Attachment_4-Offerors_Past_Performance_Data_Form.pdf
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- Attached to
- 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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