36C10X19Q0054-008.docx
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- Solicitation number
- 36C10X19Q0054
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36C10X19Q0054 Attachment C - Past Performance Questionnaire.docx
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| File | Type | Posted |
|---|---|---|
| 36C10X19Q0054-0001000.docx | DOCX document | |
| 36C10X19Q0054-0001001.docx | DOCX document | |
| 36C10X19Q0054-0001003.pdf | ||
| 36C10X19Q0054-0001002.pdf | ||
| 36C10X19Q0054-0001004.pdf | ||
| 36C10X19Q0054-005.pdf | ||
| 36C10X19Q0054-007.pdf | ||
| 36C10X19Q0054-006.pdf | ||
| 36C10X19Q0054-004.docx | DOCX document |
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Past Performance Questionnaire
SOLICITATION NO.: 36C10X19Q0044
DESCRIPTION: Shredding and Destruction Services
DEPARTMENT OF VETERANS AFFAIRS (VA)
STRATEGIC ACQUISITION CENTER (SAC)
PAST PERFORMANCE QUESTIONNAIRE
TO: Name of reference, Title of reference E-MAIL: Email address of reference VA SAC is currently in the process of awarding a requirements contract for the solicitation described above. The contractor identified below has provided your organization’s name as a reference under the contract described below:
Contractor Name:
(Insert Contractor’s Name Here)
Contract Number:
(Insert Applicable Contract Number Here)
Please rate the contractor in each of the categories on this questionnaire. See “Rating Guidelines” section for detailed description of categories and ratings. There is room for comments where you deem remarks would be helpful to our evaluation (see ‘Comment from Reference’ under “Contractor Evaluation”. Please note that the past performance evaluators for this solicitation may contact you for further details in making a fair assessment of this contractor’s past performance. Thank you for your organization’s assistance in fairly evaluating contractor’s quotations for this solicitation.
Please e-mail questionnaire directly to Chontelle Borden at Chontelle.Borden@va.gov by 12pm EST January 24, 2019
| Name of Reference: |
| (Reference Complete These Sections) |
Title of Reference:
Phone Number:
E-Mail Address:
Name of Organization:
Contract Period of Performance (Month/Day/Year Begin and End):
Total Contract Value (Base and All Option Years):
Options Exercised on Contract (Yes/No)?
Brief Description of Services/Commodities Provided by Contractor:
Show Cause Order Issued on Contract (Yes/No)?
Stop Work Order Issued on Contract (Yes/No)?
Termination for Convenience, Cause, or Default Issued on Contract (Yes/No)?
Rating Guidelines:
| Rating |
| Quality of Service |
| Cost Control |
| Timeliness of Performance |
| Business Relations |
| 0: Unsatisfactory |
| Contractor is not in compliance and has jeopardized achievement of contract objectives |
| Contractor is unable to manage costs effectively |
| Contractor delays have jeopardized performance |
| Responses to inquiries and issues are not effective |
| 1: Poor |
| Major problems have been encountered |
| Contractor has had major difficulty managing costs effectively |
| Contractor has had major difficulty meeting milestones and delivery schedule |
| Responses to inquiries and issues are marginally effective |
| 2: Satisfactory |
| Some problems have been encountered |
| Contractor is having some problems managing costs effectively |
| Contractor is having some problems meeting milestones and delivery schedule |
| Responses to inquiries and issues is somewhat effective |
| 3: Good |
| Minor inefficiencies and errors have been identified |
| Contractor is usually effective in managing costs |
| Contractor is usually effective in meeting milestones and delivery schedule |
| Responses to inquiries and issues is usually effective |
| 4: Excellent |
| Contractor is in compliance with contract requirements and delivers quality services |
| Contractor is effective in managing costs and submits proper invoices |
| Contractor is effective in meeting and exceeding milestones and delivery schedule |
| Responses to inquiries have been effective and/or exceeded expectations and established deadlines |
Contractor Evaluation:
| Rating (List Number Based on Rating Guidelines Above) |
| Category |
| Description |
| Quality of Service |
| In compliance with contract requirements, submits accurate reports/deliverables, has effective personnel, and has achieved/maintained technical excellence: |
Comment from Reference:
| Cost Control |
| Has achieved efficiencies in costs, managed costs effectively, and has submitted timely/accurate invoices with supporting documentation: |
| Timeliness of Performance |
| Has met milestones, is reliable, is responsive to technical direction, and has completed milestones on-time or ahead of schedule: |
| Business Relations |
| Has maintained effective management of contract, has exhibited reasonable/cooperative behavior, is responsive to contract requirements, is responsive to inquiries/issues, and is proactive about resolving problems: |
| |_| YES |_| NO |
| Overall Satisfaction |
| Would you (reference) choose to work with this Contractor again? |
CONTRACTOR:
GOVERNMENT REQUIRING ACTIVITY:
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