Attachment_6_PAST_PERFORMANCE_Infant_and_Toddler.docx

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Attached to
Infant and Toddler Kits and Items Federal contract opportunity
Solicitation number
70FB7018R00000024
Issued by
Federal Emergency Management Agency Logistics Section

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ATTACHMENT 6

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Q_&_As_70FB7018R00000024_Infant_and_Toddler.pdf PDF
Attachment_5__DHS_Subcontracting_Plan_review_Checklist.pdf PDF
70FB7018R00000024_Attachment_1_IT_Price_Sheet.xlsx XLSX spreadsheet
RFP_70FB7018R00000024__6.27.18.pdf PDF
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Source Selection Plan- 70FB7018R00000024 - Infant and Toddler Items and Kits

Attachment 6: Past Performance Questionnaire

APPENDIX E

Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE PACKAGE FOR Infant and Toddler Items and Kits

Submit completed past performance questionnaire form by __________ via email to Carolyn.Knight@FEMA.DHS.Gov and Monique.Park@FEMA.DHS.Gov POC: Carolyn Knight, PCO PHONE – (202) 212-3977 POC: Monique Park, PCO PHONE – (202) 212-7781

This office is in the process of conducting selection for a firm to provide support Infant and Toddler Items and Kits.

I am contacting you in reference to ________who has given us your name as a reference. My questions pertain to their record of past and current performance (if applicable). Where the term “Vendor” is used below, it refers to this firm. The information that you provide will be used in the best value evaluation. Therefore, it is important that your information be as factual and accurate as possible.

(1) Name of Contractor questionnaire is being completed for:

(2) Contract Number:

(3) Role Contractor played in Prior Contract

Prime

Joint Venture Team Member

Subcontractor

(4) Proposed Role in Pending Contract

Prime

Joint Venture Team Member

Subcontractor

(5) Length of time your agency/firm has been involved with the Offeror:
15 months

(6) Contract type:

(7) Contract value:

(8) Description of service:

(9) Is Performance on this contract being reported in CPARS

No, complete page 2 of questionnaire

Yes, answer question (i) below

(i) Has the scope of work significantly changed since the last CPAR?

No

Yes, provide details in (iv) below

(ii) Have there been any significant changes in contractor performance between the last CPAR and now?

No

Yes, answer question (iii) below

(iii) Has an out-of-cycle CPAR been initiated to document changes in performance?

No, provide details of changes in (iv) below

Yes

(iv) Comments to support answers to questions (i), (ii) and (iii):

(10) Name of agency/company completing questionnaire:

(11) Name of person completing questionnaire:

(12) Email address of person completing questionnaire:

(13) Title of person completing questionnaire:

(14) Phone number of person completing questionnaire:

(15) Date questionnaire is being completed:

ADDITIONAL INFORMATION

RATING SCALE: Please use the following ratings to answer the questions on page 3.

Evaluation Rating for Past Performance

Rating

Definition

Excellent/Very Low Risk
E
Based on the offeror’s past performance, very little doubt exists that the offeror will successfully perform the required effort.
Good/Low Risk
G
Based on the offeror’s past performance, little doubt exists that the offeror will successfully perform the required effort.
Satisfactory/Moderate Risk
S
Based on the offeror’s past performance, some doubt exists that the offeror will successfully perform the required effort.
Neutral/Unknown Risk
N
The offeror had little or no recent/relevant past performance upon which to base a meaningful performance risk prediction.
Unsatisfactory/High Risk
U
Based on the offeror’s past performance, significant doubt exists that the offeror will successfully perform the required effort.

NOTE: For statements indicating less than “Acceptable”, please provide a brief explanation in the comments section of the survey.

SSOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104 Page 3

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