Attachment 1 _Past Performance Survey.pdf
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- Solicitation number
- 75A50326Q00005
About this file
This is a Past Performance Survey template used in a Request for Quotation (RFQ) issued by the Department of Health and Human Services (HHS). The document is designed to collect feedback from previous clients regarding a contractor's performance on past contracts.
The survey requires offerors to submit up to two (2) past performance references from projects completed within the three years preceding the RFQ submission. Contractors must complete Part I of the attachment with basic contract information and then forward the form to their references for completion. References must submit completed questionnaires directly to the Contracting Officer, Akela Long, at Akela.Long@hhs.gov, prior to the proposal receipt deadline. Surveys submitted directly by offerors will not be considered. The reference information section captures the contractor's company details, the reference provider's contact information, and contract specifics including title, dollar value, period of performance, performance location, and contract type (FFP, T&M, Cost Reimbursement, or Other).
The survey itself contains eleven (11) evaluation questions on a 1-10 scale (1 = least favorable, 10 = most favorable), assessing the contractor's performance across critical areas: quality of service, schedule adherence, timely reporting, ability to recruit quality Subject Matter Experts (SMEs), contract requirement compliance, professionalism, cost control and reporting, integrity and business ethics, spirit of cooperation and fairness, resource ramp-up capability, and ability to address employee performance issues. Each question includes space for written responses to support the numerical rating.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ 75A50326Q00005 Amendment 00001.pdf | ||
| 75A50326Q00005_ Questions and Answers.pdf | ||
| RFQ 75A50326Q00005.pdf |
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Text version
Attachment 1 – Past Performance Survey
Past Performance Contract Information
Information regarding the quality of a contractor’s performance of previous contracts and orders, also known as past performance, is an indicator of future performance. The Government will evaluate the relevance and quality of the Offeror’s past performance of up to two (2) projects performed within the past three years of the date of this RFQ to determine whether the Offeror’s past performance demonstrates that it is capable of performing projects of similar scope, size, and complexity to the requirements described in the Statement of Work.
Instructions: The Offeror shall complete Part I of this Attachment for each past performance reference. The Contractor shall forward this form (with a completed Part I) to each of its references for completion, with instructions to forward the completed questionnaire directly back to the Contracting Officer (NOT BACK TO THE CONTRACTOR) before the time set for receipt of proposals. The completed questionnaires must be forwarded by email directly from the Contractor’s reference to Akela Long Contracting Officer, at Akela.Long@hhs.gov. Past performance surveys received directly from the offeror will not be considered.
Contractor Information Company Name:
Company Address:
Past Performance Reference Information Agency/Organization Name:
Name of Reference Provider:
Title of Reference Provider:
Telephone Number:
Fax Number:
Email Address:
Contract Information Contract Title/Number:
Contract Total Dollar Value:
Period of Performance (POP):
Performance Location:
Type of Contract:
(Check all that Apply) FFP: T&M: Cost
Reimbursement: Other:
Description of Services: Enter text here
ATTACHMENT I - Survey Questions [to be completed by the reference] mailto:gwg8@cdc.gov
Scale 1-10 (1 = least favorable, 10 = most favorable).
1. What was your experience of the quality of the service provided by this Contractor?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
2. What was your experience with the Contractor’s adherence to contract schedules?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
3. What was your experience with the Contractor’s ability to report on a timely manner?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
4. What was you experience with the Contractor’s ability to recruit quality SMEs?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
5. What was your experience with the Contractor’s ability to adhere to all contract requirements?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
6. What as your experiences with the Contractor’s standards of professionalism?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
7. What was your experience with the Contractor’s ability to control and report costs and work with you to limit additional costs?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
8. What was your experience with the Contractor’s integrity and business ethics?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
9. What was your experience with the Contractor’s spirit of cooperation and fairness of business dealing with you?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
10. What was your experience with the Contractor’s ability to ramp-up resources as needed?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
11. What was your experience with the Contractor’s ability to successfully address employee performance issues identified by the client or Government personnel?
Bold, Circle, or Underline a Rating: 1 2 3 4 5 6 7 8 9 10 N/A
Response:
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