4 Past Performance Questionnaire.docx
DOCX document 66 KB Posted
- Solicitation number
- QSE--36C10F24R50063
About this file
This document is a Past Performance Questionnaire for a federal contract opportunity. The Quoter (contractor) is being evaluated on their past performance in areas such as overall quality/satisfaction, delivery performance, quality of service, issue resolution, and quality of personnel. The reference is asked to rate the Quoter's performance on a scale of 1-5 and provide comments. The questionnaire also asks the reference if they would award another contract to the Quoter and if any adverse past performance issues were discussed with the Quoter. The related federal contract opportunity is for updating VA standards for Room Finishes, Door and Hardware Schedule Program Guide PG-18-14, with a period of performance of 270 days. The solicitation number is QSE--36C10F24R50063 and the contracting agency is the Department of Veterans Affairs Office of Construction and Facilities Management.
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Other files
| File | Type | Posted |
|---|---|---|
| SolicitationAmendment0001.pdf | ||
| 1 Contract Admin Data.docx | DOCX document | |
| 2 SOW Update PG 18 14 Room Finishes.docx | DOCX document | |
| Solicitation.pdf | ||
| Instruction to Offerors - PG 18 - 14 Door Finishes.docx | DOCX document | |
| QSE 36C10F24R50063.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Past Performance Questionnaire Department of Veterans Affairs:
| E-MAIL To: Deborah Faulkner, Contracting Officer | AGENCY: Veterans Affairs (VA) |
| E-MAIL: deborah.faulkner@va.gov | PHONE: 202-382-2723 |
INFORMATION REQUEST: PAST PERFORMANCE
The Quoter shall fill in this form and email it to their selected Reference and include the Reference/Contractor’s name and the Contract No. for the completed performance. The Reference shall email their response to the VA CO listed above.
PAST PERFORMANCE QUESTIONNAIRE
Quoter’s Name:
Request for Quote: Title: Update PG 18 14 Room Finishes (RFQ 36C10F24Q50048)
| Name of Person Completing the Evaluation: | Telephone: | E-mail: | |
| Title: | Company/Organization: |
Please rate the Quoter in each of the following areas. Note: There is room for comments where you deem remarks would be helpful to our evaluation.
· Not Applicable: N/A
| · 1: | Performance clearly below the contract performance standard or requirement |
| · 2: | Performance occasionally does not meet minimum contract performance standard or requirement |
| · 3: | Performance that meets the minimum contract performance standard or requirement |
| · 4: | Performance that meets and occasionally exceeds the contract performance standard or requirement |
| · 5: | Performance that almost always exceeds the contract performance standard or requirement |
| 1. Overall Quality/Satisfaction |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the overall satisfaction with the Quoter’s performance. Would you (the reference) choose to work with this Quoter again?
| 2. Delivery Performance |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions.
3. Satisfaction with the Quality of Service Delivered
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation.
| 4. Satisfaction with Resolution of Issues |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes the Quoter’s ability to solve problems, the speed in which they handle problems, and their effective delivery of resolutions.
5. Satisfaction with the Quality of Contractor Personnel
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the quality of the Contractor’s key personnel in executing the project work scope.
6. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years? Yes No If Yes, please explain.
7. Have you terminated this contractor for default within the past 3 years, or are there pending termination actions?
Yes No If Yes, please explain.
8. Based on the Quoter’s overall performance, would you award them another contract? Yes No If No, please explain.
9. Have you discussed any adverse past performance problems with the Quoter and given them an opportunity to comment?
10. you discussed any adverse past performance problems with the Quoter and given them an opportunity to comment? Yes No Please explain.
11. Did you file past performance information in a database that the CO may search? Yes No Please explain.
12. If the contract had options, were those options exercised? Yes No Please explain.
13. What was the contract period of performance (i.e., when were services provided)?
14. What was the dollar value of the contract performed by the Quoter?
15. Provide a brief description of the services provided by the Quoter for this contract.
Please attach any past performance database reports or other material you deem appropriate to a full understanding of the Quoter’s past performance by the evaluator.
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