Attachment 5 Past Performance Questionnaire-Amendment 1.docx
DOCX document 22 KB Posted
- Attached to
- DFAS-CO Ergonomic Consulting Services
- Solicitation number
- 3002564
- Issued by
-
Defense Finance and Accounting Service
About this file
This is a Past Performance Questionnaire template for DFAS solicitation HQ042325QE011 for Ergonomic Consulting Services. The questionnaire requires vendors to complete Section A with their company information and contract details, then forward it to their previous customers' contracting officers or CORs to complete Sections B and C. Completed questionnaires must be submitted directly to DFAS by 4:00 PM EST on February 21, 2025 to Terri Davis and Christina Rosen.
The evaluation criteria in Section C uses a 5-tier rating system (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory) to assess overall technical performance, quality of work, schedule performance, and cost performance. Additional yes/no questions evaluate the contractor's risk management capabilities and customer satisfaction. The questionnaire supports the broader DFAS-CO solicitation for comprehensive on-site ergonomic consultation services in Columbus, Ohio, covering approximately 2,600 employees, with quotes due February 13, 2025.
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Text version
Source Selection Information FAR 2.101 & 3.104
Past Performance Questionnaire Defense Finance and Accounting Service Ergonomic Consulting Services
RFQ HQ042325QE011
INSTRUCTIONS:
QUOTER: Please complete Section A and send the Past Performance Questionnaire to the Contracting Officer, COR or Other Customer POC with knowledge of performance.
RESPONDENT: Thank you in advance for completing this questionnaire for the Defense Finance and Accounting Service (DFAS). We understand that your time is very valuable, and we appreciate your input. Your rating is essential in successfully evaluating past performance. In reference to the information provided in Section A, please complete Sections B and C of this questionnaire and submit directly to DFAS by 4:00 PM EST on 21 February 2025. Email completed questionnaires to terri.l.davis34.civ@mail.mil and christina.l.rosen.civ@mail.mil.
SECTION A: QUOTER INFORMATION
| Company Name: |
| CAGE: |
| Point of Contact: |
| Title: |
| Email Address: |
| Phone Number: |
| Contract Number: |
| Dollar Amount: |
Contract Period of Performance:
Performed as the prime contractor or sub-contractor:
Brief Description of Work Performed:
SECTION B: RESPONDENT INFORMATION
Company Name:
| Point of Contact: |
| Title: |
| Email Address: |
| Phone Number: |
SECTION C: PAST PERFORMANCE INFORMATION
Use the below performance ratings and definitions to reflect your evaluation.
| Rating |
| Definition |
| Exceptional (E) |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good (VG) |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory (S) |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal (M) |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory (U) |
| Performance does not meet most contractual requirements, and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Not Applicable (NA) |
| No information or did not apply. |
Using the chart above, please place an X in the column with the performance rating that most accurately describes the contractor’s performance. Please respond with a narrative explanation for any ratings of unsatisfactory or marginal.
| Performance Objective |
| Rating |
| E |
| VG |
| S |
| M |
| U |
| NA |
Overall Technical Performance
Quality of Work
Schedule Performance
Cost Performance
For the questions below, please place an X in the column that represents your response. Please respond with a narrative explanation for any no responses.
| Question |
| Yes |
| No |
Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations?
Would you use this contractor again?
Narrative Explanation / Additional Remarks:
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