Attachment_C_-_PAST_PERFORMANCE_QUESTIONNAIRE.pdf

Attachment C – Past Performance Questionnaire

RFP #15-233-SOL-00224

SOURCE SENSITIVE INFORMATION

PAST PERFORMANCE QUESTIONNAIRE

U.S. Department of Health and Human Services (HHS)

Program Support Center (PSC)

Acquisition Management Service (SAS)

12501 Ardennes Avenue, Suite 400

Rockville, MD 20852

Part I. CONTRACT INFORMATION

A. Contractor’s name and address:

B. Point of Contact:

C. Phone Number:

D. Contract Number:

E. Project Title or Description of Work performed under this project:

F. Contract Type: Firm Fixed Price Indefinite Delivery/Indefinite Quantity Task Order

Cost Reimbursement Labor Hour Time & Material

G. Project Award Date: Schedule Completion Date:

Current/Final Completion Date:

H. Project Award Amount: Current/Final Project Amount:

I. Contractor being evaluated performed as the Prime Contractor Subcontractor

J. Type of Award: ( ) Competitive ( ) Non-Competitive ( ) 8(a) ( ) Other

K. Complexity of effort (check one) ( ) Difficult ( ) Routine

Part II. EVALUATOR INFORMATION

Please provide the following information (to assist us in tracking responses received and resolving any questions in the evaluation process if necessary).

A. Evaluator Name:

B. Telephone Number:

C. Email Address:

D. Organization/Office:

E. Mailing Address:

F. Position Title/ Grade:

G. Period of involvement in contract:

Name and phone number of contracting officer’s technical representative (COTR) or primary contact at client:

(Name and Title of Authorized Official) (Date) Phone No.

Part III. EVALUATION Please use the following rating schedule for evaluation of the Contractor's performance in each area listed: NA – Not Applicable; 1 – Unacceptable; 2 – Fair; 3 – Good; 4 - Excellent

Choose the number on the scale of 1 to 4 that most accurately describes the contractor’s performance or situation. The adjective scale is defined below:

1 2 3 4

NA UNACCEPTABLE FAIR GOOD EXCELLENT

This criterion is not applicable for this particular contract.

Performance was extremely poor and unacceptable and did not meet contract requirements.

Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and demonstrated some to the government’s benefit. There were a few minor problems which the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any were negligible and were resolved in a timely, highly effective manner.

PAST PERFORMANCE EVALUATION

1. CUSTOMER SATISFACTION

a. Customer would have no reservations in awarding another contract to the contractor.

NA 1 2 3 4

b. Contractor’s performance met expectations for the project. NA 1 2 3 4

2. QUALITY

a. Contractor provided effective oversight to ensure that all project deliverables were of high quality and met the Government’s needs and requirements.

NA 1 2 3 4

b. Contractor performed contract tasks and activities at a level that met the needs of the contract, demonstrating the appropriate skill and content expertise.

NA 1 2 3 4

c. Contractor demonstrated consistent and reliable technical performance. NA 1 2 3 4

d. Contractor provided well researched product that matched contract requirements and demonstrated technical and methodological expertise.

NA 1 2 3 4

e. Contractor submitted project deliverables that were clear, well-written and met the specifications laid out in the statement of work.

NA 1 2 3 4

f. Contractor corrected any weaknesses or errors in project deliverables in a timely manner that appropriately addressed the Government’s concerns.

NA 1 2 3 4

g. Contractor demonstrated overall compliance with contract terms and conditions.

NA 1 2 3 4

h. Contractor showed the ability to effectively implement “start-up” contract performance.

3. TIMELINESS

a. Contractor met established project schedules to complete the project on time.

NA 1 2 3 4

b. Contractor submitted the progress reports as required and on time. NA 1 2 3 4

c. Contractor provided deliverables on time. Any delays in submitting deliverables were discussed and cleared with the COR/CO prior to submission.

d. Contractor provided timely revisions and responses to all COR feedback. NA 1 2 3 4

e. Contractor demonstrated effective overall performance in planning, scheduling and monitoring the contract.

4. RESPONSIVENESS

a. Contractor acted promptly to resolve problems, ensuring compliance with contract requirements.

NA 1 2 3 4

b. Contractor was reasonable and cooperated to resolve problems, attended meetings as needed and maintained communication with the government to keep the project on schedule or minimize the delay.

NA 1 2 3 4

c. Contractor appropriately and adequately addressed any concerns and issues raised by the COR with respect to work products, timelines, or project direction.

NA 1 2 3 4

d. Contractor identified problems as they occurred, suggested approaches to the problems, and displayed initiative to solve problems through communication with the COR.

5. PROJECT MANAGEMENT AND STAFFING

a. Contractor provided experience and qualified project leadership (i.e., Principal Investigators or Project Directors) with the technical and administrative abilities needed to meet contract requirements.

NA 1 2 3 4

b. Contractor’s project management team maintained appropriate and ongoing communication with the COR throughout the contract.

NA 1 2 3 4

c. Contractor ensured the project leadership had sufficient authority to make decisions and take actions during project performance to keep the project both on schedule and within the contract’s requirements.

NA 1 2 3 4

d. Contractor appropriately addressed any issues about project management or contractor staff performance raised by COR.

NA 1 2 3 4

e. Contractor ensured that project staff were experienced and qualified to undertake all activities required by the contract.

NA 1 2 3 4

f. Contractor provided appropriate notice and justification prior to asking for any changes in key staffing and did not make changes to project leadership or key staffing positions without approval of the COR/CO.

NA 1 2 3 4

g. Contractor ensured that project staff were available and had sufficient time to perform the requirements of the contract per their proposal.

6. SUBCONTRACTS

a. Contractor hired quality subcontractors. NA 1 2 3 4

b. Contractor hired, maintained and replaced as necessary qualified consultants and subcontractors.

NA 1 2 3 4

c. Contractor effectively managed and coordinated subcontractors’ work and ensured that subcontractors’ work was of high quality.

NA 1 2 3 4

d. Contractor appropriately managed subcontracts and consultant agreements so as to avoid delays in project activities or the overall project timeline.

7. CONTRACT CHANGES AND COST CONTROL

a. Contractor demonstrated ability to operate within budget. NA 1 2 3 4

b. Contractor was responsive to contract changes and provided accurate, reasonable and supportable technical and cost proposals.

NA 1 2 3 4

c. Contractor demonstrated the ability to control project costs and/or design projects or modifications per requests from the Government.

d. Contractor clarified any potential issues that would affect their overall NA 1 2 3 4 ability to complete the project within budget, and offered appropriate solutions/options to address these issues

8. Changes in contract dollar value throughout the life of the contract are/were attributable, for the most part, to:

Government-issued change orders

Claims submitted by the contractor

Other Government actions

Other contractor actions

No changes in contract dollar value from initial award

Please explain:

9. Has the contractor ever been given a cure notice, show cause notice, suspension of progress payments, or letters of direction?

Yes

No

If yes, please explain:

REMARKS:

10. For any categories above where you rated the contractor at a 1 (unacceptable) in the table above, please describe the rationale for that score below:

11. Please provide any general remarks or additional information to clarify the scores and information noted in the above table:

NARRATIVE SUMMARY:

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

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

3. Describe any problems or issues that occurred during this contract and how these issues were resolved?

4. Please provide any additional comment concerning the contractor’s performance that you want to share with an evaluation panel considering this contractor for future work.

Please return this completed questionnaire to:

Mailing address: DHHS/PSC/AMS

Contract Specialist 12501 Ardennes Avenue, Suite 400

Rockville, MD 20852

FAX:

EMAIL: