Attachment B PPQ SOL. 60RRBH20R0009.docx
DOCX document 19 KB Posted
- Attached to
- Quality Assurance Review: Initial Disability Determination Federal contract opportunity
- Solicitation number
- 60RRBH20R0009
- Issued by
- Railroad Retirement Board
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| R0RRBH20R0009 AMENDMENT 0001 Q and A.pdf | ||
| Solicitation No. 60RRBH20R0009 for QA Review_Intial Disability Determination.pdf | ||
| Attachment A Medical Contractor Review Questions.docx | DOCX document |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Solicitation No. 60RRBH20R0009 Page 1 of 3 Attachment B
Annual Quality Review of Initial Disability Determination
PROGRAM EVALUATION AND MANAGEMENT SERVICES
RAILROAD RETIREMENT BOARD
PERFORMANCE EVALUATION FORM & PAST PERFORMANCE QUESTIONNAIRE
Name of Evaluator:
Official Position:
Name of Company:
Company Address:
Phone/Fax/Email:
Name of Contractor:
Period of Performance:
Contract No. or Reference’s Name:
Contract Type:
Contract Value:
Please provide a thorough and complete description of the most recent services you have contracted for from the vendor.
Print Name: _________________________________________________
Signature: __________________________________________________ Date: ____________________
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 |
| For Yes or No Questions |
| 5 = YES; 1 = NO |
| 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 contract requirements and quality of service? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 3. Effectiveness and reliability of contractor’s key personnel? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 4. Timeliness of performance, reliability, and ability to meet contractually established deadlines? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 5. Customer satisfaction; was the contractor’s staff responsive, cooperative, and effective in working with your staff, and were there an adequate number of staff resources? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 6. Effectiveness in interfacing with agency or organization personnel? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 7. Overall business relations with your agency or organization, and the contractor’s ability to effectively respond to inquiries? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 8. Quality of the contractor’s billing procedures, billing accuracy and resolution of billing discrepancies? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 9. Ability to meet agency’s or organization’s security requirements? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 10. Contractor’s overall technical competence? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
| 11. Based on this contractor’s overall performance, would you award this contractor a similar contract? |
| 5 |
| 4 |
| 3 |
| 2 |
| 1 |
| N/A |
Comments:
File details come from the government source that posted it. Updated .