Attachment_4_-_Past_Performance_Questionaire_(PPQ)_Amend_004_0004.docx
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- Attached to
- Indian Health Services (IHS) Web Support Contract Federal contract opportunity
- Solicitation number
- 140D0423R0008
About this file
This document is a past performance questionnaire for a contractor responding to the Indian Health Services Web Support Contract solicitation. The solicitation seeks to provide web support services to the Department of the Interior's Indian Health Services and is issued by the Interior Business Center. Offerors are asked to provide references from previous contracts for similar web support services who will complete the past performance questionnaire, rating the offeror on various performance metrics including quality, timeliness, cost control, and contract management. References are asked to indicate their satisfaction level using a standardized scale and also provide a narrative summary of the offeror's past performance. Completed questionnaires should be submitted to two points of contact at the Interior Business Center by the unspecified due date.
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Text version
Attachment 4 – Past Performance Questionnaire
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
A. Offeror:___________________________________________________________________
B. Agency/Customer:___________________________________________________________
C. Contract Title:______________________________________________________________
D. Contract number: ____________________________________________________________
E. Contract type: _______________________________________________________________
F. Award Date: ________________________________________________________________
G. Completion Date: ____________________________________________________________
H. Contract Value:
Initial: _____________________________________________
Final: ______________________________________________
I. Period of performance: _______________________________________________________
J. Offeror Role (Prime or Sub): __________________________________________________
K. Contract Point of Contact:
| Name:________________________________________________________ |
| Email Address:_________________________________________________ |
| Telephone Number:_____________________________________________ |
L. Project Description
SECTION 2: 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:
| CODE |
| PERFORMANCE LEVEL |
| O |
| OUTSTANDING - The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example to others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as “Excellent”. |
| E |
| EXCELLENT – The contractor has substantially exceeded the contract performance requirements. |
| G |
| GOOD – There are no, or very minimal issues and the contractor has met the contract requirements. |
| F |
| FAIR – Overall compliance requires minor agency resources to ensure achievement of contract requirements. |
| P |
| POOR – Overall compliance requires significant agency resources to ensure achievement of contract requirements. |
| U |
| UNSATISFACTORY – Non-conformances are jeopardizing the achievement of contract requirements, despite use of agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. |
| N |
| NOT APPLICABLE - Unable to provide a score |
| Quality of Product or Service |
| O |
| E |
| G |
| F |
| P |
| U |
| N |
Ability to understand/comply with customer objectives and technical requirements
Effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.
Adequacy/effectiveness of quality control program
Quality/effectiveness of sub-contracted efforts
| Contract Management, Timeliness of Performance & Business Relations |
| O |
| E |
| G |
| F |
| P |
| U |
| N |
Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)
Timeliness/effectiveness of contract problem resolution without extensive customer guidance
Ability to successfully respond to emergency and/or surge situations
Effectiveness of material management (including Government Furnished Property or Material)
Contractor proposed alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the customer
Contractor implemented responsive/flexible processes to improve quality and timeliness of support.
Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)
| Transition/Phase-in & Employee Retention/Attraction |
| O |
| E |
| G |
| F |
| P |
| U |
| N |
Contractor ability to smoothly transition resources and personnel.
Contractor effectiveness on maintaining continuity of mission support while transitioning/phasing in resources and personnel to support other efforts.
Ability to hire/apply a qualified workforce to this effort.
Ability to retain a qualified workforce on this effort.
| Cost Control |
| O |
| E |
| G |
| F |
| P |
| U |
| N |
Accuracy in forecasting contract costs
Ability to meet forecasted costs and perform within contract costs
Ability to alert Government of unforeseen costs before they occur
Government Contracts 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 3: NARRATIVE SUMMARY
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 submit to:
Stephanie McCullough, stephanie_mccullough@ibc.doi.gov
And
Stephanie Gibbs, stephanie_gibbs@ibc.doi.gov
File details come from the government source that posted it. Updated .