Past_Performance_Questionnaire.pdf

Solicitation # AG-3A94-S-17-0015 - ISO Standard Accreditation

UNITED STATES DEPARTMENT OF AGRICULTURE

FOOD SAFETY INSPECTION SERVICE

PERFORMANCE RISK ASSESSMENT QUESTIONAIRE

*Offerors must submit this form to their Past Performance POC’s

Please provide your candid response to the following questions. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual and accurate as possible. If you do not have the appropriate knowledge of or experience with the company in question, please forward this questionnaire to the person who does. Please return within three (3) days to Reginald Brown via e-mail reginald.brown@fsis.usda.gov. Evaluators: Please do not send a copy of your evaluations to the requesting vendor. Thank you.

PAST PERFORMANCE INFORMATION

The offeror identified below is submitting a proposal to the USDA, Food Safety and Inspection Service for ISO Standard 17025, 17034, and 17043 for the Accredited Laboratory Program (ALP). Please provide your assessment of the extent of relevant experience and past performance as requested by the following questionnaire. Space is provided for comments (additional pages may be used if desired). Comments would be particularly appreciated when applicable. A Rating Guideline is attached for your use in assigning a performance level rating for each of the factors in Section V.

If you have any questions concerning this request, please contact Reginald Brown, Contracting Officer at 301-344-4747: The completed document should be returned not later than November 27, 2018, 2:00 PM E.S.T., and may be e-mailed to reginald.brown@fsis.usda.gov.

I. Contract Information

A. Name of Company Being Evaluated:

B. Address:

C. Contract Number:

mailto:reginald.brown@fsis.usda.gov

D. Contract Type:

E. Period of Performance (from/to):

F. Total Contract Value:

II. Description of Contract

Briefly describe the services provided under this contract:

During the contract performance being evaluated, this firm was the:

Prime Contractor; Significant Subcontractor; Team Member; Other (Describe)

Does a corporate or business relationship exist between the firm being evaluated and your organization?

Yes No If so, please describe:

III. Evaluator Information

Name:

Title:

Agency/Company:

Address:

Phone and Fax:

IV. Relevant Experience

1. Did the contractor provide qualified project manager and support staff and were the individuals that were proposed used throughout the contract?

2. Identify any strengths or weaknesses or any concerns you had concerning contractor’s performance.

V. Past Performance History

Please rate Contractor performance in each of the four categories. Check the number which corresponds to the performance rating for each category. See the attached page for explanation of the rating scale. In addition, comments will be beneficial so please comment when appropriate.

1. Quality of Services Rating

1 2 3 4 5 N/A

a) Compliance with Contract Requirements

b) Accuracy of Reports

c) Appropriateness of Personnel

d) Technical Excellence

Comments:

2. Timeliness

1 2 3 4 5 N/A

a) Met Interim Milestones

b) Reliable

c) Responsive to Technical Direction

d) Completed Work on Time

3. Cost/Price Control

1 2 3 4 5 N/A

a) Within Budget (Contract Value)

b) Current, Accurate, and Complete Billings

c) Reasonably Priced Change Orders

4. Business Relations

1 2 3 4 5 N/A

a) Effective Management

b) Cooperative, Business-like Correspondence

c) Responsive to Contract Requirements (technical and administrative

d) Responsive to Emergency Service Requirements

d) Pro-active