Attach 7_Past Performance Questionnaire (PPQ)_23R0005.docx
DOCX document 24 KB Posted
- Attached to
- Nurse Case Managers Federal contract opportunity
- Solicitation number
- W81K00-23-R-0005
- Issued by
- Department of the Army Medical Command
About this file
This document contains a solicitation for a personal services contract and a past performance questionnaire. The solicitation is for twenty full-time nurse case managers to provide patient care management at Brooke Army Medical Center at Joint Base San Antonio. The requirement is being solicited as an 8(a) small business set-aside. The contract will be a firm-fixed price award with a one year base period and four one-year option periods. Proposals are due by January 16, 2023. The past performance questionnaire is a template for references to validate the past performance of offerors, and includes questions about prior contracts, quality of service, and business relations. Responses to the questionnaire are due to the Army Medical Command by January 16, 2023.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W81K00-23-R-0005_0002.pdf | ||
| W81K00-23-R-0005 _ Updated pdf.pdf | ||
| Questions_Responses_Updated_W81K00-23-R-0005_0002.pdf | ||
| W81K00-23_R-0005_0002.pdf | ||
| QUESTIONS_ANSWERS_W81K00-23-R-0005_29 December 2022.pdf | ||
| Revised_Attachment 2_Pricing Worksheet_Amend 0001_29 Dec 22.xlsx | XLSX spreadsheet | |
| W81K00-23-R-0005 - 0001.pdf | ||
| Attachment 3_ Compensation Plan.xlsx | XLSX spreadsheet | |
| Attach 6_Past Performance Information (PPI) Sheet_23R0005.docx | DOCX document | |
| Attachment 4_Performance Work Statement (PWS)_Nurse Case Managers (NCMs)_23R0005.pdf | ||
| Solicitation W81K0023R0005_22DEC2022.pdf | ||
| Attachment 5_Service Contract Act WD 2015-5253.pdf | ||
| Attachment 2_Pricing Worksheet.xlsx | XLSX spreadsheet | |
| Attach 1_Instructions to Offerors_Evaluation Criteria_23-R-0005_22 DEC 2022.pdf |
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Text version
Attachment 7 W81K00-23-R-0005
PAST PERFORMANCE QUESTIONNAIRE
The Medical Readiness Contracting Office is conducting a competitive acquisition for Personal Services requirement of 20 Nurse Case Managers for Brooke Army Medical Center (BAMC), JBSA, Fort Sam Houston, Texas. The offeror has identified you as a reference to validate past performance.
Please complete the following questionnaire to assist our evaluation of the contractor’s past performance, and return to tammi.r.lambert.civ@health.mil and robin.m.castro.civ@health.mil by 16 January 2023, 2:00 PM CT (San Antonio, Texas). Note: Clearly identify and provide the name of the Prime Contractor and Subcontractor. Specify Prime Contractor/Subcontractor.
Name of Contractor being evaluated:
Contract/Order Number: __________________________________________________________________
1. Type of service being provided?
2. Where is the location of this service?
3. What is the contract amount?
4. How many Full Time Equivalents (FTE) are on the contract?
5. Have there been any unsatisfactory performance resulting in additional contractual or administrative costs?
Yes |_| No |_| If “Yes,” explain:
The last two questions will discuss quality of service & customer relations. Please refer to the following:
Rating System:
1. Excellent – Overall performance exceeds contractual requirements and gives extra benefits to the customer. Problems, if any, were promptly corrected without negative impact to the customer.
1. Satisfactory – Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory
1. Marginal - Performance does not meet some contractual requirements. The contractor’s proposed actions to correct any problems appear only marginally effective or were not fully implemented.
1. Unsatisfactory – Performance does not meet most contractual requirements. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
IMPORTANT NOTE: NARRATIVES MUST BE PROVIDED FOR ANY RATING OTHER THAN SATISFACTORY AND MUST SUPPORT THE RATING GIVEN.
PAST PERFORMANCE QUESTIONNAIRE, Continued
6. Quality of Service – Please rate overall compliance with the contract Performance Work Statement.
(1) Excellent |_| (2) Satisfactory |_| (3) Marginal |_| (4) Unsatisfactory |_|
If other than “Satisfactory,” a narrative must be provided to explain how the overall performance exceeds or does not meet contractual requirements:
7. Business/Customer Relations – Please rate overall effective management; successfully managed services; reasonable/cooperative behavior; flexibility; business-like concern for customer’s interest.
(1) Excellent |_| (2) Satisfactory |_| (3) Marginal |_| (4) Unsatisfactory |_|
If other than “Satisfactory,” a narrative must be provided to explain how the overall performance exceeds or does not meet contractual requirements:
Signature: Date:
Print Name: Company:
Title: Telephone:
Thank you for your participation in providing a detailed and accurate history of past performance for this offeror.
File details come from the government source that posted it. Updated .