36C24419Q0974-005.docx
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- Electrical Power Distribution SystemMaintenance & Testing Pittsburgh VAMC Federal contract opportunity
- Solicitation number
- 36C24419Q0974
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36C24419Q0974 Attachment 5 S20 Past Performance Reference Inquiry.docx
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S20 Past Performance Reference Inquiry—
Please Review and Assess the Vendor in the Matrix Below (definitions and rating description of terms pertaining to your assessment are below) against the service experience that you had with this vendor.
Thank you in advance for your assistance.
Please email to:
Renee Kale at renee.kale@va.gov
36C24419Q0974 Name and contact information
Organization:
Contract Number:
Contract Type:
Program Name:
Total Contract Value:
Period of Performance:
Identification of any key staff involved:
Description of work performed/relevance to this task in bullet format
Please Check the Appropriate Rating and Comment for any rating that is not Satisfactory.
| # |
| Evaluation Element |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| 1 |
| Quality of Product or Service |
Comments
| 2 |
| Schedule |
Comments
| 3 |
| Cost Control |
Comments
| 4 |
| Business Relations |
Comments
| 5 |
| Utilization of Small Business |
Comments
| 6 |
| Regulatory Compliance |
Comments
Description of Elements to Assess
| # |
| Evaluation Element |
| Description (Questions to Address in your Evaluation) |
| 1 |
| Quality of Product or Service |
| Assess Conformance to: |
Contract Requirements Specifications Standards of Good Workmanship Are reports/data accurate?
Does the product or service meet the specifications of the contract?
What degree of Government technical direction was required to solve problems that arose during performance?
| 2 |
| Schedule |
| Assess Timeliness of Completion Against: |
· Contract
· Task Orders
· Milestones
· Delivery Schedules
· Administrative Requirements
| 3 |
| Cost Control |
| Assess Effectiveness in Forecasting, Managing, Controlling Contract Cost |
Does the Contractor keep within the total estimated cost?
Negotiated/Budgeted Costs vs Actuals Did the Contractor do anything innovative that resulted in cost savings?
Were billings current, accurate, and complete?
Are the Contractor’s budgetary internal controls adequate?
| 4 |
| Business Relations |
| Assess Integration and Coordination of All Activity Needed to Execute |
· Contract
· Problem Identification
· Corrective Action Plans
· Reasonable & Cooperative Behavior
· Customer Satisfaction
· Timely Award & Management of Subcontracts
| 5 |
| Utilization of Small Business |
| Assess Compliance with Small Business Participation Goals |
Were small businesses given meaningful, innovative work directly related to the project?
Were Individual Subcontract Reports (ISRs) or Summary Subcontract Reports (SSRs) accurate and timely?
| 6 |
| Regulatory Compliance |
| Complies with the guidance specified in the Statement of Work and expected of a reasonable person conducting a specified service. |
Name _____________________________________
Date _______________________________________
Signature ___________________________________
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