PAST_PERFORMANCE_QUESTIONAIRE.doc

DOC document 46 KB Posted

Attached to
Public Education Campaign Evaluation Federal contract opportunity
Solicitation number
16-223-SOL-00027
Issued by
Department of Health and Human Services Food and Drug Administration

About this file

Past Performance Questionnaire

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Other files for this federal contract opportunity

Other files attached to Public Education Campaign Evaluation, newest first.
File Type Posted
16-223-SOL-00027_Q A.pdf PDF
16-223-SOL-00027-2.pdf PDF
Attachment_8_WD_15-4281_(Rev.-3).pdf PDF
Attachment_5_(Full_Text_of_52.212-5).pdf PDF
Attachment_3_Statement_of_Work_Fresh_Empire.pdf PDF
Attachment_4_The_Real_Cost_Pricing_Table.xls XLS spreadsheet
Attachment_4_Fresh_Empire_Pricing_Table.xls XLS spreadsheet
Attachment_2_Statement_of_Work_The_Real_Cost.pdf PDF
Attachment_1_IDIQ_SOW.pdf PDF
Attachment_4_(BASE_IDIQ_Pricing_Worksheet).xls XLS spreadsheet
16-223-SOL-00027.pdf PDF
Attachment_6_(FDA_3398).pdf PDF
Attachment_7_-_Small_Business_Subcontracting_Plan.pdf PDF
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16-223-SOL-00027

PAST PERFORMANCE QUESTIONNAIRE

Please complete the following questionnaire and return via regular mail or email to the attention of:

Contract Specialist, Phillip Frame by 07/13/2016 1:00 pm ET

(Name)

(Title, Name)

(Date & Time) Phillip.Frame@fda.hhs.gov (Email)

5630 Fishers Lane, Room 2114, HFA500

Rockville, MD 20857-0003 (Address) Surveys received after the deadline will not be accepted

This survey pertains to Contractor: ________________________

Department/Component:

Contract Number: Date of Survey:

Name of Person Completing Survey:

Signature of Person Completing Survey:

Your Company/Agency:

Your Role in this Contract (circle one):

Contracting Officer Contract Specialist Project Officer Other Contract Value (including options): $ Performance Period: _____________________________________________

(Including option periods) Type of Contract:

Approximate percentage of work being performed (or completed) by subcontractor(s): %

Information on subcontractor(s) (where more than 51% of work was completed by the subcontractor):

________________ Subcontractor

Program Manager

Phone

General description of products/services required under the contract:

RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support rating shall be noted on page 4.

Assign each area a rating of, 1 (Poor), 2 (Fair), 3 (Good),or 4 (Excellent).. Use the attached Rating Guidelines as guidance in making these evaluations. Circle the appropriate rating. If you do not have enough personal knowledge or feedback from internal customers who directly received products and services from the contractor to make a determination on any of the performance criteria below, please circle "N/A" (not applicable/no opinion).

QUALITY OF SERVICE

1.

Compliance with contract requirements

N/A

2.

Accuracy of reports

N/A

3.

Effectiveness of personnel

N/A

4.

Technical Excellence

N/A

COST CONTROL

Record of forecasting and controlling target costs

N/A

Current, accurate and complete billings

N/A

Relationship of negotiated costs to actuals

N/A

Cost efficiencies

TIMELINESS OF PERFORMANCE

Met interim milestones

N/A

Reliability

N/A

Responsive to technical direction

N/A

Completed on time including wrap-up and contract administration

N/A

5.

Met delivery schedules

N/A

6.

Liquidated damages assessed: Yes No (circle one)

BUSINESS RELATIONS

Effective management, including management of subcontracts

N/A

Reasonable/cooperative behavior

N/A

Responsive to contract requirements

N/A

Notification of problems

N/A

5.

Flexibility

N/A

6.

Pro-active vs. reactive

N/A

7.

Effective small/small disadvantaged business subcontracting program

CUSTOMER SATISFACTION

The contractor is committed to customer satisfaction. Yes No (circle one) 2.

Would you recommend selection of this firm again? Yes No (circle one)

ADDITIONAL COMMENTS:

RATING GUIDELINES

QUALITY OF PRODUCT OR SERVICE
COST CONTROL
TIMELINESS OF PERFORMANCE
BUSINESS RELATIONS
1-Poor
Major problems have been encountered
Contractor is having major difficulty managing costs effectively
Contractor is having major difficulty meeting milestones and delivery schedule
Response to inquiries, technical/

service/ administrative issues is marginally effective

2-Fair
Some problems have been encountered
Contractor is having some problems managing costs effectively
Contractor is having some problems meeting milestones and delivery schedule
Response to

inquiries, technical/ service/ administrative issues is somewhat effective

3-Good
Minor inefficiencies/

errors have been identified

Contractor is usually effective in managing costs
Contractor is usually effective in meeting milestones and delivery schedule
Response to

inquiries, technical/ service/ administrative issues is usually effective

4-Excellent
Contractor is in compliance with contract requirements and/or delivers quality products/services
Contractor is effective in managing costs and submits current, accurate, and complete billings
Contractor is effective in meeting milestones and delivery schedule
Response to

inquiries, technical/ service/ administrative issues is effective

File details come from the government source that posted it. Updated .