECIFY IN DETAIL TYPES OF SECURED AND UNSECURED DEBT, TO INCLUDE ANY PARTICIPATION IN BANKRUPTCY, FORECLOSURE, AND OTHER RELATED SERVICES/WORK):

WHEN AND HOW LONG WERE THE SERVICES/WORK PERFORMED (MM/DD/YYYY TO MM/DD/YYYY OR PRESENT):

SECTION B

TO BE COMPLETED BY EVALUATOR (PERSON PROVIDING REFERENCE)

PART I: REFERENCE INFORMATION

NAME & TITLE:

ORGANIZATION (INCLUDING AGENCY AND/OR COMPANY):

ADDRESS:

PHONE NUMBER:

E-MAIL:

PART II: INFORMATION ABOUT DEBT COLLECTION ACTIVITY FOR WHICH REFERENCE IS REQUESTED

Please identify and correct any information that is not accurate in Section A.

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating as described below. Please provide clear and concise narrative explanations (both positive and negative) for your answers.

PART III: DEFINITION OF PERFORMANCE LEVELS

PERFORMANCE LEVEL

EXCEPTIONAL: Performance meets requirements and exceeds many to the client’s benefit.

VERY GOOD: Performance meets requirements and exceeds some to the client’s benefit.

SATISFACTORY: Performance meets requirements.

MARGINAL: Performance does not meet some requirements.

UNSATISFACTORY: Performance does not meet most requirements.

PART IV: PEFORMANCE ELEMENTS

1. Quality (Assess the offeror’s conformance to contract/effort requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards.)

|_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| N/A

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Schedule (Assess the timelines of the offeror against the completion of the contract/effort milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance.)

|_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Cost Control (Note: This area does not apply to firm-fixed price contracts/efforts. Assess the offeror’s effectiveness in forecasting, managing, and controlling costs.)

|_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Management (Assess the integration and coordination of all activity needed to execute the contract/effort, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the offeror’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts, if any.)

|_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory |_| N/A

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Small Business Subcontracting (Assess whether the offeror provided maximum practicable opportunity for small businesses to participate in the contract/effort performance consistent with efficient performance of the contract/effort.)

|_| Exceptional |_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Regulatory Compliance (Assess compliance with all terms and conditions in the contract/effort relating to applicable regulations and codes.)

|_| Very Good |_| Satisfactory |_| Marginal |_| Unsatisfactory

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PART V: EVALUATOR SIGNATURE