Attachment F - Past Performance Questionnaire.pdf

SOURCE SELECTION SENSITIVE - NOT FOR PUBLIC RELEASE

ATTACHMENT F - PAST PERFORMANCE QUESTIONNAIRE

HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA)

OFFICE OF ACQUISITION MANAGEMENT AND POLICY (OAMP)

PAST PERFORMANCE QUESTIONNAIRE

Solicitation #: 75R60221R00007 Solicitation Title: Electronic Handbooks DME Due Date and Time: March 17, 2021, 2:00 pm EST

Email completed questionnaire to HRSA/OAMP at: lericksen@hrsa.gov

Client/Reference: Our organization is currently responding to the above solicitation. The Government is placing increased emphasis in its acquisition process on past performance as a source selection factor and is requiring that clients of firms responding to HRSA solicitations be identified and their participation in the evaluation process be requested. Since this information will be used as one of the evaluation factors for contract award, we are requesting that this questionnaire be completed and returned, via email, directly to the email address listed above, no later than the due date and time stated.

Contractor Name:

EVALUATOR INFORMATION

Commercial Client State/Local Government Client

Name:

Address:

City State Zip Code

Project Title:

Contract Number/Order Number: __ _________________________________________

Period of Performance (all years): Total Contract Value (including base & all options):

Government or Commercial Contracting Officer’s Representative (COR)

Government or Commercial Project Manager Contact

Name: Name:

Title: Title:

Phone number: Phone number:

Email: Email:

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E

Project Description:

Past Performance Questionnaire Attachment ___

PART 1: GENERAL PERFORMANCE

Instructions: Please rate each of the following areas based on the evaluation scale included in Appendix A. Definitions for the performance areas to be rated are included in Appendix B. Other evaluation areas that are unique to the contract or that cannot be captured elsewhere should be added to the table. Lines 7-9 are in the table for this purpose, but additional lines can be added by references. Space to include comments to support ratings is provided in the ‘Comments’ section.

Performance Areas Exceptional Very Good

Satisfactory Marginal Unsatisfactory N/A

1. Quality of Product/Service

2. Schedule

3. Cost Control

4. Business Relations

5. Management of Key Personnel

6. Utilization of Small Business

7. Other Area -

8. Other Area -

9. Other Area -

Overall Recommendation Definitely Would

Probably Would

Might or Might Not

Probably Would Not

Definitely Would Not

Given the contractor’s ability to execute the contract requirements, I would award another contract to this firm/organization.

Comments:

APPENDIX A - PAST PERFORMANCE RATINGS

The Federal Government uses the Contractor Performance Assessment Reporting System (CPARS) to document contractor performance information that is required by Federal Regulations. Past performance information entered into CPARS is available to Federal agencies to review relevant performance and integrity information before making an award decision. The ratings and definitions used in this questionnaire are identical to those used in CPARS.

Rating Definition Exceptional Performance meets contractual requirements and exceeds many to the Government's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good Performance meets contractual requirements and exceeds some to the Government's benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner.

The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.

APPENDIX B – PERFORMANCE AREA DEFINITIONS

The Federal Government uses the Contractor Performance Assessment Reporting System (CPARS) to document contractor performance information that is required by the Federal Acquisition Regulations. The performance areas and definitions used in this questionnaire are identical to those used in CPARS.

Quality of Product/Service – Assess the contractor’s conformance to contract/order requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards). For example: Are reports/data accurate? Does the product or service provided meet the specifications of the contract/order? Does the Contractor’s work measure up to commonly accepted technical or professional standards?

Assess the degree of customer (Government or Commercial) technical direction required to solve problems that arise during performance.

For Operations Support: Assess how successfully the contractor meets program quality objectives such as ability to produce, reliability, maintainability and ability to inspect. The evaluator must be flexible in how contractor success is measured; e.g., using data from field reliability and maintainability and failure reports, user comments, and acceptance rates, and scrap and rework rates. Did the contractor demonstrate continuous improvement, quality and reliability leadership that reflects progress in quality management?

Schedule – Assess the timeliness of the contractor against the competition of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or effect the schedule variance).

This evaluation of the contractor’s adherence to the required delivery schedule should include the contractor’s efforts during the evaluation period that contributes to or effects the schedule variance. This element applies to contract/order closeout activities as well as contract performance. Instances of adverse actions such as assessment of liquidated damages, or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract/order schedule and should therefore be noted in the evaluation.

Cost Control (Not required for Firm Fixed Price or Firm Fixed Price with Economic Price Adjustment) – Assess the contractor’s effectiveness in forecasting, managing, and controlling contract/order cost. For example, does the contractor keep within the total estimated cost (what is the relationship of the negotiated costs and budgeted costs to actuals)? Did the contractor do anything innovative that resulted in cost savings? Were billings current, accurate and complete? Are the contractor’s budgetary internal controls adequate?

Business Relations – Assess the integration and coordination of all activity needed to execute the contract/order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts.

Include, as applicable, information on the following:

Is the contractor oriented toward the customer?

Is interaction between the contractor and the customer satisfactory or does it need improvement?

Include the adequacy of the contractor’s accounting, billing, and estimating systems and the contractor’s management of customer property if a substantial amount of property has been provided to the contractor under the contract/order.

Address the timeliness of awards to subcontractors and management of subcontractors, including subcontract costs. Consider efforts taken to ensure early identification of subcontract problems and the timely application of corporate resources to preclude subcontract problems from impacting overall prime contractor performance.

Assess the prime contractor’s effort devoted to managing subcontracts and whether subcontractors were an integral part of the contractor’s team.

Management of key Personnel (Applicable when the contract/order contains a Key Personnel clause) – Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.

For example, how well did the contractor match the qualifications of the key position, as described in the contract/order, with the person who filled the key position/ Di the contractor support key personnel so they were able to work effectively ? If a key person did not perform well, what action was taken by the contractor to correct this? If a replacement of a key person was necessary, did the replacement meet or exceed the qualifications of the position as described in the contract/order schedule?

Utilization of Small Business (Applicable only to Government contracts with small business clauses) – FAR subpart 19.7 and 15 U.S.C. 637 contain statutory requirements for complying with the Small Business subcontracting Program. Assess whether the Contractor provided maximum practicable opportunity for Small Businesses to participate in contract/order performance consistent with efficient performance of the contract/order.

Assess compliance with all terms and conditions in the contract/order relating to Small Business participation (including FAR 52.219-8, Utilization of Small businesses and FAR 52.219-9, small business Subcontracting Plan (when required)). Assess any Small Business participation goals, to include AbilityOne goals, which are stated separately in the contract/order. Assess achievement on each individual goal stated within the contract/order of subcontracting plan including good faith effort if the goal was not achieved.