RAFL RAFM DFAC 26-31 Attachment 2 QASP 19DEC25.docx

Quality Assurance Surveillance Plan

(QASP)

for Dining Facility (DFAC) Mess Attendant and Contingency Cook Servies 18 December 2025

REVIEW/COORDINATION

(Signatures optional IAW local policy)

(Name) Date COR Management (FSM/PM/FC/D and/or COR Supervisor)

Rachel Williams Date Quality Assurance Program Coordinator (QAPC)

(Name) Date Contracting Officer’s Representative (COR)

ACCEPTED

Kenneth M. Schleckser, MSgt, USAF Date Contracting Officer

This document is written in accordance with Performance-Based Services Acquisition (PBSA) principles (Ref: AFI 63-138 30Sep19, Chapter 6, Quality Oversight) PEO/CM & SSM Multi-Functional Resources Guide

Table of Contents

Objective:

The first objective of this contract is to outfit three (3) Dining Facilities (DFACs), Knights Table, Gateway, and Hot Pit, with ongoing Mess Attendant Services. All three DFACs will be provided with three (3) Mess Attendants scheduled per shift. Monday through Friday, and the morning and day shifts will also be accompanied by one (1) Contractor provided Site Manager, see Appendix A. Contractor provided Site Managers may also absorb the role of one of the three Mess Attendants per shift, if it is practical to do so. The Contractor should communicate whether they plan to combine these roles in the Technical Volume of their quote. The overnight and weekend shifts are not expected to have Contractor provided Site Supervisors. These services will include food service, set up, table service, managing guest flow rate, self-service bar, cashier services, sanitation, housekeeping, wall cleaning, floor cleaning, and waste management. To accomplish this, the Government will issue Task Orders once per year using CLINS ending in 001, 002, and 003.

The second objective of this contract is to outfit three (3) Dining Facilities, Knights Table, Gateway, and Hot Pit, with intermittent Contingency Cook Services. Contingency Cooks will be provided by the Contractor in the event one of the three Dining Facilities loses a designated cook (Military Member) to deployment tasking. Military deployment taskings are expected to last up to six (6) months and can happen at any time throughout the life of the contract. These services will include food preparation, progressive cooking techniques, flight and ground support meals, and cleaning workstations. This requirement will be fulfilled on a one (1) to one (1) basis, meaning one (1) Military Member will be replaced with one (1) Contractor- provided Contingency Cook for a period of up to six (6) months. A single Contingency Cook will be scheduled to cover one (1) shift per day, five (5) shifts per week. To accomplish this, the Government will award Task Orders a minimum of 30 days prior to the Cook start date, using CLINS ending in 004.

QASP Purpose This Quality Assurance Surveillance Plan (QASP) is a Government-developed document used to determine if the Contractor performance meets the performance standards contained in the contract. The QASP establishes procedures on how assessment/inspection will be conducted, and provides the steps for a continuous oversight process:

The Contractor is responsible for implementing and delivering performance that meets contract standards using its Quality Control Plan. The QASP provides the structure for the Government’s surveillance of the Contractor performance to assure that it meets contract standards. It is the Government’s responsibility to be objective, fair and consistent in evaluating Contractor performance.

The QASP is not part of the contract, nor is it intended to duplicate the Contractor quality control plan. This QASP is a living document. Flexibility in the QASP is required to allow for an increase or decrease in the level of surveillance necessary based on Contractor performance.

The Government may provide a copy of the QASP to the Contractor to facilitate open communication. In addition, the QASP should recognize that unforeseen or uncontrollable circumstances might occur that are outside the control of the Contractor.

Bottom line, the QASP should ensure early identification and resolution of performance issues to minimize impact on mission performance.

Authority Authority for issuance of this QASP is provided under Federal Acquisition Regulation (FAR), FAR Part 12 Acquisition of Commercial Items or FAR Part 46 Quality Assurance and incorporated Inspection of Services, which provide for inspection, acceptance and documentation of the service called for in the contract or order. This acceptance is to be executed by the contracting officer or a duly authorized representative.

Goals of the Multi-Functional Team (MFT) The goals of this team are to provide the highest levels of contract performance and customer satisfaction.

MFT Members and their Responsibilities The membership, goals, and responsibilities of the MFT are outlined below.

Contracting Officer (CO) Responsibilities

1. Advise the MFT on Surveillance Plan development.

2. Appoints a Contracting Officer Representative (COR) via a COR Designation Memorandum, indicating their areas of responsibilities and limitation of authority and ensures that the COR, Contractor and Quality Assurance Program Coordinator (QAPC) are notified in writing of such.

3. Provides Contract Specific Training for any COR appointed by the CO.

4. Maintains suitable records reflecting decisions regarding the acceptability of the requirements as well as actions to correct defects.

5. Requests re-performance and/or reduction of price of contract when services are not performed or do not meet contract requirements.

6. Determines that the amount withheld constitutes a reasonable estimate of the Contractor potential liability.

7. Ensures that the withholdings represent an amount commensurate with the reasonable value of such services.

8. Ensures past performance inputs are prepared documenting any performance issues.

9. Includes in the contract file documentation identifying nonperformance and actions taken.

10. Keeps communication lines open with the Contractor regarding performance issues.

11. Terminates the COR Designation in writing, when appropriate, and forwards copies of COR Termination to the COR, COR Supervisor and QAPC and notifies the Contractor.

12. Participates as a member of the MFT.

Contracting Officer Representative (COR) Responsibilities

1. Ensures supplies or services rendered by the Contractor meet contract requirements.

2. Notifies the CO and the Contractor of any performance deficiencies in writing or by e-mail.

3. Assists with contract/order closeout.

4. Ensures discrepancy reports are accurate and reported properly.

5. COR completes DoD Standard COR training and the Contract Specific Training prior to contract start date and/or Refresher Training IAW the DOD standard for certification of a COR.

6. Identifies areas that warrant a change in assessment method, frequency, or performance threshold and provides suggestions about the surveillance plan to the CO.

7. Maintains accurate documentation of Contractor assessment activities as required by the surveillance plan and reports the results of Contractor assessment activities to the CO.

8. Works with the Contractor and the CO to resolve issues.

9. Maintains a file* in accordance with (IAW) the Surveillance Plan and requests CO disposition at the completion of the contract or termination of COR appointment (if applicable).

10. Submits all requests for corrective action to the CO.

11. Inspects and accepts Contractor services at the completion of each contract payment period, usually monthly. The QAR /COR will certify services actually received, unless the CO retains the authority for acceptance.

12. Participates as a member of the MFT.

13. Ensures the Contractor complies with the requirements of FAR clause 52.222-50(c),(d) and (f) (Combating Trafficking in Persons).

Quality Assurance Program Coordinator (QAPC) Responsibilities

1. Will assist the Contracting Officer and/or Contracting Officer Designee in providing Contract Specific Training per paragraphs 1.4.1 – 1.4.6 of AFFARS MP 5301.602-2(d) and/or Refresher Training regardless of provider for any AFLCMC COR, upon request.

2. Will perform training for COR Management, upon request.

3. Supports the MFT in the development of contract requirements specifically to ensure that requirements are clearly stated and enforceable.

4. Offers advice on development for the Service Summary and Surveillance Plan.

5. Participates as a member of the MFT.

Contracting Officer Representative (COR) Management (e.g., Supervisor) Responsibilities

1. Upon request from CO, prepares COR nomination package.

2. Ensure prospective COR understands importance of performing their designated functions.

3. Ensure the COR will be afforded the necessary resources (time, supplies, equipment and opportunity) to perform their designated functions.

4. Ensure that performance of the designated functions will be addressed as part of the COR’s annual performance appraisal.

5. Solicit input on performance of COR duties from the CO.

6. Ensure COR completes required training prior to award or prior to their designation as a COR if appointed after contract award.

7. Identifies mission essential services (i.e. Functional Commander only responsibility).

8. Participates as a member of the MFT.

Surveillance, Performance Assessment, & Services Summary The goal of the QASP is to ensure that Contractor performance is effectively monitored and documented. The COR’s contribution is their professional, non-adversarial relationships with the contracting officer, contracting specialist and the Contractor, which enables positive, open and timely communications. The foundation of this relationship is built upon objective, fair, and consistent COR evaluations of Contractor performance against contract requirements. The COR uses the methods contained in this QASP to ensure the Contractor is in compliance with contract requirements. The COR function is responsible for a wide range of surveillance requirements that effectively measure and evaluate the Contractor’s performance. Additionally, this QASP is based on the premise that the Contractor, not the Government, is responsible for management and Quality Control actions to successfully meet the terms of the contract.

Services Summary (SS) The SS (Attachment I) is the list of performance objectives and standards that must be performed by the Contractor. This matrix details the method of surveillance the COR will use to validate and inspect these performance elements. Inspection of each element will be documented in the SPM COR file. The SS is sometimes referred to as the Performance Requirement Summary (PRS).

The SS Performance Objectives define the desired outcomes based on the essential services required in the PWS. The Performance Standards define the level of service required under the contract to successfully meet the performance objective. The inspection methodology defines how, when, and what will be assessed in measuring performance. The Government performs surveillance, using this QASP, to determine the quality of the Contractor performance as it relates to the performance element standards. The SS should be used to form the foundation of the COR’s inspection checklist.

Methods of Surveillance 100% Inspection All deliverables (reports, etc.) and performance will be inspected 100% for errors and omissions.

Periodic Inspection This type of surveillance is based upon selecting samples for evaluation on other than 100% inspection or statistically random basis. This inspection is conducted on a recurring basis (i.e., weekly, monthly, quarterly, etc.) using a selection of surveillance times available based on the Contractor’s schedule.

Random Inspection This type of surveillance is based on creating a random selection of surveillance times available based on the Contractor schedule. See https://www.random.org/calendar-dates/ for a tool to help build this schedule.

Customer Complaint The Contractor is expected to establish and maintain professional communication between its employees and customers. The primary objective of this communication is customer satisfaction. Customer satisfaction is the most significant external indicator of the success and effectiveness of all services provided and can be measured through customer complaints.

Performance management drives the Contractor to be customer focused through initially and internally addressing customer complaints and investigating the issues and/or problems but the customer always has the option to communicate complaints to the CO or COTR/COR, as opposed to the Contractor.

Customer complaints, to be considered valid, must set forth clearly and in writing the detailed nature of the complaint, must be signed, and must be forwarded to the COTR/COR. The COTR/COR will accept those customer complaints and investigate.

Surveillance of Non-Surveillance Summary Items The Government reserves the right to inspect and test services required by the contract, to the extent practicable, at all times and places, during the term of the contract IAW the contract inspection clause.

COR Surveillance Reporting The Lead or Primary COR certifies the essential services in the Services Summary were accomplished by the Contractor, and documents any issues or non-conformances that were identified during the reporting period. Reports should be submitted monthly, or as often as services are delivered (quarterly, annually, etc.). Monthly reports will be completed NLT the 10th calendar day of each month for the previous months performance. SPM Menu >> COR Surveillance and Oversight >> Find and select your contract >> Scroll down to COR Documents Tab >> Add Smart Form (Drop Down) >> COR Status Report or Surveillance Checklist.

Standard The Contractor must correct each discrepancy through re-performance. Recurring discrepancies during the reporting period which bring the performance threshold below the acceptable level will be recorded and reported to the CO for appropriate action. Additionally if the same discrepancy occurs repeatedly throughout different reporting periods, this will reflect upon the Contractor performance. The COR will annotate the unacceptable performance and notify the CO in order to address the problem areas with the Contractor. In those instances where re-performance is not possible, the CO may deduct payment IAW the inspection of services clause.

Unacceptable Performance When the Contractor performance is deemed unacceptable, the COR will determine the cause of the unacceptable performance.

Government-Caused If any Government action, or lack of action, caused or contributed to the unacceptable performance, the unacceptable performance will not be counted against the Contractor. The COR will take action to ensure future Government action, or lack of action, does not interfere with the Contractor performance in the future. The COR will completely document the circumstances.

Contractor-Caused – Performance Assessment Report (PAR) See Attachment A. When the unacceptable performance is not the result of Government action, or lack of action, the COR shall promptly notify the CO and the Contractor, and issue a Performance Assessment Review (PAR) to assure corrective action is taken. The COR shall direct the Contractor to re-perform the service, if possible, without additional cost to the Government. The Contractor shall reply with their response and corrective action on the PAR form by the suspense date given. If the Contractor challenges the validity of the COR’s unacceptable assessment finding, and the COR and Contractor cannot come to an agreement, the matter shall be referred to the Contracting Officer for resolution. Unacceptable performance that is re-performed satisfactorily by the Contractor shall still count as unacceptable performance. The COR shall upload all PARs to the COR file in SPM.

SPM Menu >> COR Surveillance and Oversight >> Find and select your contract >> Scroll down to COR Documents Tab >> Add Document (to upload a PDF); or Add Smart Form (Drop Down) >> Contract Discrepancy Report

Contractor-Caused Repeated Issues/Concerns – Corrective Action Report (CAR) See Attachment B. A Corrective Action Report (CAR) shall be issued to the Contractor for repeated issues/concerns, or non-conformance that results in a significant impact to the mission. Issuance of the CAR is a formal request requiring the Contractor provide written corrective action. The Contractor shall be required to respond and return all completed CARs to the COR no later than the suspense date indicated on the CAR. The COR is responsible for ensuring the corrective action taken by the Contractor is effective. The COR will enter a close date on the CAR form after a determination is made that the Contractor’s response is acceptable. The COR will then forward the closed CAR to the Contractor and report accordingly. This routing remains the same if the Contractor response is unacceptable and the CAR remains open until an acceptable response is received, except that the Contracting Officer (CO) forwards the open CAR back to the Contractor for additional information. The COR shall upload all CARs to the COR file in SPM.

SPM Menu >> COR Surveillance and Oversight >> Find and select your contract >> Scroll down to COR Documents Tab >> Add Document (to upload a PDF); or Add Smart Form (Drop Down) >> Contract Discrepancy Report

Remedies for Unacceptable Performance In accordance with FAR 52.212-4(a), Contract Terms and Conditions, Commercial Items, if any of the services do not conform to contract requirements, the Government may require repair or replacement of nonconforming supplies or re-performance of nonconforming services at no increase in contract price. If repair/replacement or re-performance will not correct the defects or is not possible, the Government may:

· Seek an equitable price reduction or;

· Seek adequate consideration for acceptance of nonconforming supplies or services.

The Government must exercise its post-acceptance rights:

· Within a reasonable time after the defect was discovered or should have been discovered; and

· Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

IAW FAR 52.212-4(m), the Government may terminate the contract for cause if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance.

If performance observed is determined to be unacceptable, the documentation flow chart in Figure #1 will be followed:

Figure #1 Unacceptable Performance Documentation Flow Chart

All PAR’s, CAR’s, COR Monthly Reports, Customer Complaints, Email correspondence, etc., will be uploaded to SPM by the COR on a monthly basis, unless QASP requests less frequency.

This is the official COR file IAW DFARS PGI 201.602-2 Invoicing/Payment – Wide Area Workflow (WAWF) If the COR’s Delegation of Authority letter provides for DAO duties, the COR will accept or reject all Receiving Reports submitted by the Contractor in WAWF within five (5) days of submittal by the Contractor. This requires an “Acceptor” role for WAWF in the PIEE single sign-on interface at https://wawf.eb.mil To access the receiving report, log into WAWF, select the Government, Acceptor, Acceptance Folder tab; then type in the Contract and delivery order (contract/task order) number. The Shipment Number column in WAWF is the Receiving Report number.

Training is available for WAWF through the PIEE portal. Sign in and click the Web Based Training “WBT” icon. In the PIEE – Web Based Training (WBT) platform, select the WAWF icon. Select “Acceptor” under the User Roles section. Under “Document Submission” you will find Demos and PDF instructions on Receiving Reports and other trainings.

Validating Receiving Reports The COR (with delegated authority) will review and validate all WAWF receiving reports (Shipment Number in WAWF) ensuring that:

Certifying & Accepting Receiving Reports Inspection of Services is ALWAYS performed by the appointed COR. The COR or CO will validate and certify services through COR monthly reports. After validation of services, the COR will select the “CQA” (Contract Quality Assurance) button to verify that the invoice was accurate, this step will normally select the Acceptance button also. If anyone other than the COR or CO (typically the Resource Advisor (RA) or another COR) is accepting services for the contract, the COR or CO MUST certify in writing to the acceptor that services have been inspected/validated, the acceptor must then state in the comments block (under Misc Info tab) that the COR has reviewed, validated and certified services/invoices. In all cases, the COR or CO will retain documentation (electronic or hard copy) showing COR validation and certification, as well as final acceptance of Contractor invoices.

Expenditure Log After certification of an invoice in WAWF, the COR and Contract Specialist will update the expenditure log documenting/tracking certified invoice expenditures against funds allocated on the contract against each CLIN. Funding belongs to the organization where the Requirement Owner resides; the expenditure log allows the COR and CO to ensure that funds are available for the work performed, to include travel and materials.

Rejecting Receiving Reports If a receiving report is rejected in WAWF, the COR or RA will go to the Miscellaneous Info tab to complete the comments block as follows:

The rejecter will then return to the Header tab and click the “Reject to Initiator” block. Anyone other than the COR may reject receiving reports in WAWF, but only when services/invoices have been reviewed and rejected by the COR in writing per the paragraph above. After rejecting the receiving report, e-mail the CM/CO the contract number, receiving report number, and reason for rejection.

Disputes (include ADR from other section or QASP) Attempts will be made to resolve all disputes arising under this plan using the Alternate Dispute Resolution (ADR) as outlined in FAR 33.214. The objective is mutually agreeable resolutions that are relatively inexpensive and expeditious. If no resolution can be made under ADR, the CO shall be notified for a final decision.

Combating Trafficking in Persons (CTIP) In accordance with DFARS PGI 222.17, training regarding trafficking in persons is required for DoD personnel with job responsibilities that require daily contact with DoD Contractors and/or Foreign National Personnel. Training can be accomplished online through the Defense Acquisition University (DOD 0020 – Combatting Trafficking in Persons). The COR must inform the Contracting Officer if the Contractor, Contractor personnel, subcontractor, or subcontractor personnel have failed to comply with the requirements of the clause at FAR 52.222-50. After receiving this information, the Contracting Officer shall provide information for any investigation and enforcement to:

Program Manager DoD CTIP Law Enforcement and Support

OUSD (P&R) DHRA

4800 Mark Center Dr Suite 06J25-01 Alexandria, VA 22350-4000 Reports may also be made:

Key indicators of trafficking include:

• Is the person in possession of their own passport, identification or travel documents?

Are these documents in possession of someone else?

• Does the person act as if they were instructed or coached by someone else?

Do they allow others to speak for them when spoken to directly?

• Was the person recruited for one purpose and forced to engage in some other job?

Have transport costs been paid for by facilitators, whom they must pay back through working or providing services?

• Does the person receive little or no payment for their work?

Is someone else in control of their earnings?

• Does the victim have freedom of movement?

Are they dropped off and collected from work?

Is the person withdrawn or do they appear frightened?

Performance Management Market Research Market research will be used as a tool throughout the life of the contract to remain current with the most efficient and effective assessment methods and techniques of the commercial marketplace.

MFT Meetings The MFT will manage the contract for the life of the contract. This team is a partnership between the Government and the Contractor to ensure the best possible service is provided for the life of the contract.

All performance assessment data will be reviewed at these meetings. If performance improvement is necessary a plan of action will be created.

The goal of the MFT is to give all members a vested interest in maintaining the highest quality service to our customers and the ability to propose/initiate improvements. The success of the contract is a combined effort of all MFT members.

Initial Performance Review The MFT initial evaluation of Contractor performance will take place within 30 days after the Contractor assumes full performance responsibilities (i.e. after completion of transition/mobilization) to ensure the Contractor has successfully started performance, completed transition, is fully operational, and is within the estimated cost, schedule, and performance parameters of the contract. The Services Designated Official (SDO) may waive the initial evaluation for Contractors that have continued performance under a successor contract award (i.e. prior incumbent) or for Contractors, which have otherwise demonstrated full compliance with contract start-up. Separate initial contract performance is not required when they would duplicate reviews held and reported under Award fee or Award Term Plan provisions.

Initial Performance Review Criteria The MFT will report the results of the initial performance review to the SDO. The report will include an assessment of schedule, management, technical, staffing and cost performance (i.e. cost performance will be reported only if other than Firm Fixed Price). Negative variations in cost, schedule, staffing, and/or performance will be reported with an assessment of the root causes and corrective action plan.

Schedule The assessment will include a discussion of the Contractor adherence to the required delivery schedule, milestones, and administrative requirements and should address the Contractor efforts during the assessment period that contributes to or affect the schedule variance, as applicable.

Management/Performance The assessment will include a discussion of the integration and coordination of all activity needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the Contractor history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts including progress on small business subcontracting goals.

Technical The assessment will include a discussion of the Contractor conformance to contract requirements, specifications and standards of good workmanship (i.e. commonly accepted technical, professional, environmental, or safety and health standards), as applicable.

Cost The assessment will include a discussion of the Contractor effectiveness in forecasting, managing, and controlling contract cost, as applicable.

Staffing The assessment will include a discussion of Contractor performance in selecting, retaining, supporting, and replacing, when necessary, key personnel, as applicable.

Special Interest Items Special interest items are to be included in the initial performance report when significant modifications to the contract have been made since contract award.

Assessment Values GREEN—No issues.

YELLOW—Issue(s) but Contractor has an adequate mitigation or corrective action plan in place.

RED—Issue(s) with inadequate or no Contractor mitigation or corrective action plan. Any “RED” assessment will include the Government proposed actions with respect to the failing Contractor.

Incentive Plan Positive incentives as a result of performance that continually exceeds the performance objectives as outlined in the PWS may result in favorable Contractor Performance Assessment Reports (CPAR). Negative performance incentives may include re-performance of the defective service in accordance with FAR 52.212-4(a) etc (Tailor to the acquisition), negative CPAR reporting and/or increased surveillance.

Contractor Quality Control Program Quality control is the responsibility of the Contractor, not the Government. The Contractor is required to develop and/or maintain an inspection system acceptable to the Government covering the services under this contract. Complete records of all inspection work performed by the Contractor shall be maintained and made available to the Government during contract performance and for as long afterwards as the contract requires. The Contractor shall utilize its own internal quality control processes in the performance of this contract. In order to supplement the Contractor quality control program, Government personnel will verify Contractor compliance with performance requirements.

Performance Feedback. Documentation is required to record, evaluate, and report Contractor performance. On a monthly basis, utilizing the SPM Online File as required, the COR will complete a narrative summary that includes the following assessment elements of Contractor performance and forward it to the CO. The COR will also keep the FC informed of all performance assessments.

Annual Contract Performance Assessment Reporting Systems (CPARS) An annual CPAR will be written on all Services contracts that exceed $1M total contract value. The Contractor Performance Assessment Reporting System (CPARS) https://www.cpars.gov/ is the Department of Defense (DoD) Enterprise Solution for collection of Contractor Past Performance Information (PPI) as required by the Federal Acquisition Regulation (FAR).

CPARS is a web-enabled application that collects and manages a library of automated Contractor report cards. The COR will be designated as the Assessing Official Representative (AOR) in CPARS. The COR will use objective evidence from previous COR Reports, PARs, CARS, and correspondence letters for the CPAR assessment. The report will be due from the AOR within 15 calendar days following the end of the Period of Performance (PoP).

Table of CPARS Timeline Table 5 - Performance Assessment Report Routine Timelines*

*Focal Point will notify AOR, AO, or RO supervisor or division chief for all exceeded time frames

CPARS Performance Rating Elements The following chart is the data input the Government is required to provide for CPARS completion on the contract effort. Always consult CPARS guidance at cpars.gov for current guidance prior to preparing actual CPARS evaluation.

Performance Rating Definitions In evaluating the Contractor performance, the performance ratings may be used as described in FAR Part 42.

Performance Ratings

Revisions to this Surveillance Plan Revisions are the joint responsibility of the CO and COR. This document can be changed at any time following coordination with the MFT.

Attachments

Attach in SPM >> “Surveillance Documents”>> >>”Deficiency Reports” **EMAIL the CO, CS, and QAPC you uploaded the report

Attach in SPM >> “Surveillance Documents”>> >>”Deficiency Reports” **Email the CO, CS, and QAPC you uploaded the report

USE SMART Form.

Attach in SPM >> “Surveillance Documents”>>

Automatic email sent to CO/CS/QAPC

FORM INSTRUCTIONS

Use Services Summary Attachment to complete the checklist in SPM.

Appendix I – Services Summary

Method: Cleaning checklists, Visual Inspections, Cash records.

Frequency of Surveillance:

Each time cleaning is performed and before and after meals, 1x per week or daily Frequency of Reporting: 1x per month Incentive:

CPARS ratings commensurate with performance

Category: Quality, Regulatory Compliance Ratings:

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Method: Surveys and Observations On-site periodic inspections Frequency of Surveillance:

1x per month Frequency of Reporting: 1x per month Incentive:

CPARS ratings commensurate with performance

Category: Quality, Management Ratings:

Exceptional Very Good Satisfactory Marginal Unsatisfactory

1.4

Method: Visual, Taste Inspections On-site periodic inspections Frequency of Surveillance: Daily or weekly Frequency of Reporting: 1x per month Incentive:

CPARS ratings commensurate with performance

Category: Quality, Regulatory Compliance Ratings:

Exceptional Very Good Satisfactory Marginal Unsatisfactory

Meet the staffing requirements – Provide Site Managers & Escorts.

Meet the required employee Experience/Qualifications 1.2.3 3.1 4.7.5 Appx. A Appx. C

Method: Records and Visual Inspection On-site periodic inspections Frequency of Surveillance: Daily, at time of shift start or at time of hire regarding proof of documentation.

Frequency of Reporting: 1x per month Incentive:

CPARS ratings commensurate with performance

Category: Management, Ratings:

Exceptional Very Good Satisfactory Marginal Unsatisfactory image1.png image2.png image3.emf performance_assessment_report.pdf

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Performance Assessment Report (PAR)

Page of

Updated: 9 Jun 16

Section A: General Information

4. Quality Assurance Personnel (QAP) / Contracting Officer Representative (COR):

Section B: Performance

5. Finding Documentation

7. Services Summary or SOW Paragraph Item Reviewed

Row #

Performance Objective

PWS Para.

Performance Threshold

Method of Surveillance

8. COR Observations

Row #

Observation

Section C: Contractor Validation

10. Contractor Representative

Section D: Deficiency Resolution

13. Action Corrected:

INSTRUCTIONS

Section A: General Information

Block 1. Quality Assurance Personnel (QAP) or Contracting Officer Representative (COR) enters contractor name.

Block 2. QAP/COR enters contract or task order number.

Block 3. QAP/COR enters type of services.

Block 4. QAP/COR signs, dates and enters contact information.

Section B: Performance

Block 5. QAP/COR checks all boxes that apply to the assessment findings.

Block 6. QAP/COR assigns suspense date for Contractor Representative validation if a deficiency box was checked in Block 5.

Block 7. QAP/COR enters Services Summary or Statement of Work (SOW) paragraph item reviewed.

Block 8. QAP/COR enters brief description of deficiency and tracking number if the deficiency box was checked in Block 5. Detailed description will be on Corrective Action Report (CAR).

Block 9. QAP/COR enters a detailed performance assessment if the deficiency box in Block 5 was not checked.

Parts II and III will be used only if a deficiency was documented in Part I.

Section C: Contractor Validation

Block 10. Contractor Representative checks one box in response to QAP/COR cited deficiency. If Concurrence is indicated, Contractor Representative continues to Block 11. If Non-Concurrence is indicated, continue to Block 12 and state reason(s) for Non-Concurrence with QAP/COR cited deficiency and return PAR to QAP/COR.

Block 11. Contractor Representative enters Estimated Completion Date of Corrective Action and continues to Block 12.

Block 12. Contractor Representative details Corrective Action and the Action Taken to Prevent Recurrence or Reason for Non-Concurrence of QAP/COR cited deficiency.

Section D: Deficiency Resolution

Block 13. QAP/COR checks appropriate block, signs, and dates.

Block 14. (Required Entry) QAP/COR remarks regarding the Corrective Action and the Action Taken to Prevent Recurrence. If Non-Concur was checked, this block should be very detailed to explain why.

Block 15. Contractor Representative enters remarks if further discussion is needed about QAP/COR concurrence with Contractor's Corrective Action and Action Taken to Prevent Recurrence.

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Corrective Action Report (CAR)

7. Deficiency:

Please respond with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence by Suspense Date in Block 5. If date was not entered in Block 5, the contractor is not required to provide a response.

8. Quality Assurance Personnel (QAP) / Contracting Officer Representative (COR):

9. Issuing Authority:

11. QAP/COR Determination:

Corrective Action Report (CAR) Instructions

Block 1. Enter Contractor Name.

Block 2. Enter Contract Number.

Block 3. Enter Contract Name or Type of Services.

Block 4. Enter Functional Area of the Contract.

Block 5. Enter the assigned suspense date given the contractor to provide a response to the CAR. A date must be entered for a Major CAR. A date is optional at the discretion of the Quality Assurance Personnel (QAP) or / Contracting Officer Representative (COR) initiating the CAR if the finding is Minor.

Block 6. All CARs will be tracked with a Control Number. The functional commander/functional director is the Issuing Authority for his/her contract QAPs or CORs generating CARs. By providing the control number to the QAP/COR originating the CAR, the Issuing Authority demonstrates concurrence with the finding.