Attachment E - Past Performance Questionnaire.doc
DOC document 66 KB Posted
- Attached to
- On-site Record Information Management
- Solicitation number
- 75F401
View the file
Other files
Show all 35
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment E Solicitation No. 75F40120R00004 On-Site Record Information Management (RIM)
PAST PERFORMANCE QUESTIONNAIRE
Please complete the following questionnaire and return via email: Please reference “Past Performance Questionnaire, On-Site Records Information Management (RIM), Solicitation No. 75F40120R00004” in the subject line. Send to Haritha Raja, Contract Specialist, at Haritha.Raja@fda.hhs.gov and CC: Contracting Officer, James Whitt, James.Whitt@fda.hhs.gov.
Contract Specialist, Haritha Raja by February 6, 2020, 3:00 PM, Eastern Time
(Name)
(Title, Name)
(Date & Time) Contracting Officer, James Whitt
(Title, Name)
The U.S. Food and Drug Administration intends to award a Blanket Purchase Agreement (BPA) with a performance period of 12 months, with four (4) 12-month options, to obtain Talent Acquisition Recruitment Services for the Food and Drug Administration (FDA) to support the execution of its mission to protect public health and its employees. The objective of the BPA is to establish a vehicle to provide qualified Executive, Senior, and Mid-Level Clinical and Non-Clinical candidates for any CDRH staffing requirements. Your agency/business has been selected as a past performance reference. Please take a moment to complete this past performance questionnaire using the ratings described below to answer each question; you may provide additional information. Please provide a justification for the ratings provided.
This survey pertains to Contractor: ________________________
Department/Component:
Contract Number: Date of Survey: ________________ Name of Person Completing Survey: ______________________________________ Your Company/Agency: ________________________________________________ Your Role in this Contract (circle one):
Contracting Officer Contract Specialist Project Officer Other Contract Value (including options): $_________________________________ Performance Period: _____________________________________________
(Including option periods) Type of Contract:
Approximate percentage of work being performed (or completed) by subcontractor(s): %
Information on subcontractor(s) (where more than 51% of work was completed by the subcontractor):
________________ Subcontractor
Program Manager
Phone
General description of products/services required under the contract:
RATINGS
Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support rating shall be noted on page 4.
Assign each area a rating of, 1 (Poor), 2 (Fair), 3 (Good),or 4 (Excellent). Use the attached Rating Guidelines as guidance in making these evaluations. Circle the appropriate rating. If you do not have enough personal knowledge or feedback from internal customers who directly received products and services from the contractor to make a determination on any of the performance criteria below, please circle "N/A" (not applicable/no opinion).
BUSINESS RELATIONS
1. Contractor provides knowledgeable, experienced, trained and qualified personnel.
N/A
3.
Effective management, including management of subcontracts
N/A
4.
Reasonable/cooperative behavior
N/A
5.
Responsive to contract requirements
N/A
6.
Notification of problems
N/A
7.
Flexibility
N/A
8.
Pro-active vs. reactive
N/A
QUALITY OF SERVICE
1.
Compliance with contract requirements
2. Contractor is responsive to technical direction.
N/A
Accuracy of reports
N/A
Effectiveness of personnel
N/A
Technical Excellence
COST CONTROL
Record of forecasting and controlling target costs
N/A
2.
Current, accurate and complete billings
N/A
Relationship of negotiated costs to actuals
N/A
Cost efficiencies
TIMELINESS OF PERFORMANCE
Met interim milestones
N/A
2.
Reliability
N/A
Responsive to technical direction
N/A
Completed on time including wrap-up and contract administration
N/A
Contractor Met contract delivery schedules/deadlines
N/A
6.
Contractor provided sufficient notification of contract problems to appropriate government personnel.
1 2
N/A
7.
Contractor is pro-active and is reasonable/cooperative
N/A
8.
Liquidated damages assessed: Yes No (circle one)
CUSTOMER SATISFACTION
The contractor is committed to customer satisfaction. Yes No (circle one) 2.
Would you recommend this contractor for award (Yes or No)? Please explain.
Yes No (circle one)
3. Are you satisfied with the service you received and would you hire the contractor again (Yes or No)? If not, why not? Please be specific.
4.
Do you feel the quality of the services received was worth the cost/price? Please circle one of the statements below.
A). Extremely well worth the cost.
B). Well worth the cost.
C). Worth the cost.
D). Cost was more than the value received.
E). Cost was greatly in excess of value received.
F). Government derived no value from cost spent.
ADDITIONAL COMMENTS:
RATING GUIDELINES
| QUALITY OF PRODUCT OR SERVICE |
| COST CONTROL |
| TIMELINESS OF PERFORMANCE |
| BUSINESS RELATIONS |
| 1-Poor |
| Major problems have been encountered |
| Contractor is having major difficulty managing costs effectively |
| Contractor is having major difficulty meeting milestones and delivery schedule |
| Response to inquiries, technical/ |
service/ administrative issues is marginally effective
| 2-Fair |
| Some problems have been encountered |
| Contractor is having some problems managing costs effectively |
| Contractor is having some problems meeting milestones and delivery schedule |
| Response to |
inquiries, technical/ service/ administrative issues is somewhat effective
| 3-Good |
| Minor inefficiencies/ |
errors have been identified
| Contractor is usually effective in managing costs |
| Contractor is usually effective in meeting milestones and delivery schedule |
| Response to |
inquiries, technical/ service/ administrative issues is usually effective
| 4-Excellent |
| Contractor is in compliance with contract requirements and/or delivers quality products/services |
| Contractor is effective in managing costs and submits current, accurate, and complete billings |
| Contractor is effective in meeting milestones and delivery schedule |
| Response to |
inquiries, technical/ service/ administrative issues is effective
File details come from the government source that posted it. Updated .