Attachment H - Past Performance Questionnaire.doc

SOLICITATION NO.: 75F40123R00136

Attachment H- Past Performance Questionnaire Post-market Bioequivalence of Generic Drug Products IDIQ

PAST PERFORMANCE QUESTIONNAIRE

Please complete the following questionnaire and return via email: Please reference “Past Performance Questionnaire, Acquisition & Grants Support Services, RFQ No. 75F40123R00136” in the subject line. Send to: Contracting Officer, Ian Weiss, at Ian.Weiss@fda.hhs.gov.

Contracting Officer, Ian Weiss by no later than due date of RFP

(Name)

(Title, Name)

(Date & Time)

Acquisitions & Grants Support to include services in the areas required by Food and Drug Administration (FDA) include Acquisitions and grants support services for an indefinite delivery indefinite quantity (IDIQ) contract are to:

· Provide acquisition and grant support services to OAGS as related to the full spectrum of acquisition activities, in accordance with the IDIQ Contract and Individual Task Orders (ITOs).

· Ensure contracts, grants and cooperative agreements, and inter-agency agreements (IAAs) are awarded per designated service level agreement (SLA) and in accordance with requisite statutes.

· Provide program and task order management for the Acquisition and Grant Support Services (AGSS) IDIQ requirements during the prescribed period of performance

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

A. 1.

Met interim milestones

N/A

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.

N/A

7.

Contractor is pro-active and is reasonable/cooperative

N/A 8.

Liquidated damages assessed: Yes No (circle one) B. How much time is needed for onboarding staff to fill open or vacant positions:

up to 1 to 2 week to fill opening or vacancy

NA

up to 2 to 4 weeks to fill opening or vacancy

NA

up to 4 to 6 weeks to fill opening or vacancy

NA

up to 6 to 8 weeks to fill opening or vacancy:

NA

more than 8 weeks to fill opening or vacancy

NA

Comments:

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

service/ administrative issues is marginally effective

inquiries, technical/ service/ administrative issues is somewhat effective

errors have been identified

inquiries, technical/ service/ administrative issues is usually effective

inquiries, technical/ service/ administrative issues is effective