Attachment Z- Past Performance Questionnaire.docx
DOCX document 22 KB Posted
- Solicitation number
- 19AQMM20R0171
About this file
This document contains a past performance questionnaire and information on an upcoming federal contract opportunity for moving and storage services in the Washington D.C. area.
The past performance questionnaire requests information on a contractor's previous contracts including contract number, value, description of requirements, and evaluations of quality, schedule, cost control, customer satisfaction and overall performance. The federal contract opportunity will be for non-personal moving and storage services within 50 miles of Washington D.C., including pickup, packing, placement into various storage types, delivery and long-term storage of household effects and privately owned vehicles. The solicitation is expected to be issued between July 1 and August 6, 2020 via beta.SAM.gov with proposals due within 30 days. The opportunity will result in multiple blanket purchase agreements with four award pools for export and storage, controlled storage, inbound freight and privately owned vehicles to be awarded to a total of 28 contractors. Daily and long-term storage capacity requirements are specified. Offerors must have a DUNS number and financial records to be eligible for award.
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Text version
PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and email to:
Department of State – Office of Acquisition Management
A/OPE/AQM/WWD/FBSB
ATTN: Travis Keon, Contracting Officer keontc@state.gov (this is preferable method of receipt) Desired Response Date: August 18, 2020
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME & ADDRESS:
2. CONTRACT NO.:
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. CONTRACT VALUE (with options): $
6. TYPE OF CONTRACT:
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
Please add a continuation page if additional space necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION: DVIDS Director
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.
O = Outstanding E = Excellent A = Adequate M = Marginal P = Poor N/O = Not Observed
A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).
O E A M P N/O
B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
O E A M P N/O
C. Schedule – Assess the timeliness of contractor against the schedule of activities.
O E A M P N/O
D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.
O E A M P N/O
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
O E A M P N/O
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.
O E A M P N/O
G. Overall Assessment.
O E A M P N/O
If an Award Fee contract, what was the average Award Fee % earned?
SBU - CONTRACTING AND ACQUISITIONS
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