Attach J.5 Past Perform.docx
DOCX document 23 KB Posted
- Solicitation number
- 7571MN26R00052
- Issued by
- Not on record
About this file
This is a Past Performance evaluation attachment document for a Federal Occupational Health solicitation regarding Medications, Vaccines, and Medical Supplies (MVMS). The file serves as an appendix template that establishes the framework and requirements for offerors to demonstrate their past performance capabilities in delivering similar products and services to the federal government.
The past performance submission is Volume III of the four-volume proposal package required for the solicitation 7571MN26R00052, with a proposal deadline of September 25, 2026 at 12:00 pm Eastern Time. Offerors must submit their past performance documentation in portable document format (PDF) as part of their complete response to this Request for Proposals (RFP). This evaluation criterion allows the Government to assess vendor experience, reliability, and successful delivery history relevant to providing medications, vaccines, and medical supplies under the primary NAICS code 423450 (Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers). The contracting officer for technical questions is Chaunda.Stewart@hhs.gov, with a question submission deadline of September 16, 2026 at 5:00 pm Eastern Time.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach J.7 Cntr Self Assess.docx | DOCX document | |
| Attach J.6 Finan Cap Wrk.docx | DOCX document | |
| Attach J.4 Offeror Checklist.docx | DOCX document | |
| Solicitation MVMS V7.1.pdf | ||
| Attach J.3 Product Cap Matrix.xlsx | XLSX spreadsheet | |
| Attach J.1 Product List.xlsx | XLSX spreadsheet | |
| Attach-J.2 Pricing Worksheet.xlsx | XLSX spreadsheet |
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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
· Include an explanation of problems, delays, cost overruns and corrective actions taken
File details come from the government source that posted it. Updated .