Attach J.5 Past Perform.docx
DOCX document 22 KB Posted
- Solicitation number
- 7571MN26R00026
About this file
This is a Past Performance evaluation document attachment for a federal solicitation. The document serves as an appendix template for vendors to submit past performance information demonstrating their qualifications and experience relevant to the Federal Occupational Health - Medications, Vaccines, and Medical Supplies (MVMS) contract opportunity.
The file is a template or attachment form designed to capture vendor past performance data as part of the proposal evaluation criteria for solicitation 7571MN26R00026. Proposals incorporating this attachment must be submitted to the Department of Health and Human Services by August 5, 2026, at 5:00 pm Eastern Time. This attachment supports the overall solicitation for a single-award contract (not to exceed five years) to provide medications, vaccines, and medical supplies through a nationwide, contractor-managed web-based ordering portal for FOH locations. Questions regarding the solicitation must be submitted by July 25, 2026, at 5:00 pm ET to Chaunda.Stewart@hhs.gov. The specific content, format requirements, and evaluation criteria for past performance submissions would be detailed within the template itself.
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Other files
| File | Type | Posted |
|---|---|---|
| SF30 Amendment 0002 MVMS.pdf | ||
| Solicitation_7571MN26R00026_Questions_Answers_7_28_2026.xlsx | XLSX spreadsheet | |
| SF30_Amendment_0001_MVMS_CO_Signed.pdf | ||
| Attach J.4 Offeror Checklist.docx | DOCX document | |
| Attach J.6 Finan Cap Wrk.docx | DOCX document | |
| Attach-J.2 Pricing Worksheet.xlsx | XLSX spreadsheet | |
| Attach J.7 Cntr Self Assess.docx | DOCX document | |
| Attach J.3 Product Cap Matrix.xlsx | XLSX spreadsheet | |
| Attach J.1 Product List.xlsx | XLSX spreadsheet | |
| Solicitation MVMS v5.pdf |
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Text version
Sample Past Performance Questionnaire (PPQ) Solicitation Number: __________________________ Offeror Name: ________________________________ Section 1 – Contract Information Project/Contract Title: __________________________________ Contract Number/Task Order Number: ______________________ Customer/Agency: _______________________________________ Period of Performance: _________________________________ Total Contract Value (including options): ________________ Contract Type: ☐ FFP ☐ T&M ☐ Cost Reimbursement ☐ Other Offeror's Role: ☐ Prime Contractor ☐ Subcontractor Percentage of Work Performed: ___________________________
Section 2 – Customer Reference Information Customer Point of Contact Name: ________________________ Title: ________________________________________________ Organization: _________________________________________ Phone: _______________________________________________ Email: _______________________________________________ Alternate Point of Contact: _____________________________
Section 3 – Contract Effort Description Please describe the scope of work performed and explain its relevance to the current solicitation.
Description of Services:
Similarity to Current Requirement (scope, size, complexity, mission, technology):
Section 4 – Performance Assessment Please rate the contractor's performance using the following scale:
| Rating |
| Definition |
| Exceptional |
| Exceeded requirements with significant benefit |
| Very Good |
| Exceeded requirements with some benefit |
| Satisfactory |
| Met requirements |
| Marginal |
| Did not meet some requirements |
| Unsatisfactory |
| Failed to meet requirements |
These rating categories mirror those commonly used in CPARS and HHS PPQs. (GovTribe)
| Performance Area |
| Rating |
| Quality of Product/Service |
| ☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory |
| Schedule Performance |
| ☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory |
| Cost Control (if applicable) |
| ☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory |
| Business Relations/Customer Satisfaction |
| ☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory |
| Management of Key Personnel |
| ☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory |
| Small Business Utilization (if applicable) |
| ☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory |
Section 5 – Narrative Comments Quality of Performance
Schedule Adherence
Cost Management
Responsiveness and Business Relations
Key Personnel Performance
Small Business Participation
Section 6 – Overall Assessment Would you award a similar contract to this contractor again?
☐ Definitely Would ☐ Probably Would ☐ Might or Might Not ☐ Probably Would Not ☐ Definitely Would Not Please explain:
Evaluator Name: _______________________________________ Title: _______________________________________________ Organization: _________________________________________ Signature: ___________________________________________ Date: ________________________________________________ Tips for HHS Evaluations When using a PPQ for an HHS proposal, emphasize:
· Similar healthcare, public health, IT, grants management, program support, or scientific support work.
· Quantifiable results (e.g., service levels, staffing fill rates, system uptime, customer satisfaction).
· Successful management of key personnel.
· Positive CPARS ratings when available.
· On-time and within-budget performance. (GovTribe) If you're responding to a specific HHS solicitation, I can tailor this template to the exact Section L and Section M evaluation criteria.
File details come from the government source that posted it. Updated .