Attachment_3_-_past_performance_questionnaire.doc

DOC document 58 KB Posted

Attached to
Multi-Method Consumer Perception Investigations Federal contract opportunity
Solicitation number
19-223-SOL-00022
Issued by
Department of Health and Human Services Food and Drug Administration Office of Acquisition and Grant Services

About this file

This document contains a past performance questionnaire for a contractor bidding on the Multi-Method Consumer Perception Investigations contract opportunity with the Department of Health and Human Services Food and Drug Administration. The contractor is required to provide the questionnaire to a reference listed in their proposal by April 22, 2019. The reference will evaluate the contractor's performance on a previous contract in several areas including requirements, timeliness, quality of deliverables, cost control, and small business goals if applicable. The overall rating of the contractor's past performance will also be assessed.

The related federal contract opportunity is for an Indefinite Delivery Indefinite Quantity contract to provide multi-method consumer perception investigation services in support of the Food and Drug Administration. The single award will be made to the best value offeror. The anticipated solicitation was previously synopsized on March 20, 2019.

Attachment 3 - Past Performance Questionnaire

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Other files for this federal contract opportunity

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Amendment_1_-_Questions_from_Offerors_-_final.pdf PDF
Amendment_1_-_Revised_Attachment_2_-_Pricing_Worksheet.xlsx XLSX spreadsheet
Amendment_1_-_Form_30.pdf PDF
Attachment_2_-_Pricing_Worksheet.xlsx XLSX spreadsheet
19-223-SOL-00022-FBO.pdf PDF
Attachment_1_-_Labor_Category_Requirements_-_Final.pdf PDF
Attachment_4_-_HHS_Subcontracting_Plan_Template.doc DOC document

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19-223-SOL-00022 – Multi-Method Consumer Perception Investigations Attachment 3 – Past Performance Questionnaire

We are currently in the process of preparing our proposal for the United States Food and Drug Administration, (FDA) Solicitation Number FDA-RFP-19-1201023. As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.

Please complete this Questionnaire Contract Specialist, Richard Robinson e-mail: Richard.robinson@fda.hhs.gov; Phone: 301-796-6508

The Questionnaire is due to Richard Robinson no later than 2:00 PM Eastern Standard Time on April 22, 2019. Questionnaire must be submitted directly to the Contract Specialist on company letterhead if faxed or emailed from a corporate email account.

Thank you.

NAME OF OFFEROR:

Phone:

E-Mail:

I. Current or Historical Contract Information

CONTRACT REFERENCED:

1. Contract or Identifying Number: ________________________________________________

2. Contract Value: _____________________________________________________________

3. Period of Performance: ______________________________________________________________________________

4. Brief description of services provided:

5. Name of Person Completing Questionnaire: _______________________________________ Agency/Company:

Title: __________________________________ Phone: _____________________________

E-mail: _____________________________________________________________________ Signature:____________________________________________________________ II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Evaluation Definitions – The following definitions should be used in the assessment of Contractor performance.

EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.
VERY GOOD
Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
SATISFACTORY
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
UNSATISFACTORY
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.
NOT APPLICABLE (N/A)
Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Past Performance Evaluation

Question 1. Performance What is your assessment of the Contractor’s ability to meet your requirements?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Performance

Comments, if any.

Questions 2 and 3. Timeliness

What is your assessment of the Contractor’s ability to provide deliverables in a timely manner?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Timeliness

Ability to Resolve Timeliness Problems

Question 4. Quality of Deliverables What is your assessment of the quality of the Contractor’s deliverables?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Quality of Deliverables

Question 5. Cost Control (Cost/T&M Contracts Only) Did the contractor succeed at keeping actual cost/projected level of effort consistent with the negotiated/awarded cost ceiling/projected level of effort? Did the contractor provide adequate budgetary internal controls, current, accurate, and complete billings?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Cost Control

Question 6. Small Business Goals (If applicable) In accordance with FAR 15.304(c)(3)(ii), if the performance of this contract required a subcontracting plan, describe the contractor’s success/ability in obtaining the goals set out in their plan?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

General Comments:

Question 7. Overall Rating of Contractor’s performance What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

General Comments:

PAGE

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