Attachment_4-Offerors_Past_Performance_Data_Form.pdf

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Galley Services, Naval Medical Center, San Diego
Solicitation number
N0024418R0047
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OFFEROR’S PAST PERFORMANCE DATA

COVER SHEET

Request for Quote Number: N00244-18-R-0047 closing date: 10 August 2018

Submit completed Cover Sheet and Survey via fax or email to:

CONTRACTING DEPARTMENT

Fleet Logistic Center

Attn: Maya Maxies-Clemons

Regional Contracts Department; Code 230

3985 Cummings Road, Bldg 116, 3rd Floor

San Diego, CA 92136

Phone: (619) 556-5719

Fax: (619) 556-9793

E-mail: maya.maxies-clemons@navy.mil

PAST PERFORMANCE INFORMATION

WORKSHEET:

List performance data on your three most recently completed Federal Government contracts (not to exceed three years since completion) for like or similar services required by this solicitation. If you do not have Federal

Government contracts, then list state, local, or commercial contracts, in that order, to complete this report.

PAST PERFORMANCE INFORMATION FORM

I. Contract Information: Please complete the following information on the contractor that provided, or is currently providing, services for your company.

a. Contractor’s Name/Address/Phone:

b. Contract Number: ___________________________

c. Program Title: _____________________________

d. Contract Type: Firm-Fixed-Price

Indefinite-Delivery/Indefinite Quantity

Cost-Reimbursement

e. Period of Performance: _______________________

f. Base Period Contract Dollar Value: ______________________

g. Total Contract Dollar Value (including all option periods): __________________

h. Description of service provided: (Please include number of meals served per month)

II. Performance Information: Please indicate your satisfaction with the contractor’s performance by circling the appropriate rating using the scale provided. For ratings above or below satisfactory, please comment on how the contractor either exceeded your requirement or how the contractor failed to meet your requirement. If the contractor had problems in a specific area, but you determined them to have no impact on the mission, please specify this in your narrative remarks. If the statement is not applicable, check “unknown”.

When responding to this questionnaire please uses the following definitions as a guide:

Performance Confidence Assessment

Exceptional Performance met all contract requirements and exceeded many. Problems, if any, were negligible and were resolved in a timely, highly effective manner.

Very Good Performance met all contract requirements and exceeded some. There were a few minor problems for which the contractor resolved in a timely, effective manner.

Satisfactory Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

Marginal Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.

Unsatisfactory Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective.

Unknown Did not observe performance in this area.

QUALITY

With respect to past performance, the evaluators will be assessing quality of performance as well as relevance. Therefore, it is extremely important that persons contacted for past-performance information provide comprehensive information supporting assessments of quality, scheduling, and management. It shall be insufficient on its face to just mark a block in support of a grade or score for past performance. Again, please be specific.

The contractor completed or complied with all aspects of the contract for the following items:

Contractor maintained and posted menu boards

Exceptional Very Good Satisfactory Marginal Unsatisfactory Unknown

Comments:

Contractor prepared food in accordance with all guidelines

Food was served in a proper manner, efficiently/within required timelines

Contractor provided adequate table bussing services

Contractor adhered to all food safety and sanitation requirements

Contractor provided cashier services within all stated requirements

Contractor provided adequate housekeeping/cleaning services

Contractor adhered to all stated waste management requirements

Contractor provided adequately trained, uniformed, and professional personnel

Did contractor have an effective quality control program to ensure contract compliance?

Did contractor demonstrate the ability to correct discrepancies in contract performance. Did the contractor self identify discrepancies and correct them in accordance with their Quality Control Procedures?

SCHEDULE

Did the contractor provide timely, effective response to problems without excessive government involvement?

Did the contractor demonstrate the ability to respond to short-notice emergencies and Special Events?

MANAGEMENT

Did the contractor provide experienced/qualified management personnel to meet contract requirements?

Did the contractor demonstrate the ability to identify and correct weaknesses in management (relative to contract, personnel - ie. quantity and/or quality), planning/scheduling, and quality of service?

Did the contractor identify problems in advance—and once identified, take positive and effective corrective action?

Did the contractor provide a Project Manager authorized to make decisions on daily contract issues?

Was the contractor effective in managing the Project Manager?

Invoices were submitted in a timely manner

Did the contractor suggest solutions and showed initiative to implement solutions?

The Project Manager responded to and solved customer complaints in a timely manner

Administrative reports/documents were received in accordance with contract requirements

Contractor provided experienced workers with the abilities needed to meet contract requirements

Contractor demonstrated ability to hire, maintain and replace, if necessary, personnel during the contract period

Contractor cooperated to resolve problems, contractually or otherwise, attended meetings and maintained communication to assure satisfactory resolution

CUSTOMER SATISFACTION:

Has the contractor ever been given a cure notice, a show cause notice, a suspension of payment, or had a claim denied? Yes (please explain) No

Comment:

Based on your judgment of the contractor’s performance, would you award the contractor another

Government contract? Yes No (please explain)

Comment:

Please rate the overall consistency and reliability of the contractor’s performance.

Narrative:

Please rate overall customer satisfaction with the contractor's performance.

Narrative:

III. Evaluator Information: The following information will help us track the responses received, as well as resolve whatever differences may arise between your perception of the contractor’s performance and the contractor’s perception of their performance information revealing the individual completing the form will NOT be released to the contractor by the Government.

a. Evaluator’s Name:

b. Title:

c. Telephone Number: DSN: Commercial:

d. Organization, Office Symbol, and Address:

e. Length of involvement in the contract:

f. Date of questionnaire completion:

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