Appendix B - Past Performance Questionnaire and Coversheet.docx

APPENDIX B – Past Performance Questionnaire and Coversheet

Past Performance Questionnaire Cover Sheet

To Whom It May Concern:

_[COMPANY NAME]__________________________ is currently responding to the U.S. Department of State RFP NO. 19AQMM23Q0021 to provide public member recruitment and staffing services for Global Talent Management. They are requiring that clients of entities responding to their solicitations be identified and their participation in the evaluation process is requested. Therefore, we are requesting that you provide the following information regarding performance on the enclosed Past Performance Survey. Please submit the completed Survey directly via email from the customer reference to Christopher L. Toso at TosoCL@state.gov by close of the RFP. The “subject” line in the submission email should clearly indicate: RFQ NO. 19AQMMA23Q0021 and the message shall originate from the Evaluator’s corporate or government email system.

By my signature below, I authorize you to respond to any additional inquiries by the U.S. Department of State regarding our performance on the referenced contract.

Signature _______________________________ Date __________________ Title ___________________________________

APPENDIX B

PAST PERFORMANCE QUESTIONNAIRE

19AQMM23Q0021

CONTRACT INFORMATION

a. Contractor: ________________________________________

b. Contract Number: ________________________________________

c. Type of Contract: (check all that apply)

I. ( ) Negotiated or ( ) Sealed Bidding

ii. ( ) Competitive or ( ) Non-Competitive

iii. ( ) Firm-Fixed-Price ( ) Cost-Plus-Fixed-Fee

( ) Time-and-Materials ( ) Labor Hour

( ) Indefinite Quantity ( ) Requirements

Other: __________________________________

d. Please complete the following:

Period of Performance: _________________ to ___________________

Initial Contract Value: $_____________________

Current (or Completed) Contract Value $_____________________

e. Brief description of requirement:

f. Complexity of effort: ( ) Difficult ( ) Routine

Please provide the following information (to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary):

Name of Evaluator: _________________________________ (Customer Contact)

Telephone Number: __________________________________

Facsimile Number: __________________________________

Organization/Office Symbol: ________________________

Mailing Address: ___________________________________

Position Title/Grade: ______________________________

Please provide a performance assessment and narrative on the following page (Note to U.S. Government evaluators: if a CPAR is final for this contract, please provide a consistent performance assessment when completing this survey or simply reference the CPAR):

SCORING CRITERIA

Assign one rating using the following definitions. Please provide a meaningful narrative if able:

EXCEPTIONAL - Indicates the Contractor’s performance within the area of evaluation clearly and consistently exceeds contractual requirements.

ACCEPTABLE - Indicates no problems in area of evaluation or has only minor problems for which solutions were satisfactory.

UNACCEPTABLE - Indicates serious problems in the evaluation area. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur.

SBU - CONTRACTING AND ACQUISITIONS