7. Past Performance Questionnaire.pdf
PDF 34 KB Posted
- Attached to
- 15BCTS23Q00000029 - SU/MH/SOT in Indianapolis, IN Federal contract opportunity
- Solicitation number
- 15BCTS23Q00000029
About this file
This document contains a past performance questionnaire and details of a related federal contract opportunity. The past performance questionnaire is a template for evaluating a contractor's performance on a previous contract. It requests ratings and comments on quality, timeliness, cost control, business relations, and customer satisfaction. The related federal contract opportunity is a Request for Quotation to provide mental health, substance use, and sex offender treatment services to offenders in Indianapolis, Indiana, in accordance with an enclosed Statement of Work. The solicitation number is 15BCTS23Q00000029 and it was issued by the Department of Justice Bureau of Prisons Central Office.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 5. Technical Quotation Information Packet.docx | DOCX document | |
| 1. Indianapolis IN 15BCTS23Q00000029.pdf | ||
| 4. Business Quotation Information Packet.pdf | ||
| 9. Quotation Attachment Form.xlsx | XLSX spreadsheet | |
| 10. Incorporate Clause 52.212-5.pdf | ||
| 6. APN 22-03 Whistleblower Information.pdf | ||
| 8. Small Business Subcontracting Template rev-Jan23.pdf | ||
| 2. Section 2.1, Continuation of SF-1449 REV.pdf | ||
| 3. CTS Statement Of Work 2022.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
I. Reference Identification
A. Name of Reference/Activity
Include point of contact Phone #/Fax #/Address
II. CONTRACT IDENTIFICATION
A. Contractor
B. Contract Number
C. Contract Type
Competitive [ ]Yes [ ] No
Follow-On [ ] Yes [ ] No
D. Period of Performance
E. Estimated Contract Total (Including all option periods)
F. Description of
Supplies Provided:
G. Geographic Distribution of Services Under This
Contract, (i.e., Local, Nationwide, Worldwide)
H. Number of Locations serviced by this
Contract
III. EVALUATION
Below are listed specific questions relating to the following five categories fo contractor performance: quality, timeliness, cost, control, business relations, and customer satisfaction. Please rate the contractor for each question on a scale from 1 to 5, 5 being the best rating and 1 being the worst rating, or N/A for not applicable. There is a comment section provided below each question. Please document any responses receiving a rating of 2 or 1.
[ ] 5 - Considerably surpassed minimum requirements
[ ] 4 - Exceeded minimum requirements
[ ] 3 - Met minimum requirements
[ ] 2 - Less than minimum requirements
[ ] 1 - Efforts had a negative effect
A. QUALITY OF PRODUCT OR SERVICE
1. To what extent did the contractor comply with the specific contract requirements and commit adequate resources in a timely fashion to the contract?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent did the contractor respond to technical directions, quality improvement recommendations, contract change orders, etc.?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
B. TIMELINESS OF PERFORMANCE
1. To what extent did the contractor adhere to contract delivery of performance schedules?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent did the contractor meet the response times in the contract?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
C. BUSINESS RELATIONS
1. To what extent was the contractor able to solve contract performance problems without extensive guidance from Government counterparts (COTR)?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
2. To what extent was the contractor effective in interfacing with
Government/Company staff?
[ ] 5 [ ] 4 [ ] 3 [ ] 2 [ ] 1 [ ] N/A
Comment:
D. CUSTOMER SATISFACTION
1. Has this contract been partially or completely terminated for default or convenience?
[ ] Yes for: [ ] Default [ ] Convenience
[ ] No
If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules).
2. Are there any pending terminations?
[ ] Yes [ ] No
If yes, please explain and indicate the status.
3. Would you recommend this contractor for the award of additional contracts?
[ ] Yes [ ] No
Comment:
NARRATIVE SUMMARY
Use this section to explain additional information not included above.
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