Attachment_1_-_PAST_PERFORMANCE_QUESTIONNAIRE.docx

PAST PERFORMANCE QUESTIONNAIRE

(This questionnaire is intended as a sample. Tailor the questionnaire to solicit the information your PRAG will need to make their Performance Confidence Assessment. This questionnaire should be accompanied by a transmittal letter explaining its purpose.)

SOLICITATION NUMBER W912JA-19-Q-6003

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information. EMAIL the completed questionnaire to:

2. Explanation of codes:

V VERY GOOD - Performance meets contractual requirements and exceeds some requirements to the Government's benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY - Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL - Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor's proposed actions appear only marginally effective or were not fully implemented.

U UNSATISFACTORY - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

N NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

3. Please complete the following identifying information and past performance assessment:

4. Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.

(The following assesment elements and questions are very general and intended only as a sample. Your PRAG should write the elements and questions to solicit the information they believe they'll need to make their Performance Confidence Assessment.

ASSESSMENT ELEMENTS

(1) Contractor’s Quality of Work. Was the food pleasing to the eye? Did the food taste good? Was the food temperature too hot or too cold?

E V S M U N

(2) Contractor’s Timely Performance. Did the contractor deliver according to the agreed-to contract? What were the causes of any contract variances?

E V S M U N

(3) Contractor’s Management. Were servers and management courteous? Were workers dressed in clean and professional attire?

E V S M U N

(4) Compliance with Labor Standards. Did the contractor adhere to all rules and regulations?

E V S M U N

(5) Compliance with Food Safety Standards. Did the product or service meet the required level of public health quality, i.e. wearing of gloves/ hair restraints, thermometer use, left food unattended? Was the contractor proactive at resolving safety issues or concerns?

E V S M U N

(6) What is your overall rating of the contractor’s performance?

E V S M U N

(7) Identify the contractor's overall strengths and weaknesses.

(8) Given the choice, would you award to this contractor again?

(9) Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number.

(If more comment space needed, write on back, or attach pages.)

5. Please provide the name, title, address, and phone number of the person completing this questionnaire.

Phone ________ FAX_________________

6. Thank you for your assistance in this award process. If you have any questions, please call MSgt Kathryn Graham at (334) 394-7531 or email at kathryn.p.graham.mil@mail.mil. This document should be emailed to me and not the contractor that has provided your company with the questionnaire.

Attachment 2