S02 - ATTACHMENT 3 - Past Performance Questionnaire.docx
DOCX document 22 KB Posted
- Solicitation number
- 36C77624Q0260
About this file
This document is a Past Performance Questionnaire for an offeror being considered for a contract to provide a FedRAMP Approved Application/Waiver Management System (AMS) for the Veterans Health Administration.
The questionnaire requests an evaluation of the offeror's past performance in areas such as quality of the working relationship, professionalism, responsiveness, project management, communication, and quality control. The evaluator is asked to provide ratings of Outstanding, Above Average, Satisfactory, or Unacceptable, along with supporting details, for each performance area. The evaluator is also asked whether they would award another contract to the offeror and to provide an overall rating. The completed questionnaire is to be emailed to the Contract Specialist and Contracting Officer by the due date for quotes/proposals under Solicitation Number 36C77624Q0260 for the "DA10--WMC Application Management System Re-Compete" project for the Department of Veterans Affairs Technology Acquisition Center Austin.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C77624Q0260 A00004.docx | DOCX document | |
| 36C77624Q0260 A00003.docx | DOCX document | |
| 36C77624Q0260 A00002.docx | DOCX document | |
| 36C77624Q0260 A00001.docx | DOCX document | |
| S02 - ATTACHMENT 7 - VAAR 852.209-70 Organizational Conflicts of Interest OCT 2020.docx | DOCX document | |
| S02 - ATTACHMENT 6 - FAR 52.209-7 Information Regarding Resp Matters OCT 2018.docx | DOCX document | |
| S02 - ATTACHMENT 4 - 852.219-75 Limitations on Subcontracting - Services JAN 2023.docx | DOCX document | |
| S02 - ATTACHMENT 5 - FAR 52.209-5 Certification Regarding Resp Matters AUG 2020.docx | DOCX document | |
| S02 - ATTACHMENT 1 - PWS - Application Management System - V1.4 7.16.24.docx | DOCX document | |
| S02 - ATTACHMENT 2 - QASP - AMS - V1.0 dated 7.9.24.docx | DOCX document | |
| 36C77624Q0260.docx | DOCX document |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
The Department of Veterans Affairs, Veterans Health Administration - Program Contracting Activity – Central (PCAC) is considering the Offeror listed below for award of a contract to provide a FedRAMP Approved Application/Waiver Management System (AMS) for the Veterans Health Administration.
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. In addition to submitting this questionnaire, the PCAC may contact you in order to obtain any additional information regarding a contract award.
Please email your completed questionnaire to Ron Shelko, Contract Specialist ronald.shelko@va.gov and Michelle Rhodes, Contracting Officer at michelle.rhodes@va.gov no later than the date quotes/proposals are due.
**All Email Correspondence for this project must reference the RFQ/RFP Number, Project Identifier, and Project Title in the subject line of the email: 36C77624Q0260 – Application Management System.
If you have questions regarding the attached questionnaire, or require assistance, please email the Contract Specialist and Contracting Officer identified above.
Past Performance Information:
Name and Address of Company (Offeror) being evaluated:
Contract Number/Delivery or Task Order Number, Title, & Location of project the Offeror performed:
Evaluator: (The following information will assist in the analysis of the data. Information will be kept confidential)
Name of Evaluator:
Address:
Phone Number:
Position held or function in relation to project:
Rating: Please evaluate the past performance using only the following ratings without variation. DO NOT RATE ON A “+” OR “-“SCALE. If a “+” or “-“is used, the rating without the "+" or "-" will be applied. In addition to the ratings, please provide a short narrative in the appropriate block or in the remarks section of this form.
| “O” |
| Outstanding |
| The Offeror’s performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the offeror were highly effective. |
| “A” |
| Above Average |
| The Offeror’s performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the offeror were effective. |
| “S” |
| Satisfactory |
| The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory. |
| “U” |
| Unacceptable |
| Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the offeror has yet to identify corrective actions or the offeror’s proposed actions appear only marginally effective or were not fully implemented. [Please provide additional details]. |
Please rate and provide any supporting information/comments for the following:
1. The quality of the working relationship with the client (the tenant and/ or owner).
Additional Details:
O A S U
2. The professionalism and integrity with which offeror conducted business.
O A S U
3. The responsiveness to the client’s needs and expectations.
O A S U
4. The Offeror’s ability to manage and perform the project successfully.
O A S U
5. The offeror’s level of communication.
O A S U
6. The quality control of the project.
O A S U
7. Would you award another contact to the party being evaluated? If no, please explain.
Yes No
8. The delivery of the project was on schedule.
O A S U
9. Overall rating for this firm:
O A S U
Signature of Evaluator
Date
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