B02 Attachment 4 PPQ.docx
DOCX document 27 KB Posted
- Solicitation number
- 12319821Q0007
About this file
This document contains a past performance questionnaire template for a federal contract opportunity. The past performance questionnaire is to be completed by references for a vendor being considered for a contract to provide monitoring and program support services for the Commodity Letter of Credit and Cash in Lieu of Commodity sites for the National School Lunch Program. The opportunity will be awarded as a firm fixed price, small business set-aside contract solicited using FAR Part 12 streamlined procedures. Services required include monitoring, program support, and meeting performance objectives outlined in the Performance Work Statement for overseeing the Commodity Letter of Credit and Cash in Lieu of Commodity programs.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 01 Q and A -Cash-CLOC-.pdf | ||
| B02 Attachment 1 PWS.pdf | ||
| B02 Attachment 6 Pricing.xlsx | XLSX spreadsheet | |
| B02_RFQ 12319821Q0007 -Cash-CLOC.pdf | ||
| B02 Attachment 2- Demonstration Procedures Compressed.pdf | ||
| B02 Attachment 5 QA.docx | DOCX document | |
| B02 Attachment 3 Changes in Operational CLOC Procedures SY90-91.pdf |
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Text version
ATTACHMENT 4
PAST PERFORMANCE QUESTIONNAIRE FOR
SOLICITATION NUMBER:
THIS FORM IS PROVIDED FOR THE PURPOSE OF PROVIDING TO
AND SUBMITTAL BY THE VENDOR REFERENCES
Our company is being considered in a Source Selection by the Food and Nutrition Service (FNS), Contract Management Division. It would be appreciated if you would provide comments regarding our past performance. Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulation (FAR) prohibits the release of the names of individuals providing reference information about a Vendors past performance. In order to maintain the integrity of the source selection process, respectfully request that you do not divulge the name of the contractor nor discuss your comments on this questionnaire with any other individuals.
This form shall be sent via e-mailed to: Belal Hammad at belal.hammad@usda.gov and Tset Wong at tset.wong@usda.gov.
Past Project Information:
1. Contractor name and address:
2. Contract Number and Project Title:
Evaluator (The following information will assist in the analysis of the data. Information will be kept confidential.)
| 1. | Name of Evaluator: | Date: |
| 2. | Phone Number: | |
| 3. | Address: | |
| 4. | Position held or function in relation to the project: |
RATINGS:
Please evaluate the contractor’s performance using the following ratings:
| (E) | Exceptional | The contractor’s performance greatly exceeded the stated requirements. | |
| (G) | Very Good The contractor’s performance exceeded the stated requirements. | ||
| (S) | Satisfactory | The contractor’s performance met the stated requirements. | |
| (M) | Marginal | The contractor’s performance met the stated requirements, but with | difficulty. |
| (U) | Unacceptable | The contractor’s performance did not meet the stated requirements. | |
| (N) | Neutral | The contractor’s performance is not available or without a record of relevant past performance for the requirement. |
Please rate and provide any supporting information for the following: (Use additional sheets as necessary)
1. The contractor’s on-site management and coordination of subcontractors.
2. The contractor’s ability to maintain a professional working relationship with Government personnel.
3. The contractor’s ability to provide qualified personnel to meet performance objectives as outlined in the Performance Work Statement or Statement of Work.
5. The contractor’s quality control ability.
6. The contractor’s ability to meet the performance schedule.
7. Was the contractor provided an opportunity to discuss any negative performance ratings? If so, what were the results?
8. The contractor’s ability to rectify identified problems in a timely fashion without further incident of the same.
9. Has the contractor been given any of the following: Cure notice; show cause, letters of reprimand, suspension of payments, termination? If yes, please explain.
10. Would you award another contract to this contractor? If no, please explain.
11. Was the contractor provided an opportunity to discuss any negative performance ratings? If so, what were the results?
12. The contractor maintained a professional working relationship with Government personnel.
OVERALL RATING: _________________________
Please provide any additional comments.
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