35 - Amd 03. Past Performance Reference Sheets.docx
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- Solicitation number
- 47QFCA23R0053
About this file
This document provides details for a request for proposal for the Military OneSource Program. The solicitation number is 47QFCA23R0053 and was issued by the General Services Administration Federal Acquisition Service Assisted Acquisition Services Federal Systems Integration and Management Center. The RFP seeks proposals for continued operation and enhancement of the Military OneSource program, which provides counseling and other support services to active duty, Guard and Reserve personnel, veterans, and their families. Proposals are due by the date specified in the solicitation and the agency intends to award a single contract by the projected date listed. Pricing should be fully burdened and include details on hourly rates by labor category.
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Text version
PAST PERFORMANCE SURVEY FORM
ATTACHMENT 35
PAST PERFORMANCE REFERENCE SHEETS
(To be removed at time of award)
Your immediate attention is requested. Please return the completed survey form to either the contractor you are completing this survey for or the following individuals: Gerry Reeves, FEDSIM Contract Specialist, gerry.reeves@gsa.gov and Kristen Jaremback, FEDSIM Contracting Officer, kristen.jaremback@gsa.gov, no later than (insert date).
You have been identified as a reference for ___________ (insert name of contractor). Using the rating table, please provide concise comments and ratings regarding your overall assessment of the contractor’s performance on the contract identified below. Please be aware that a rating without concise comments as to the basis for the rating may require the evaluators to contact you for the necessary information, and may delay the evaluation process.
RATING TABLE
1. Unsatisfactory – The contractor’s performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
2. Marginal – The contractor’s performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.
3. Satisfactory – The contractor’s performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear to be or were satisfactory.
4. Very Good – The contractor’s performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
5. Exceptional – The contractor’s performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
FEDSIM is a Client Support Center housed within GSA, FAS, AAS Page 1 of 2 Template Version 01-31-22
CONTRACT DESCRIPTION:
Contract Number:
Contract Type:
NAICS Code:
| Award Amount: |
| $ |
| Period of Performance: |
| From: [Month Day, Year] To: [Month Day, Year] |
| Services provided by the offeror: |
| [Provide a brief description] |
TECHNICAL/QUALITY OF SERVICE
Strengths:
Weaknesses:
| Rating (1, 2, 3, 4 or 5) |
| Choose an item. |
SCHEDULE/TIMELINESS
Strengths:
Weaknesses:
| Rating (1, 2, 3, 4 or 5) |
| Choose an item. |
COST CONTROL (DO NOT RATE IF THE CONTRACT/TASK ORDER WAS FIRM-FIXED-PRICE)
Strengths:
Weaknesses:
| Rating (1, 2, 3, 4 or 5) |
| Choose an item. |
MANAGEMENT
Strengths:
Weaknesses:
| Rating (1, 2, 3, 4 or 5) |
| Choose an item. |
SMALL BUSINESS SUBCONTRACTING
Strengths:
Weaknesses:
| Rating (1, 2, 3, 4 or 5) |
| Choose an item. |
REGULATORY COMPLIANCE
Strengths:
Weaknesses:
| Rating (1, 2, 3, 4 or 5) |
| Choose an item. |
CONTRACTORS OVERALL PERFORMANCE
Please rate the contractor’s overall performance under this contract.
| Rating (1, 2, 3, 4 or 5) |
| Choose an item. |
Additional Comments:
YOUR COOPERATION IN COMPLETING THIS SURVEY IS GREATLY APPRECIATED.
Name of Reference:
Organization:
Title:
Telephone:
FAX:
Email:
| Signature: |
| Date: |
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