18R0005_WAFB_Mess_Att_RFP_Attch_4_PPQ.pdf

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FA462518R0005
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FA4625-18-R-0005 FOR OFFICIAL USE ONLY

Page 1 of 5 FOR OFFICIAL USE ONLY

PAST PERFORMANCE QUESTIONNAIRE

The below-named contractor/offeror is being considered for award of a contract for mess attendent/food facility services at Whiteman AFB, MO. A primary consideration in our selection process is the contractor’s history of performance of similar efforts. Please make every effort to be thorough in your answers/comments. Completed questionnaires can be returned via fax, email or mail to the following:

509 CONS/PKB

ATTN: SrA Jarrett Middleton

660 10th St. Ste 222 Whiteman

AFB, MO 65305

Or FAX to: (660) 687-7083

Or email: 509cons.sollgcb@us.af.mil

A. GENERAL INFORMATION

Offeror’s

Name:_______________________________________________________________________________

Address:_____________________________________________________________________________

Telephone Number:________________________ Point of Contact:____________________________

B. RESPONDENT INFORMATION

Name:_____________________________________

Title:_____________________________________________

Organization &

Address:_________________________________________________________________________

Telephone: ___________________ FAX:__________________

Email:___________________________________

C. CONTRACT INFORMATION

Contract Title:______________________________________________________________________

Period of Performance:__________________________ Contract

Number:__________________________________

Total contract value, including all modifications and options:__________________________________

Annual contract expenditures:__________________________________________________ mailto:509cons.sollgcb@us.af.mil

Page 2 of 5 FOR OFFICIAL USE ONLY

Total occupied square footage of facilities supported:_______________________________________

Number of separate and distinct commodities provided under contract:_________________________

Description of contract effort:___________________________________________________________

D. PERFORMANCE INFORMATION

PERFORMANCE INFORMATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question (E, G, S, M, U or N). This scale is defined as follows:

CODE PERFORMANCE RATING

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many (requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

G GOOD- The contractor’s performance meets contractual requirements and exceeds some

(requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the contractor appear or was satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N NEUTRAL – Performance was not observed or not applicable to the current effort being reported against.

Page 3 of 5 FOR OFFICIAL USE ONLY

1. CUSTOMER SATISFACTION:

aa. Customer would have no reservation in awarding another contract to the Contractor.

bb. Cooperative, businesslike and concerned with the interest of the customer.

cc. Provided prompt and courteous service when responding to customer complaints.

Overall rating for Customer Satisfaction E G S M U N

2. ORGANIZATION:

aa. Contractor demonstrated clear, logical lines of authority from program manager. Demonstrated technical sufficiency including site superintendents and quality control.

bb. Contractor provided dedicated on-site staff (if required by contract).

Overall rating for Organization E G S M U N

3. QUALITY:

aa. Contractor provided effective quality control and inspection procedures which resulted in a quality finished product.

bb. Contractor provided well researched and clearly identified submittals that matched contract requirements.

cc. Contractor completed all work with good quality and in conformance with the specifications.

dd. Contractor complied with all Federal and local laws including OSHA, EPA, etc.

ee. Contractor's Quality Control (QC) Person had no overlapping of duties or responsiblities that conflicted with the performance as QC.

Overall rating for contractor’s Quality E G S M U N

4. TIMELINESS:

aa. Contractor was able to meet specific response times and scheduled time frames for completion of specific tasks

bb. Contractor performed all work without the issuance of a

CURE NOTICE or a SHOW CAUSE LETTER (if a notice was issued, please describe the circumstances on a separate sheet of paper)

cc. Contractor was able to provide the required services during a surge or increased tempo environment.

dd. Contractor met time constrained deadlines and delivered products on-time.

ee. Contractor responded in a timely manner to emergency service requirements.

Overall rating for contractor Timeliness E G S M U N

Page 4 of 5 FOR OFFICIAL USE ONLY

5. RESPONSIVENESS:

aa. Contractor acted promptly to resolve problems, ensuring compliance with contract, security and safety requirements and regulations.

bb. Contractor was reasonable and cooperated to resolve problems, attended meetings as needed, and maintained communication with the Government to keep the project on schedule or minimize the delay.

cc. Contractor identified problems as they occurred;

corrective action taken when problems occurred, displayed initiative to solve problems; and performed as a “Team

Member”.

ee.

The contractor’s quality control person demonstrated good working relationships with the Government inspectors and the Contracting staff

Overall rating for contractor’s Responsiveness E G S M U N

6. MANAGEMENT:

aa. Contractor provides experienced/qualified managers and supervisors with the abilities needed to meet contract requirements.

bb. Contractor hired quality subcontractors and effectively managed and coordinated their work.

cc. Contractor hired, maintained and replaced as necessary, qualified personnel and subcontractors/suppliers.

dd. Contractor paid employees/subcontractors/suppliers as required.

COMMENTS/NARRATIVE Please provide any comments or narrative pertaining to the ratings above.

At a minimum discuss all responses for which you indicated E (Exceptional) M (Marginal) or U

(Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

Overall rating for contractor’s Management E G S M U N

Page 5 of 5 FOR OFFICIAL USE ONLY

If given the opportunity, would you award another contract to this contractor?___________________

Please explain response below:

Please provide any additional comments concerning this contractor’s performance, as desired.

LEGEND OF TERMS

OFFEROR: The contractor for which past performance is being evaluated

SOLICITATION NUMBER: The procurement document number the government uses to identify a specific

Request for Proposal (RFP)

RESPONDENT: The person and/or organization evaluating past performance

CONTRACT NUMBER: If the offeror had a contract or purchase order with your company/firm, the identifying contract number associated with awarded contract/purchase order

CONTRACT TITLE: Project title of work performed

CONTRACT VALUE: Contract/purchase order total dollar value, including all modifications and options

BRIEF DESCRIPTION OF WORK: Describe type of work being performed, to include whether the contract included mess attendant/food services.

Thank you for your prompt response and assistance!

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