Attachment_B_-_Past_Performance_Survey.doc

DOC document 174 KB Posted Jul 13, 2015

Attached to: Amendment 2
Solicitation number: 15-233-SOL-00374
Issued by: Department of Health and Human Services Program Support Center

About this file

From the source

Attachment B - Past Performance Evaluation Questionnaire

View the file

Other files

File	Type	Posted
2014_06_01_HHS_Studio_Equipment_Inventory.xlsx	XLSX spreadsheet	Oct 15, 2015
15-233-SOL-00374_HHS_studio_amended.IDIQ_amend_2.docx	DOCX document	Oct 15, 2015
Attachment_J_Task_Order_sample_1.doc	DOC document	Oct 15, 2015
Attachment_K_Sample_Task_Order_2.doc	DOC document	Oct 15, 2015
15-233-SOL-00374_-_Questions_Requests_for_Clarification.docx	DOCX document	Oct 15, 2015
15-233-SOL-00374_02.pdf	PDF	Oct 15, 2015
https //www.youtube.com/watch v u4Us0dul79Y	—	Oct 8, 2015
15-233-SOL-00374_HHS_studio_amended.IDIQ_amend_2.docx	DOCX document	Oct 8, 2015
150731-_Task_Order_sample.doc	DOC document	Oct 8, 2015
150731-_Task_Order_sample.doc	DOC document	Aug 4, 2015
15-233-SOL-00374_01.pdf	PDF	Aug 4, 2015
Questions_and_Answers_15-233-SOL-00374.docx	DOCX document	Aug 4, 2015
Attachment_C_Wage_Determination.txt	TXT text file	Aug 4, 2015
150728_Work_Order_Sample_from_SA.docx	DOCX document	Aug 4, 2015
15-233-SOL-00374.pdf	PDF	Jul 14, 2015
Attachment_C_Wage_Determination.txt	TXT text file	Jul 13, 2015
Attachment_F_-_Representation_by_Corporations.doc	DOC document	Jul 13, 2015
Attachment_G-_Compiled_Invoice_Sample_(2).xlsx	XLSX spreadsheet	Jul 13, 2015
Attachment_D_HHS_Studio_Technical_Environment.xlsx	XLSX spreadsheet	Jul 13, 2015
Attachment_A_-_Section_508_Product_Assessment_Template.doc	DOC document	Jul 13, 2015
Attachment_H_-_Day_to_Day_Activities.docx	DOCX document	Jul 13, 2015
Attachment_E_-_Standard_Form_LLL_Disclosure_of_Lobbying_Activities.doc	DOC document	Jul 13, 2015

Show all 22

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Department of Health and Human Services

Program Support Center

Past Performance Survey

15-233-SOL-00374

Contractor Name:

Client Information

FORMCHECKBOX

Commercial Client

FORMCHECKBOX

Federal Client

Client Name:

Client Address:

City

State

Zip Code

Project Name:

Contract Number(s):

Total Contract Value:

Performance Period:

Teaming Partner(s):

Government or Commercial Project Manager Contact

Alternate Government or Commercial Project Manager Contact

Name:

Title:

Phone number:

Fax number:

E-mail address:

SPECIFIC PERFORMANCE

Instructions: This part consists of open-ended questions to determine the scope, complexity, and relevance of the project to the current requirement. Please answer the questions concisely and to the best of your knowledge.

Describe the overall project type the contractor provided.

Describe the end goal/end product and result.

Describe the long-term program development involved in performing this task.

Describe the level of planning and staffing contractor was required to perform and if they met the contracts exceptions.

Describe the average timeline involved in completing this project and if contractor met that timeline within reason.

PAST PERFORMANCE RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Comments to support ratings may be noted on last page. The Government will assess an overall past performance rating for each reference contacted. The overall ratings of each reference will then be combined to arrive at a final past performance rating that will be assigned points based upon the following rating scheme:

RATINGS ARE DEFINED AS FOLLOWS:

Definition

Description

Excellent

The Contractor demonstrates an excellent performance level in all categories. There have been no performance problems and the Contractor has demonstrated initiative to enhance/exceed contractual requirements and objectives. The Contractor also has maintained an excellent Contractor/Government relationship throughout contract performance

Good

There are no quality of service problems; no cost/price issues; and no delays. Responses to inquiries and technical/service administrative issues are consistently effective and responsive. Non-conformance does not impact achievement of contract requirements.

Acceptable

Non-conformances are minor and have little impact in achievement of contract requirements, requires minor intervention by Government personnel to resolve issues.

Marginal

Non-conformances are impacting achievement of contract requirements, requires substantial intervention by Government personnel to resolve issues.

Unacceptable Non-conformances are compromising the achievement of contract requirements, despite substantive intervention by Government personnel.

PART 1: GENERAL PERFORMANCE

INSTRUCTIONS: PLEASE CHECK THE APPROPRIATE RATING

Quality of Service

Excellent

Good

Acceptable

Marginal

Unacceptable

N/A

1. Compliance with contract requirements

FORMCHECKBOX

2. Accuracy of Reports

FORMCHECKBOX

3. Effectiveness of Personnel

FORMCHECKBOX

4. Technical Excellence

FORMCHECKBOX

5. Record of conforming to specifications and standards of good workmanship

FORMCHECKBOX

6. Ability to provide services nationwide, including small and rural communities

FORMCHECKBOX

Cost Control

Excellent

Good

Acceptable

Marginal

Unacceptable

N/A

1. Record of forecasting and controlling target costs

FORMCHECKBOX

2. Current, accurate, and complete billings

FORMCHECKBOX

3. Relationship of negotiated costs to actual

FORMCHECKBOX

4. Cost efficiencies

FORMCHECKBOX

Timeliness of Performance

Excellent

Good

Acceptable

Marginal

Unacceptable

N/A

1. Met interim milestones

FORMCHECKBOX

2. Reliability

FORMCHECKBOX

3. Responsive to technical direction

FORMCHECKBOX

4. Completed on time including wrap up

FORMCHECKBOX

5. Met delivery schedules

FORMCHECKBOX

6. Amount of Liquidated Damages (Excellent=Low or None, Unacceptable= High)

FORMCHECKBOX

Business Relations

Excellent

Good

Acceptable

Marginal

Unacceptable

N/A

1. Effective Management, including subcontracts

FORMCHECKBOX

2. Reasonable/cooperative behavior

FORMCHECKBOX

3. Responsive to contract requirements

FORMCHECKBOX

4. Notification of problems

FORMCHECKBOX

5. Flexibility

FORMCHECKBOX

6. Pro-active vs. Reactive

FORMCHECKBOX

7. Effective small/small disadvantage business subcontracting program

FORMCHECKBOX

8. History of staff turnover

FORMCHECKBOX

Customer Satisfaction

Excellent

Good

Acceptable

Marginal

Unacceptable

N/A

1. Commitment to customer satisfaction

FORMCHECKBOX

2. Would you recommend selection of this firm again?

FORMCHECKBOX

3. Overall Rating of Contractor

FORMCHECKBOX

ADDITIONAL COMMENTS:

SOURCE SELECTION SENSITIVE

NOT FOR PUBLIC RELEASE

File details come from the government source that posted it. Updated Nov 14, 2017.