ATTACHMENT _PAST PERFORMANCE QUESTIONNAIRE.doc

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Attached to
Consumer Labeling Research
Solicitation number
123A9422R0013
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This document is a past performance questionnaire for a contractor responding to a solicitation from the USDA Food Safety and Inspection Service. The solicitation is for consumer labeling research services, as described in the attached statement of work. Respondents are asked to provide information about relevant past contracts, including a description of services provided, contract period and value, and ratings in four categories: quality of services, timeliness, cost/price control, and business relations. Evaluators are asked to rate performance using a scale of 1 to 5, with 5 being excellent and 1 being poor. Comments are also requested. Completed questionnaires must be returned by September 21, 2022 via email to the provided contracting officer email address. Relevant details on products, services, response date, and agencies are included to concisely summarize the key elements.

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PAST PERFORMANCE (PP)

QUESTIONNAIRE INSTRUCTIONS

ATTACHMENT 2

The quoter identified below is submitting a proposal to the USDA, Food Safety and Inspecition Service for “Cosumer Label Research.” Please provide your assessment of the extent of past performance as requested by the enclosed questionnaire.

Space is provided for comments (additional pages may be used if desired); comments would be particularly appreciated when applicable. A Rating Guideline (page 6) is offered 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 Reggie Brown, Contracting Officer at 301-344-4747. The completed document should be returned no later than September 21, 2022 and shall be e-mailed to reginald.brown@usda.gov.

I.

Contract Information

A.

Name of Company Being Evaluated ______________________________________

B.

Address __________________________________________________

C.

Contract Number __________________________________________________

D.

Contract Type __________________________________________________

Period of Performance

From: _________________ To: _________________

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

________________________________ E-mail:__________________________

IV. Relevant Experience 1.

Discuss the contractor's strengths or weaknesses relative to the requirement stated above.

2.

Did the contractor provide quality service?

3. Identify any other 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. Circle 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

-Compliance with contract requirements 1 2 3 4 5 N/A

-Accuracy of reports 1 2 3 4 5 N/A -Appropriateness of personnel 1 2 3 4 5 N/A -Technical excellence 1 2 3 4 5 N/A Comments:

2.

Timeliness Rating -Met interim milestones

1 2 3 4 5 N/A

-Reliable 1 2 3 4 5 N/A -Responsive to technical direction 1 2 3 4 5 N/A -Completed work on time 1 2 3 4 5 N/A Comments:

3.

Cost/Price Control Rating -Within budget (contract value)

1 2 3 4 5 N/A

-Current, accurate, and complete billings 1 2 3 4 5 N/A -Reasonably priced change orders

1 2 3 4 5 N/A

Comments 4.

Business Relations Rating -Effective management

-Cooperative, business-like correspondence

-Responsive to contract requirements (technical

1 2 3 4 5 N/A and administrative)

-Responsive to emergency service requirements

-Pro-active

Comments:

RATING GUIDELINES

Rating
Quality of Services
Timeliness
Cost/Price Control
Business Practices
5= Excellent
Demonstrates exceptional performance by enhancing/exceeding contractual requirements.
Meets and exceeds contract milestones and/or deliverables.
Demonstrates exceptional ability to manage cost/price issues.
Always works effectively and responsively with contracting and technical personnel on administrative and technical issues.
4= Very Good
Complies with contractual requirements and/or nonconformances do not impact achievement of contract requirements.
No unexcused delays and/or delays in contract milestones and/or deliverables do not impact achievement of contract requirements.
No cost/price issues and/or cost/price issues do impact achievement of contract requirements.
Usually works effectively and responsively with contracting and technical personnel on administrative and technical issues.
3= Good
Nonconformances require minor customer assistance to ensure achievement of contract requirements.
Delays in contract milestones and/or deliverables require minor customer assistance to ensure achievement of contract requirements.
Cost/price issues require minor customer assistance to ensure achievement of contract requirements.
Somewhat works effectively and responsively with contracting and technical personnel on administrative and technical issues.
2= Fair
Nonconformances require major customer assistance to ensure achievement of contract requirements.
Delays in contract milestones and/or deliverables require major customer assistance to ensure achievement of contract requirements.
Cost/price issues require major customer assistance to ensure achievement of contract requirements.
Marginally works effectively and responsively with contracting and technical personnel on administrative and technical issues.
1= Poor
Nonconformances are compromising the achievement of contract requirements despite use of customer assistance.
Delays in contract milestones and/or deliverables are compromising performance of contract requirements.
Cost/price issues are compromising performance of contract requirements.
Does not work effectively and responsively with contracting and technical personnel on administrative and technical issues.

N/A=Not Applicable

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