Attachment 5 PAST PERFORMANCE QUESTIONNAIRE.docx

The USPFO for Kansas, Kansas Army National Guard (KSARNG) Office is in the process of selecting a contractor for Full Food Services in support of the Kansas Regional Training Institute (KSRTI) Dining Facility in Salina Kansas. The service encompasses dining facility management functions, food preparation, facility sanitation, and janitorial duties. One of the considerations for proposal evaluation is the verification of the offeror’s past performance on contracts, which reflect the offeror’s ability to perform on the proposed effort. We depend on information received from agencies such as yours, which have had first-hand experience with an offeror, for the evaluation of the offeror’s performance on those contracts. Our areas of interest in the offeror are summarized in the enclosed questionnaire. Our schedule is extremely tight and we need your written response no later than December 9, 2019. This schedule will allow us sufficient time to analyze the data prior to the start of negotiations.

To assist you in preparing your response and expediting your reply, the questionnaire may be filled out by hand and emailed to the following Contract Specialist at: Karen.l.robben.civ@mail.mil Please email the Contract Specialist prior to transmission or if you have any questions. Your completed questionnaire will become a part of the official Source Selection records. Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this procurement.

PAST PERFORMANCE QUESTIONNAIRE

Note: Questionnaire submitted by some other entity other than the reference will not be accepted.

When filled in, this document is Source Selection Sensitive Information IAW FAR 3.104.

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor _________________________________________________________________ B. Cage Code _________________________________________________________________ C. Contract Number ____________________________________________________________ D. Contract Type _______________________________________________________________ E. Was this a competitive contract? Yes _____ No _____ F. Period of performance _________________________________________________________

G. Initial contract cost $__________________________________________________________ H. Current/final contract cost $____________________________________________________ I. Reasons for differences between initial contract cost and final contract costs__________________________________________________________________________ J. Description of service provided ___________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name _____________________________________________________ B. Customer or agency description _________________________________________________ C. Geographic description of services under this contract, i.e., local, nationwide, worldwide, other commands

SECTION 3: EVALUATOR IDENTIFICATION

A. Name ___________________________________________ B. Title ____________________________________________ C. Phone/Fax____________________________________________________________________ D. Number of year’s evaluator worked on subject contract______________________________________________

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an X in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

Overall Contract Management

Adequacy of Contractor Workforce to Perform Contract

Quality Control

Government Furnished Property/Equipment Administration

Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

Timeliness/effectiveness of contract problem resolution without extensive customer guidance

Understood/complied with contract objectives and technical requirements.

Contractor ability to smoothly transition resources and personnel

1. Please discuss each and every response for which you indicated M (Marginal) or US (Unsatisfactory) in response to the questions above (use additional sheets, if necessary).

2. Government Contract Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes _____ Default _____ Convenience _____ Pending Terminations _____ No _____ If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc.).

SECTION 5: NARRATIVE SUMMARY

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

Evaluator’s Signature Date Thank you for your prompt response and assistance.

Please return this completed questionnaire via email to the following Contract Specialist at: Karen.l.robben.civ@mail.mil