Attachment_G.docx
DOCX document 24 KB Posted
- Attached to
- Medical Examination Services
- Solicitation number
- 60RRBH18R0015
- Issued by
-
Railroad Retirement Board
About this file
Attachment G
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Other files
| File | Type | Posted |
|---|---|---|
| 60RRBH18R0015_Amendment_0001_with_Attachment_H_(Q+A).pdf | ||
| Exhibit_1.docx | DOCX document | |
| 60RRBH18R0015.pdf | ||
| Attachment_B.docx | DOCX document | |
| Exhibit_2.docx | DOCX document | |
| Attachment_F.doc | DOC document | |
| Attachment_D.pdf | ||
| Attachment_A.docx | DOCX document | |
| Attachment_C.docx | DOCX document | |
| Exhibit_3.docx | DOCX document | |
| Exhibit_4.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Name of Evaluator: ________________________________
Official Position: ________________________________
Name of Company: ________________________________
Company Address: ________________________________
Phone/Fax/Email: ________________________________
Period of Performance: ________________________________
| Contract No. (Indicate | |
| prime/subcontractor): | ________________________________ |
Contract Type: ________________________________
Contract Value: ________________________________
Please provide a thorough and complete description of the most recent services you have contracted for from the vendor.
Solicitation No. 60RRBH18R0015 Page 1 of 4 Attachment G – Past Performance Questionnaire
INSTRUCTIONS – For each item, circle the rating that best describes the contractor’s work on this project and provide any additional comments. For items not applicable to your project, please indicate N/A.
| 5= Excellent | No problems, issues, or delays in achieving contract requirements | ||
| 4= Good | Does not impact achievement of contract requirements | ||
| 3=Satisfactory | Requires minor agency resources to ensure achievement of contract requirements | ||
| 2=Marginal | Requires major agency resources to ensure achievement of contract requirements | ||
| 1= Unsatisfactory | Achievement of contract requirement is compromised | ||
| N/A= Not applicable | Does not apply |
(1) Overall implementation of the contract 5 4 3 2 1 N/A
Comments:
(2) Ability to pro-actively and aggressively perform 5 4 3 2 1 N/A contract requirements(s)
(3) Effectiveness and reliability of contractor's key personnel 5 4 3 2 1 N/A
(4) Quality and quantity of the training materials provided 5 4 3 2 1 N/A by the contractor
(5) Quality of the contractor’s on-going technical 5 4 3 2 1 N/A assistance and customer service
(6) Quality of the contractor’s reporting features and tools 5 4 3 2 1 N/A
(7) Overall ability to effectively manage contract 5 4 3 2 1 N/A
(8) Overall performance in planning, scheduling, and monitoring 5 4 3 2 1 N/A contract requirements
(9) Timely completion of major milestones 5 4 3 2 1 N/A
(10) Responsiveness/capability to respond to surge/short term 5 4 3 2 1 N/A requirements and aggressive timelines
(11) Displays initiative in meeting Government requirements 5 4 3 2 1 N/A and is responsive to the Government's needs
(12) Responsiveness and flexibility in responding to changes 5 4 3 2 1 N/A (both formal and informal)
(13) Provides prompt notification of problems 5 4 3 2 1 N/A
(14) Effectively assesses impacts of potential changes on other 5 4 3 2 1 N/A associated projects, tasks, and efforts
(15) Ability to solve contract performance problems without 5 4 3 2 1 N/A extensive guidance from Government personnel
(16) Overall management communication with your agency 5 4 3 2 1 N/A or organization
(17) Effectiveness in interfacing with Government personnel 5 4 3 2 1 N/A
(18) Quality of the contractor’s billing procedures, 5 4 3 2 1 N/A billing accuracy and resolution of billing discrepancies
(19) Ability to meet Agency’s security requirements 5 4 3 2 1 N/A
(20) For Federal responders, rate the ability of the contractor’s 5 4 3 2 1 N/A products to meet 508 regulatory and compliance guidelines
Comments:
Based on this contractor’s overall performance, would you award this contractor a similar contract?
Yes [ ]No [ ] If “no’, please explain:
Has this contract been partially or completely terminated?
Yes [ ] No [ ] If “yes’, please explain:
Were there any changes in contract dollar value throughout the life of the contract?
Yes [ ] No [ ] If “yes”, please explain:
In summary, please give your overall assessment of this contractor and the actual results achieved as a result of this contractor’s performance.
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