Attachment_3_-_Past_Performance_Questionnaire.xlsx

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Pharmaceutical Countermeasures
Solicitation number
19AQMM18R0175
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Attachment 3 Past Performance Questionnaire

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07202018_Mandrake_2.0_RFP_Document.docx DOCX document
Attachment_2_-_Relevant_Experience_Quest.docx DOCX document

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Customer Satisfaction Survey

PAST PERFORMANCE CUSTOMER SATISFACTION SURVEY
Introduction: The United States Department of State (DOS) is currently conducting a competitive procurement for the production and distribution of medical countermeasures to mitigate the threat from Weapons of Mass Destruction, for which the prospective offeror [insert name of company] has been requested to identify Government agencies or commercial vendors with whom it is currently or has been recently under contract, to serve as potential references on its past performance record. You are being asked to complete the attached Contractor Past Performance Survey. You may also be contacted by a DOS procurement official to arrange a telephone interview, using the survey as the focal point of the interview. To ensure frank and open evaluations and expressions of opinions by evaluators, all parties are advised that the identity of respondents completing the survey will be held in confidence and will not be released or disclosed to the contractor or outside the Government.
Instructions: Please complete all areas of this form indicated in light yellow.
PART I - CONTRACT INFORMATION
a. Contractor:
b. Customer Name (Federal Agency or Other):
c. Technical Point of Contact Information
i. Name:
ii. Telephone Number:
iii. E-mail Address:
iv. Position Title:
d. Contract Number:
e. Type of Contract(Select responses from drop down menu)
i. Negotiated or Sealed Bidding:
ii. Competitive or Non-Competitive:
iii. Firm-Fixed-Price, Cost-Plus, Time-and-Materials/Labor Hour, Hybrid, or Other:
iv. Indefinite Quantity, Requirements, or neither:
f. Contract Period of Performance:
h. Initial Contract Value: $
i. Current (or Completed) Contract Value: $
j. Brief Description of the Contract Requirement:
PART II - GOVERNMENT PAST PERFORMANCE/CUSTOMER SATISFACTION EVALUATION
EVALUATION CRITERIA
EXCELLENT: Indicates the Contractor's performance within the area of evaluation clearly and consistently exceeds contractual requirements.
SATISFACTORY: Indicates the Contractor's performance within the area of evaluation met the contractual requirements. If problems were identified, they were only minor in nature and solutions were provided.
MARGINAL: Indicates the area of evaluation contains or contained a problem for which there is doubt whether the identified solution is adequate but the problem appears to be within the contractor's ability to solve.
UNACCEPTABLE: Indicates the Contractor's performance within the area of evaluation experienced serious problems. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur.
NOT APPLICABLE: Performance did not include such efforts or performance was not observed.
EVALUATION AREA 1: TECHNICAL SERVICES
(Select the rating that applies from drop down menu)
Overall understanding of pharmaceutical and non-pharmaceutical medical countermeasure production, including compliance with current Good Manufacturing Practices (cGMP) for pharmaceutical production and International Organization for Standards (ISO) quality indicators for medical device manufacturing.
Demonstrated capability to execute all aspects of a successful biopharmaceutical program, including non-technical and technical factors associated with supply chain management and physical security and storage.
Overall understanding of supply chain risk management and implementation of appropriate risk mitigation measures.
Demonstrated capability to execute all aspects product stability testing and surveillance necessary to facilitate a deliberate life cycle sustainment program.
Overall ability to integrate and manage team partners and stake holders (domestic and overseas) to ensure successful mission performance
Overall ability to coordinate and integrate work to prevent unnecessary duplication of services and minimize disruptions to contract timelines
Overall effectiveness in program, risk, quality, performance management capabilities:
EVALUATION AREA 2: QUALITY OF SERVICES
(Select the rating that applies from drop down menu)
Overall ability to proactively and aggressively perform contract requirements:
Effectiveness of the contractor's training program and performance skills:
Effectiveness and reliability of contractor's key personnel:
EVALUATION AREA 3: TIMELINESS OF PERFORMANCE
(Select the rating that applies from drop down menu)
Overall performance in planning, scheduling, and monitoring:
Completion of major milestones on schedule:
Timely completion of efforts within period of performance:
EVALUATION AREA 4: PRICE/COST CONTROL
(Select the rating that applies from drop down menu)
Quality, completeness, and accuracy of price/cost proposals/invoices:
Accuracy and timeliness of cost reports:
Ability to perform within negotiated costs/prices:
Ability to provide innovative solutions that resulted in cost savings:
EVALUATION AREA 5: BUSINESS RELATIONS
(Select the rating that applies from drop down menu)
Ability to effectively manage contract:
Ability to work in collaboration with other contractors towards a common goal:
Ability to choose and manage quality subcontractors:
EVALUATION AREA 6: CUSTOMER SATISFACTION
(Select the rating that applies from drop down menu)
Maintains a single effective point of contact to manage and resolve problems:
Effectiveness in interfacing with personnel in your organization:
Overall ability to resolve performance issues:
EVALUATION AREA 7: OVERALL CONTRACT PERFORMANCE
(Select the rating that applies from drop down menu)
Based on this contractor's overall performance, would you award this contractor another contract?
COMMENTS (Please include any additional comments concerning the past performance of the contractor):
Thank You for completing this past performance evaluation. Please email the completed survey to Stephen Ching and Grayson Cochran at ChingS@state.gov and CochranGE@state.gov
U. S. Department of State
Office of Acquisition Management
ATTN: Stephen Ching
E-MAIL ADDRESS: ChingS@state.gov

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