Solicitation_Attach_2__Past_Performance_Questionnaire-Dining_Facility.doc

Past Performance Questionnaire Attachment #2

1. The contractor ___________________ (submitting the Quote) is being considered for award of a solicitation for Dining Hall Operations.

2. A primary consideration in our selection process is the contractor’s performance on recent and relevant projects consisting of operating a limited service (without waitresses/waiters) Dining Hall.

After completing the Past Performance Questionnaire we ask that you e-mail it to the contracting office:

john.callahan@dhs.gov before the closing date of the solicitation (currently January 17, 2014).

3. RESPONDENT INFORMATION (The Reference who is preparing this questionnaire)

Name: _________________________________ Title: __________________________________________

Organization & Address: ____________________________________________________________________

Telephone: _______________ Fax: ___________________ Email: _________________________________

4. PERFORMANCE INFORMATION BIENG EVALUATED ON:

Contract Number/Title: ______________________________________________________________________

Period of Performance: ______________________________________________________________________

Dollar Amount of Contract: __________________________________________________________________

The contractor was ( ) was not ( ) the prime.

Scope of work performed: ___________________________________________________________________

5. PERFORMANCE INFORMATION: When responding to the following questions, choose the Number on the below scale that most accurately describes the contractor’s performance. If the question is not applicable, circle the letter "N". Comments are encouraged for all questions; however, if you respond with either a “5” or “1”, please explain in the lines below the question.

(5 points) - Exceptional - The contractor's performance exceeded the contractual requirements in most areas of the requirement. The contractual performance was accomplished with no or few minor problems for which corrective actions taken by the contractor were highly effective.

(4 points) - Very Good- The contractor's performance exceeded the contractual requirements in a few areas of the requirement. The contractual performance was accomplished with minor problems for which corrective actions taken by the contractor were effective.

(3 points)-Satisfactory - The contractor's performance met the contractual requirements. The contractual performance contained problems for which corrective actions were taken and the problem areas were resolved.

(2 points)-Marginal - Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor was unable to identify corrective actions or the contractor's proposed actions appeared only marginally effective.

(1 point)- Unsatisfactory - Performance does not meet most contractual requirements and recovery was not established. The contractual performance contains serious problem(s) for which the contractor's corrective actions were ineffective.

(N/A) - Not applicable - No performance record.

1. Did the contractor demonstrate the ability to hire, maintain and replace, if necessary, qualified personnel during the contract period?

Evaluation Point _____

2. Did the contractor provide experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements?

Evaluation Point _____

3. Did the contractor provide timely reports and documentation required?

Evaluation Point _____

4. Did the contractor meet all training requirements in a timely manner?

Evaluation Point _____

5. Did contractor proivde timely service (i.e. were Serving areas ready at opening, tables bussed and cleaned, menus up-to-date with current information, etc..)

Evaluation Point _____

6. Were the patrons of the facility satisfied with the meals served?

Evaluation Point _____

7. Did the contractor keep the dining hall clean (to includes bathrooms, serving line, eating area, and food preparation areas)?

Evaluation Point _____

8. Did the contractor comply with the Safety Standards

Evaluation Point _____

9. Would this company be the first company you would select to do the work on a similar project? Please explain why or why not?

Please Sign and Date

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