Atch-04 Past Performance Questionnaire.pdf

HT 001126 R E011, Attachment 0 4

PRESENT AND PERFORMANCE QUESTIONNAIRE

Offeror’s/Bidder’s Name (Company/Division):

Reference Information Table Business Name of Reference & Address

Point of Contact

Phone number

E-mail address

Contract Number

Type

Contract Value

a. Original

b. Value at Completion

c. Reason for any Changes

Period of Performance

a. Date Completed/To Be Completed

b. Reason for Any Change

Description of Effort

HT 001125 R 0001, Attachment B P a g e 2 o f 3

Evaluation KEY: Please use the following abbreviations to assign an applicable rating for questions 1 thru 6 below:

P/U S G VG E N

Poor

Unsatisfactory Satisfactory Good Very Good Excellent Neutral

Does not meet minimum acceptable standards in one or more areas; remedial action required in one or more areas;

deficiencies in one or more areas, which adversely affect overall performance.

Meets or slightly exceeds minimum acceptable standards;

adequate results;

reportable deficiencies with identifiable, but not substantial, effects on overall performance.

Effective performance; fully responsive to contract requirements;

reportable deficiencies, but with little identifiable effect on overall performance.

Very effective performance; fully responsive to contract requirements;

contract requirements accomplished in a timely, efficient, and economical manner for the most part;

only minor deficiencies with minimal effect on overall performance

Of exceptional merit;

exemplary performance in a timely, efficient, and economical manner;

very minor (if any) deficiencies with no adverse effect on overall performance

No record of relevant past performance or past performance information is not available

Return completed surveys to andrea.v.rivas.civ@health.mil and linda.m.walker38.civ@health.mil

1. How would you rate the Contractor’s compliance with the delivery schedule / performance milestones?

Comments:

P/U S G VG E

N

2. How would you rate the Contractor’s business practices (e.g. maintaining a positive working relationship, business ethics, timely and effectively resolution of any problems etc.)?

3. How would you rate the Contractor’s record of conforming to contract requirements and to standards of good workmanship/quality of the product or service/timeliness of performance/report submission?

4. How would you rate the Contractor’s previous work for developing a searchable metadata repository and performance of data governance/management practices?

Comments:

mailto:andrea.v.rivas.civ@health.mil mailto:linda.m.walker38.civ@health.mil

HT 001125 R 0001, Attachment B P a g e 3 o f 3

5. How would you rate the Contractor’s ability to measure compliance with data quality (DQ) rules, contract-based access controls, and semantic tagging protocols.

Comments:

6. How would you rate the Contractor’s previous work to evaluate the data mesh’s ability to support responsible, scalable, and secure use of artificial intelligence and machine learning (AI/ML) across a large enterprise?

Comments:

7. How would you rate the Contractor’s overall compliance with the terms and conditions of your purchase order /contract?

8. How would you rate the Contractor’s history of reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business-like concern for the interest of the customer?

9. How would you rate the Contractor’s overall performance?

10. Would you purchase services from this Contractor again? Comments:

YES NO

EVALUATOR NAME/TITLE