Attch_1I_-__Past__Performance_Questionnaire.pdf

U.S. Department of the Interior Solicitation No. 140D0418R0001 – FBMS Support Services IDIQ

Attachment 1I –Past Performance Questionnaire

Source Selection Information – FAR 2.101 and 3.104

Past Performance Questionnaire When completed, this document is Source Selection Sensitive in accordance with FAR 3.104

Please return this completed questionnaire, as part of your proposal, to bioidiq_rfp@ibc.doi.gov

Section 1: Contract Identification

A. Contractor: Click here to enter text.

B. Contract number: Click here to enter text.

C. Order Number: Click here to enter text.

D. Contract type: Click here to enter text.

E. Was this a competitive contract? Click here to enter text.

F. Period of performance: Click here to enter text.

G. Place of performance: Click here to enter text.

H. Initial contract cost: Click here to enter text.

I. Current/final contract cost: Click here to enter text.

J. Reasons for differences between initial contract cost and final contract costs, if any: Click here to enter text.

K. Description of service provided: Click here to enter text.

L. Geographic description of services under this contract, i.e. local, multistate, nationwide, worldwide, other (describe): Click here to enter text.

M. Are you bound by a non-disclosure agreement or court order, which would prohibit you from responding to questions regarding any previous acquisition(s)? Click here to enter text.

Section 2: Customer Identification

A. Customer Name: Click here to enter text.

B. Evaluator's Name: Click here to enter text.

C. Evaluator's Title: Click here to enter text.

D. Evaluator's Phone: Click here to enter text.

E. Evaluator's E-mail: Click here to enter text.

F. Number of years evaluator worked on subject contract: Click here to enter text.

Section 3: Evaluation Ratings

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided for each question. The rating scale is defined as follows:

Rating Abbreviation Description Exceptional E Performance met all contractual requirements and exceeded many requirements. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good VG Performance met contractual requirements and exceeded some requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Acceptable A Performance met 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.

Marginal M Performance did 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.

Unacceptable U Performance did 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.

Not Applicable

NA Unable to provide a score. Performance in this area is not applicable to effort assessed.

Section 4: Evaluation Factors

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided for each question. The rating scale is defined in the above section.

1. Quality of Product or Service E VG A M U NA

a. Ability to understand/comply with customer objectives and technical requirements.

b. Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.

c. Adequacy/effectiveness of quality control program.

1. Quality of Product or Service E VG A M U NA

d. Contractor proposed alternative methods/processes that improved the product or service which benefited the customer.

e. Quality/effectiveness of sub-contracted efforts.

2. Program Management and Timeliness E VG A M U NA

a. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program).

b. Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

c. Ability to successfully respond to emergency and/or surge situations.

d. Effectiveness of material management (including Government Furnished Property or Material).

e. Contractor implemented responsive/flexible processes to improve quality and timeliness of support.

3. Transition/Phase-in and Staff Support E VG A M U NA

a. Ability to smoothly transition resources and personnel.

b. Ability to maintain continuity while transitioning/phasing in resources and personnel to support other efforts.

c. Ability to hire/apply a qualified workforce to this effort.

d. Ability to retain a qualified workforce on this effort.

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

4. Cost Control E VG A M U NA

a. Accuracy in forecasting contract costs.

b. Ability to meet forecasted costs and perform within contract costs.

c. Ability to alert Government of unforeseen costs before they occur.

4. Cost Control E VG A M U NA

d. Sufficiency and timeliness of cost reporting.

e. Contractor proposed alternative methods/processes that reduced cost of product or service which benefited the customer.

Section 5: Narrative Summary

1. What were the contractor’s greatest strengths in the performance of the contract?

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2. What were the contractor’s greatest weaknesses in the performance of the contract?

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3. Would you hire this contractor in the future to perform one of your critical and demanding programs?

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

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Evaluator’s Signature Date

Please return this completed questionnaire, as part of your proposal, to bioidiq_rfp@ibc.doi.gov