A - PAST PERFORMANCE QUESTIONNAIRE.doc
DOC document 45 KB Posted
- Attached to
- R604--Mail Service Federal contract opportunity
- Solicitation number
- 36C25820R0054
About this file
This document contains a past performance questionnaire for evaluating federal contractors. The questionnaire requests ratings and comments on a contractor's overall performance, responsiveness, quality control procedures, management of subcontractors if used, timeliness of issue correction, initiative in problem solving, development of realistic schedules, meeting of established schedules, cooperation with government personnel after award, and responsiveness to contract changes on a prior contract. It also asks whether the respondent would or would not enter into another contract with the contractor. The questionnaire is to be completed within seven days of receipt and faxed to the provided number.
The related federal contract opportunity is a solicitation for mail service at Southern Arizona Veterans Affairs Health Care Services. The service provider will be responsible for processing and presorting all mail, including first class, flats, standard mail, certified/registered mail, pharmaceuticals, and other items. The contractor must follow all USPS and legal requirements for mail processing.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25820R0054 0004.docx | DOCX document | |
| 36C25820R0054 0003.docx | DOCX document | |
| 36C25820R0054 0002.docx | DOCX document | |
| 36C25820R0054 0001.docx | DOCX document | |
| E - FMS Vendor Update Form.docx | DOCX document | |
| B - MAIL HISTORICAL WORKLOAD.xlsx | XLSX spreadsheet | |
| D - VA10091.pdf | ||
| C - W-9 Form.pdf | ||
| 36C25820R0054.docx | DOCX document |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTIN SENSITIVE
IAW FAR 2.101 AND 3.104
RFP:
CONTRACTOR: __________________________
I. Background
The purpose of this questionnaire is to obtain past performane information relative to contracts that have previously been completed within the past five years or are currently being performed by the contractor identified above. This company is a potential source for performing a Firm Fixed Priced contract.
II. Instructions
Please complete the questionnaire based on the following guidance:
A. Handwritten responses are sufficient.
B. Indicate, based on the description below, the contractor’s performance on the identified program in the assessment area. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:
| Rating |
| Definition |
| High Confidence |
| Based on the offeror’s performance record, the Government has high confidence the offeror will successfully perform the required effort. |
| Significant Confidence |
| Based on the offeror’s performance record, the Government has significant confidence the offeror will successfully perform the required effort. |
| Satisfactory Confidence |
| Based on the offeror’s performance record, the Government has confidence the offeror will successfully perform the required effort. Normal contractor emphasis should preclude any problems. |
| Unknown Confidence |
| No performance record is identifiable (see FAR15.305(a)(2)(iii) and (iv)). |
| Little Confidence |
| Based on the offeror's performance record, substantial doubt exists that the offeror will successfully perform the required effort. |
| No Confidence |
| Based on the offeror's performance record, extreme doubt exists that the offeror will successfully perform the required effort. |
Circle the word corresponding to your rating
C. Please provide comments for all questions in which a “No Confidence”, “Little Confidence”, or “Satisfactory Confidence” rating is given and as appropriate for all other answers. Space for your comments is provided in each area. If more space is needed, attach additional sheets to the end of the questionnaire and reference the respective question.
D. You are urged to supplement your own knowledge of the offeror’s performance with the judgement of others in your organization. In addition to completing the attached questionnaire for the program, we solicit your comments on other similar programs for which your office has contracts with this offeror.
E. PLEASE FAX YOUR COMPLETE QUESTIONNAIRE WITHIN 7 DAYS AFTER RECEIPT, BUT NO LATER THAN 10:00am, TO:
YOUR ASSISTANCE IN EVALUATING THE CONTRACTOR’S PAST PERFORMANCE IS APPRECIATED. OUR GOAL IS TO SELECT THE BEST VALUE TO THE GOVERNMENT. YOUR PAST PERFORMANCE EVALUATION IS A CONSIDERATION IN DETERMINING THE BEST VALUE.
III. Program Identification:
Evaluator please complete.
A. Contractor: _______________________________________________
B. Contract Number: __________________________________________
C. Estimated contract dollar amount: _____________________________
D. Period of Performance: _____________________________________
E. Describe product acquired: ___________________________________
F. Contract Type: ____________________________________________
IV. Past Performance Evaluation:
1. How would you rate the contractor’s overall performance on the project?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence Unknown Confidence Comments: ___________________________________________________________________
2. How would you rate the contractor’s responsiveness and flexibility in working around the end user’s schedule?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3. How would you rate the contractor’s experience with working on a hospital installation (i.e, contractor was cognizant of, and had no difficulty in complying, with stringent standards/regulations)?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
THE CONTRACTOR:
4. Provided effective quality control and/or inspection procedures to meet contract requirements?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence No Confidence Unknown Confidence
Comments: ___________________________________________________________________
5. Effectively managed subcontractors (if used)?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments: ___________________________________________________________________
6. Corrected deficiencies in a timely manner and pursuant to their quality control procedures?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7. Displayed initiative to solve problems?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
8. Developed realistic progress schedules?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
9. Met established project schedules?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
10. Cooperated with Government personnel after award?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
11. Was responsive to contract changes?
High Confidence Significant Confidence Satisfactory Confidence Little Confidence
No Confidence Unknown Confidence
Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Put an X next to the most applicable answer:
Knowing what I know about this contractor.
____I would not enter into another contract with this contractor
____I might enter into another contract with this contractor
____I would enter into another contract with this contractor
V. Respondent Information:
The following information will assist in the analysis of the data and will be kept confidential.
A. Name of Evaluator:______________________________________
B. Office Symbol/Location:__________________________________
C. Phone (Commercial/DSN):________________________________
D. Position of Title/Grade:___________________________________
E. Length of Time on Program/Contract:________________________
F. Date Questionnaire Completed:_____________________________
File details come from the government source that posted it. Updated .