Atch 8 - Past Performance Questionnaire.docx
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- FA940120R0014
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PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
SECTION 1: CONTRACT IDENTIFICATION
A. Contractor (Company/Division):
B. Contractor CAGE Code:
C. Contract Number:
D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):
E. Period of Performance:
1. Original Schedule (assuming all options exercised):
1. Current Schedule (assuming all options exercised):
1. Reason for difference (if applicable):
F. Contract Dollar Value:
1. Original maximum contract dollar value (assuming all options exercised):
1. Current maximum contract dollar value (assuming all options exercised):
1. Reasons for difference between original and current contract dollar value (if applicable):
G. Description of work performed:
H. Was this a competitively awarded contract? ☐ Yes ☐ No
I. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel
SECTION 2: CUSTOMER/AGENCY IDENTIFICATION
A. Customer or agency name:
B. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):
SECTION 3: RESPONDENT INFORMATION
A. Respondent’s name:
B. Respondent’s title:
C. Respondent’s phone number/e-mail address:
D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):
E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:
F. Other suggested points of contact:
SECTION 4: PERFORMANCE INFORMATION
For each of the questions below, please place an “X” next to the statement which best represents your evaluation in response to the question. Provide supporting information or comments for each response in the space provided. If the question refers to a requirement that was not in your contract, please state “N/A” in the space provided. Attach additional pages if more space is needed.
A. Food Service
1. How well did/does the contractor prepare/cook meals and accomplish other food preparation tasks?
| ☐ | Contractor consistently met/meets the requirements for food preparation. |
| ☐ | Contractor mostly met/meets the requirements for food preparation. |
| ☐ | Contractor only sometimes met/meets the requirements for food preparation. |
| ☐ | Contractor was/is unable to meet the requirements for food preparation. |
Supporting Information/Comments:
2. How well did/does the contractor serve meals, including maintaining proper temperature on serving lines, preparing short-order items, etc.?
| ☐ | Contractor consistently met/meets requirements for meal service. |
| ☐ | Contractor mostly met/meets requirements for meal service. |
| ☐ | Contractor only sometimes met/meets requirements for meal service. |
| ☐ | Contractor was/is unable to meet the requirements for meal service. |
3. How effective was/is the contractor at providing the minimum required number of meals as listed in the Performance Work Statement (PWS)?
| ☐ | Contractor consistently met/meets the requirement of number of meals served. |
| ☐ | Contractor mostly met/meets the requirement of number of meals served. |
| ☐ | Contractor sometimes met/meets the requirement of number of meals served. |
| ☐ | Contractor was/is unable to meet the requirement of number of meals served. |
Supporting Information/Comments: Please provide the average number of meals required in the PWS.
4. How effective was/is the contractor at handling any surges in the number of meals served? (e.g., in the cases of emergency/contingency situations, exercises, or other situations requiring additional meals served)
| ☐ | Contractor consistently met/meets any surge requirements. |
| ☐ | Contractor mostly met/meets any surge requirements. |
| ☐ | Contractor only sometimes met/meets any surge requirements. |
| ☐ | Contractor was/is unable to meet any surge requirements. |
5. If applicable, how well did/does the contractor perform on the requirement to provide alternative meals, such as carry-out meals, ground meals, boxed meals, bagged lunches, etc.?
| ☐ | Contractor consistently met/meets the requirement to serve alternative meals. |
| ☐ | Contractor mostly met/meets the requirement to serve alternative meals. |
| ☐ | Contractor only sometimes met/meets the requirement to serve alternative meals. |
| ☐ | Contractor was/is unable to meet the requirement to serve alternative meals. |
6. How well did/does the contractor demonstrate adequate food quality and production as required by the PWS?
| ☐ | Contractor consistently maintained/s the required food quality and meets production | requirements. |
| ☐ | Contractor mostly maintained/s the required food quality and meets production | requirements. |
| ☐ | Contractor only sometimes maintained/s the required food quality and meets | production requirements. |
| ☐ | Contractor never maintained/s the required food quality and meets production | requirements. |
7. How well did/does the contractor comply with all Federal, State, and local food codes, such as Tri-Service Food Code, and Public Health regulations and procedures?
| ☐ | Contractor consistently complied/s with all regulations and procedures. |
| ☐ | Contractor mostly complied/s with all regulations and procedures. |
| ☐ | Contractor only sometimes complied/s with all regulations and procedures. |
| ☐ | Contractor consistently did/does not comply with all regulations and procedures. |
8. How well did/does the contractor perform on any inspections performed by the Contracting Officer’s Representative, Public Health officials, etc.?
| ☐ | Contractor consistently passed/s inspections. |
| ☐ | Contractor mostly passed/s inspections, but there were only minor issues. |
| ☐ | Contractor only sometimes passed/s inspections. |
| ☐ | Contractor was/is consistently unable to pass inspections due to major issues. |
9. If applicable, how well did/does the contractor follow mandated standard menus or other locally prescribed guidance, such as an Air Force Instruction (AFI) or Air Force Manual (AFMAN) or equivalent?
| ☐ | Contractor consistently followed/s mandated procedures and guidance. |
| ☐ | Contractor mostly followed mandated/s procedures and guidance. |
| ☐ | Contractor only sometimes followed mandated/s procedures and guidance. |
| ☐ | Contractor was/is consistently unable to follow mandated procedures and guidance. |
B. Housekeeping
1. How well did/does the contractor meet housekeeping requirements as stated in the PWS, such as sanitizing tables, cleaning the restrooms, sweeping floors, etc.?
| ☐ | Contractor consistently met/meets housekeeping requirements as stated in the PWS. | |
| ☐ | Contractor mostly met/meets housekeeping requirements as stated in the PWS. | |
| ☐ | Contractor only sometimes met/meets housekeeping requirements as stated in the | PWS. |
| ☐ | Contractor was/is consistently unable to meet housekeeping requirements as stated in | the PWS. |
2. How effectively did/does the contractor clean/sanitize dishes, pots, pans, kitchen, and dining areas in accordance with the required guidance, such as FDA Food Code?
| ☐ | Contractor consistently met/meets sanitization requirements as stated in the required | guidance. |
| ☐ | Contractor mostly met/meets sanitization requirements as stated in the required | guidance. |
| ☐ | Contractor only sometimes met/meets sanitization requirements as stated in the | required guidance. |
| ☐ | Contractor was/is consistently unable to meet sanitization requirements as stated in the | required guidance/ |
3. How well did/does the contractor provide grounds maintenance services, such as sweeping/cleaning around entrances/exits and sidewalks, as required by the PWS?
| ☐ | Contractor consistently met/meets grounds maintenance services requirements as | required by the PWS. |
| ☐ | Contractor mostly met/meets grounds maintenance services requirements as required | by the PWS. |
| ☐ | Contractor only sometimes met/meets grounds maintenance services requirements as | required by the PWS. |
| ☐ | Contractor was/is consistently unable to meet grounds maintenance services | requirements as required by the PWS. |
C. Cashier/Accounting Services
1. How effectively did/does the contractor manage cash deposits and perform other required accounting procedures?
| ☐ | Contractor was/is consistently effective at managing cash deposits and performing | other required accounting procedures. |
| ☐ | Contractor was/is mostly effective at managing cash deposits and performing other | required accounting procedures. |
| ☐ | Contractor was/is only sometimes effective at managing cash deposits and performing | other required accounting procedures. |
| ☐ | Contractor was/is consistently ineffective at managing cash deposits and performing | other required accounting procedures. |
2. How effectively did/does the contractor keep up with the required flow of customers?
| ☐ | Contractor was/is consistently effective at keeping up with the required flow of | customers. |
| ☐ | Contractor was/is mostly effective at keeping up with the required flow of customers. | |
| ☐ | Contractor was/is only sometimes effective at keeping up with the required flow of | customers. |
| ☐ | Contractor was/is consistently ineffective at keeping up with the required flow of | customers. |
D. Storeroom Functions
1. How effectively did/does the contractor manage storeroom operations, including ordering, receiving, accounting, and disbursing control, in accordance with the PWS?
| ☐ | Contractor consistently managed/s storeroom operations in accordance with the PWS. | |
| ☐ | Contractor mostly managed/s storeroom operations in accordance with the PWS. | |
| ☐ | Contractor only sometimes managed/s storeroom operations in accordance with the | PWS. |
| ☐ | Contractor was/is consistently unable to manage storeroom operations in accordance | with the PWS. |
2. How well did/does the contractor follow storeroom guidance and protocols for food inspection, including food checking temperatures and rejecting deteriorated or physically damaged items, etc.?
| ☐ | Contractor consistently followed/s storeroom guidance and protocols. |
| ☐ | Contractor mostly followed/s storeroom guidance and protocols. |
| ☐ | Contractor only sometimes followed/s storeroom guidance and protocols. |
| ☐ | Contractor was/is consistently unable to followed storeroom guidance and protocols. |
E. Equipment Maintenance
1. How effectively did/does the contractor manage equipment maintenance requirements in accordance with the PWS?
| ☐ | Contractor consistently managed/s equipment maintenance in accordance with PWS | requirements. |
| ☐ | Contractor mostly managed/s equipment maintenance in accordance with PWS | requirements. |
| ☐ | Contractor only sometimes managed/s equipment maintenance in accordance with | PWS requirements. |
| ☐ | Contractor was/is consistently unable to manage equipment maintenance in accordance | with PWS requirements. |
2. How well did/does the contractor comply with required timeframes for the repair of equipment in accordance with the PWS?
| ☐ | Contractor consistently completed/s repairs within the timelines specified in the PWS. | |
| ☐ | Contractor mostly completed/s repairs within the timelines specified in the PWS. | |
| ☐ | Contractor only sometimes completed/s repairs within the timelines specified in the | PWS. |
| ☐ | Contractor was/is consistently unable to complete repairs within the timelines | specified in the PWS. |
F. Contract Management
1. How effective was/is the overall contract management?
· Contractor’s management was/is consistently effective.
· Contractor’s management was/is mostly effective.
· Contractor’s management was/is only sometimes effective.
· Contractor’s management was/is ineffective.
2. How effective was/is the contractor at providing experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements?
| ☐ | Contractor consistently provided/s experienced managers and supervisors. | |
| ☐ | Contractor mostly provided/s experienced managers and supervisors. | |
| ☐ | Contractor was/is only sometimes able to provide experienced managers or | supervisors. |
| ☐ | Contractor was/is consistently unable to provide experienced managers or supervisors. |
3. How well did/does the contractor demonstrate the ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period?
| ☐ | Contractor was/is able to consistently hire, maintain, and replace qualified personnel. ☐ | Contractor was/is mostly able to hire, maintain, and replace qualified personnel. |
| ☐ | Contractor was/is only sometimes able to hire, maintain, and replace qualified | personnel. |
| ☐ | Contractor was/is consistently unable to hire, maintain, and replace qualified | personnel. |
4. How effectively did/does the contractor provide the necessary food service training? (e.g., Food Protection Manager Certification or Food Employee Safety training)
| ☐ | Contractor consistently ensured/s all employees had the required training | |
| ☐ | Contractor mostly ensured/s all employees had the required training. | |
| ☐ | Contractor only sometimes ensured/s all employees had the required training. | |
| ☐ | Contractor was/is consistently unable to ensure all employees had the required | training. |
G. Quality Control
1. How effectively did/does the contractor provide quality control and/or inspection procedures to meet contract requirements? (e.g., developing cleaning checklists or schedules of cleaning, etc.)
| ☐ | Contractor consistently followed/s quality control and/or inspection procedures to meet | contract requirements. |
| ☐ | Contractor mostly followed/s quality control and/or inspection procedures to meet | contract requirements. |
| ☐ | Contractor only sometimes followed/s quality control and/or inspection procedures to | meet contract requirements. |
| ☐ | Contractor was/is consistently unable to follow quality control and/or inspection | procedures to meet contract requirements. |
2. How effectively did/does the contractor resolve contract problems without extensive customer guidance?
| ☐ | Contractor consistently resolved/s contract problems without extensive customer | guidance. |
| ☐ | Contractor mostly resolved/s contract problems without extensive customer guidance. | |
| ☐ | Contractor only sometimes resolved/s contract problems without extensive customer | guidance. |
| ☐ | Contractor was/is consistently unable to resolve contract problems without extensive | customer guidance. |
3. How effectively did/does the contractor correct deficiencies in timely manner?
| ☐ | Contractor consistently corrected/s deficiencies in a timely manner. |
| ☐ | Contractor mostly corrected/s deficiencies in a timely manner. |
| ☐ | Contractor only sometimes corrected/s deficiencies in a timely manner. |
| ☐ | Contractor was/is consistently unable to correct deficiencies in a timely manner. |
H. Contract Requirements
1. Overall, how well did/does the contractor comply with contract requirements as described in the PWS?
| ☐ | Contractor consistently complied/s with contract requirements. |
| ☐ | Contractor mostly complied/s with contract requirements. |
| ☐ | Contractor only sometimes complied/s with contract requirements. |
| ☐ | Contractor consistently did/does not comply with contract requirements. |
2. How accurate was/is the contractor in proposing and forecasting contract cost/price?
| ☐ | Contractor was/has consistently been accurate in proposing and forecasting contract | cost/price. |
| ☐ | Contractor was/has mostly been accurate in proposing and forecasting contract | cost/price. |
| ☐ | Contractor was/has only sometimes been accurate in proposing and forecasting | contract cost/price. |
| ☐ | Contractor was/has consistently been inaccurate in proposing and forecasting contract | cost/price. |
3. How efficiently did/does the contractor comply with any data submission requirements, such as Contract Data Requirements List (CDRL), Deliverables, etc. as required by the PWS?
| ☐ | Contractor consistently provided/s submittals as required by the PWS. |
| ☐ | Contractor mostly provided/s submittals as required by the PWS. |
| ☐ | Contractor only sometimes provided/s submittals as required by the PWS. |
| ☐ | Contractor was/is consistently unable to provide submittals as required by the PWS. |
I. Government Contracts Only
A. Was this contract partially or completely terminated for default/cause or convenience, or are there any pending terminations?
☐ Yes ☐ Default/Cause ☐ Convenience ☐ Pending Terminations ☐ No
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).
B. Did this contract include FAR 52.219-8, Utilization of Small Business Concerns?
☐ Yes ☐ No
If yes, did the contractor comply with the clause? Please explain.
C. Did this contract include DFARS 252.237-7023, Continuation of Essential Contractor Services?
☐ Yes ☐ No
If yes, did the contractor comply with the clause? Please explain.
SECTION 5: GENERAL COMMENTS
Given what I know today about the contractor’s ability to execute as promised in their proposal, I [ click and select an item ] award to them today given that I had a choice.
Respondent’s Signature Date
Please provide any additional comments concerning this contractor’s performance, as desired, below.
FA9401-20-R-0014
Attachment 8 For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104
File details come from the government source that posted it. Updated .