Past Performance Questionaire.pdf

PAST PERFORMANCE QUESTIONAIRE

When filled in this document is Source Selection Sensitive Information

IAW FAR 2.101 and 3.104

The Department of Defense (DOD) is conducting a competitive procurement for American Style

Restaurant and Catering Service. The contractor shall perform provide all management, labor and materials necessary except subsistence (food product) purchasing and cashiering duties. The service requires breakfast, lunch, and dinner meal services 365 days per year between the hours 0630 to 2100

(06:30am to 9:00pm), excluding down time, preparation, and breakdown. In addition to the normal operations, the contractor shall provide full catering and banquet services as requested throughout the installation. The contractor shall prepare and serve quality food resulting in a satisfied and loyal customer base. Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted.

Recency: Please provide information on contractor performance that is recent. IAW IG5315.101-1, and for this solicitation, recent is defined as performance occurring within the last three years.

Relevancy: IAW IG5315.101-1, and for this solicitation, relevant means the performance being considered must have a logical connection to the work described in the solicitation.

To assist in evaluating proposals under this procurement, you have been requested to provide descriptive information for the following contractor:

Contractor Name_______________________________________________________________

Address:_______________________________________________________________________

Contractor Division): ____________________

CAGE Code: ____________________

DUNS Number: ____________________

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the "Organizational Structure Change History" you provided as part of your Past

Performance Volume).

Current Program Manager or main Point of Contact_____________________________________

Current Contact Phone/Fax Number(s): ______________________________________________

Procurement Contracting Officer:___________________________________________________

Address:_____________________________________________________________________

Contracting Officer (CO) _________________Phone/Fax Number(s)_______________________

Current Administrative Contracting Officer (ACO):______________________________________

Address:______________________________________________________________________

ACO Phone/Fax Number(s):______________________________________________________

Contract Type:_______________________Period of Performance_________________________

Original Contract Value: _______________Final Contract Value:__________________________

Description of Services provided in the as Prime Contractor for

Contract:_____________________________________________________________________________

Identify whether a subcontracting plan was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.

Brief Description of Subcontractor (mark prime or subcontractor) Please highlight portions considered most relevant to current acquisition.

Completion Date:

1. Original date: ____________________

2. Current Schedule: ____________________

3. Estimate at Completion: ____________________

4. How Many Times Changed: ____________________

5. Primary Causes of Change:

Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.

Questionnaire Instructions:

Please provide your assessment of the level of performance associated with the contract for which you are a reference. Mark the appropriate block, indicating the contractor’s past performance with the ratings provided below.

Rating Definitions to be used:

PERFORMANCE CONFIDENCE ASSESSMENTS

Rating Description

High Confidence (HC). Based on the offeror's performance record, essentially no doubt exists that the offeror will successfully perform the required effort..

Significant Confidence (SC). Based on the offeror's performance record, little doubt exists that the offeror will successfully perform the required effort.

Narrative comments would be particularly useful and greatly appreciated. Space is provided for comments, and additional pages may be used if desired.

1. Your Organization Name and Address:

Name:

Title:

Phone

Fax:

E-Mail

2. Contractor performed as the ____Prime Contractor ____Subcontractor ____Key Personnel

Comments:

3. Past Performance: Please characterize the level of the contractor’s overall performance by placing an

“X” in the appropriate block. (See previous page for Rating Definition Abbreviations).

Company Name:______________________________________________________________________

Satisfactory Confidence

(SatC)

Based on the offeror's performance record, some doubt exists that the offeror will successfully perform the required effort.

Little Confidence (LC). Based on the offeror's performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror's existing processes may be necessary in order to achieve contract requirements.

No Confidence (NC). Based on the offeror's performance record, extreme doubt exists that the offeror will successfully perform the required effort.

Neutral/Unknown Confidence

(N).

No performance record identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

Q # Overall Work Area HC SC SatC LC NC N

1 Provided qualified/experienced personnel and management with the technical and administrative abilities needed to meet contract requirements

2 Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel who met the minimum qualifications of the position they were filling during the contract period.

3 Delegated authority to project managers and supervisors commensurate with contract requirements.

4 Management team (including prime and/or sub-contractor) participated in solving significant local problems.

5 Corrected deficiencies in timely manner and pursuant to their quality control procedures to your satisfaction

6 Provided timely resolution of contract discrepancies.

7 Identified problems as they occurred.

8 Suggested alternative approaches to problems.

9 Displayed initiative to solve problems.

10 Developed realistic progress schedules.

11 Was responsive to contract changes.

12 Provided adequate project supervision.

13 Provided accurate and complete line item cost proposals including all aspects of work required for each task.

14 Cooperated with company personnel after award.

15 How would you rate the contractor's overall performance?

Technical Performance HC SC Sat

C

LC NC N

T1 Quality & repeatability of operations & maintenance.

T2 Quality of technical system testing and certification efforts.

T3 Quality/integrity of technical data/report preparation efforts.

T4 Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements.

T5 Ability to implement current standard practices for restaurant services, operation, maintenance, upgrades and management.

T6 Adequacy/effectiveness of environmental safety procedures.

Program Management HC SC Sat

LC NC N

P1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program).

P2. Contractor was reasonable and cooperative in dealing with your staff

(including the ability to successfully resolve disagreements/disputes).

P3. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

P4. Understand/complied with customer objectives and technical requirements.

P5. Successfully responded to emergency and/or surge situations

P6. Quality/effectiveness of sub-contracted efforts.

P7. Effectiveness of material management (including Government

Furnished Property or Material).

P8. Effectiveness of acquisition management.

P9. Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer.

P10. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

Employee Retention/Attraction HC SC Sat

LC NC N

E1. Ability to hire/apply a qualified workforce to this effort.

E2. Ability to retain a qualified workforce on this effort.

E3. Effectiveness of employee compensation towards quality of work.

Any additional comments:

4. Has any part of this contract been terminated for default or convenience?____YES____ NO

If YES, please explain the reasons for termination (i.e. inability to meet cost or delivery schedules, performance, etc.)

5. How would you rate the contractor’s overall performance?

HC SC SatC LC NC N

Comments:

6. Would you award to this contractor again? ____YES____ NO

Explain:

7. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

8. Was there adverse past performance issues you’d like to make us aware of?

9 Was this adverse past performance discussed with the contractor? Was it resolved successfully?

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

Please return your questionnaire directly to: HQ USMTM Contracting

Attn: Ms. R. Harris

P.O. Box 22488

Riyadh, 11495 KSA

Email: Rachel.m.harris@usmtm.swa.army.mil

Mobile: 050-520-6897

Commercial (Int'l): 011 (966) 1-498-3540 X2477

Commercial (Local): (01) 498-3540 x 2477

Please mark envelopes as follows: “TO BE OPENED BY ADDRESSEE ONLY”. Thank you for your time and information.

mailto:Rachel.m.harris@usmtm.swa.army.mil