Attachment 01 PREA Audit Support Services_Past Performance Questionnaire.doc
DOC document 75 KB Posted
- Solicitation number
- 15PBJA23Q00000004
About this file
This document is a past performance questionnaire template for a PREA audit support services contract opportunity. The Department of Justice Office of Justice Programs is soliciting quotations for PREA audit support services under solicitation number 15PBJA23Q00000004. The past performance questionnaire is to be filled out by references and evaluates a quoter's performance on contracts of similar size, scope and complexity. It assesses areas such as quality of services, timeliness of deliverables, ability to resolve problems, recruiting and staffing, workload fluctuations, communication and responsiveness. Raters are asked to provide ratings on a scale of exceptional to unsatisfactory for questions pertaining to the quoter's performance. The completed questionnaire is to be emailed to a point of contact at the Department of Justice Office of Justice Programs to inform their evaluation of quotations.
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Attachment 1 – PREA Audit Support Services
Instructions:
The company who has provided you with this form is proposing to submit a quotation to the Department of Justice, Office of Justice Programs (OJP) solicitation for PREA audit support services. Past Performance is an extremely important part of the evaluation criteria for this acquisition; therefore, your input is extremely important. The questionnaire should be filled out and emailed to Samuel.Layton@ojp.usdoj.gov. This information will not be disclosed to the Quoter. If you have any questions, please contact Samuel Layton at Samuel.Layton@ojp.usdoj.gov.
If reference is for a subcontractor on the instant procurement, the prime contractor is: _____________________ Company Name & Address:
| Contract Number: |
| Period of Performance: |
| Contract Value: |
| Complexity: FORMCHECKBOX |
Routine FORMCHECKBOX Moderate FORMCHECKBOX Difficult
| Contract Role: |
| FORMCHECKBOX |
Prime FORMCHECKBOX Subcontractor FORMCHECKBOX Team Member
Description of the Work Performed Under the Contract (Please be specific about tasks performed.)
Performance Survey: Please indicate how the company performed in each area assessed.
| No |
| Performance Questions |
E=Exceptional VG= Very Good S= Satisfactory M=Marginal
U-Unacceptable N/A= Not Applicable
| Ratings (Mark an “X” in the appropriate Selection) |
| E |
| VG |
| S |
| M |
| U |
| N/A |
| 1. |
| If applicable, how did the contractor perform during a transition of task from another firm? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
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| 2. |
| General quality of services and support provided during their period of performance? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
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FORMCHECKBOX
| 3. |
| Content, accuracy, and timeliness of technical reports and deliverables? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
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FORMCHECKBOX
| 4.a. |
| Contractor’s ability to identify and correct performance deficiencies in a timely manner? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
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FORMCHECKBOX
| 4.b. |
| Contractor’s ownership of problems and actively working to resolve them? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
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| 5. |
| Ability to recruit and retain highly skilled personnel, including ability to fill key vacancies in a timely manner? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 6. |
| Ability to handle fluctuating workloads? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 7. |
| Communicating schedules, delays, and expectations and interfacing with Government employees? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 8. |
| Overall Responsiveness to Government requests? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
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| 9. |
| If performance based, how successful was the Contractor in meeting the contract metrics? |
| FORMCHECKBOX |
FORMCHECKBOX
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FORMCHECKBOX
| 10. |
| Overall Contract Performance Rating? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Additional Rater Comments About Contract Performance
Definitions:
i. Exceptional: Performance meets contractual requirements and exceeds many to the Customer's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
ii. Very Good: Performance meets contractual requirements and exceeds some to the customer's benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
iii. Satisfactory: Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
iv. Marginal: Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified or taken satisfactory corrective action.
v. Unsatisfactory: Performance does not meet most contractual requirements and recovery did not occur or is not likely to occur in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective action appear or were ineffective.
vi. Not applicable: Does not apply to the acquisition.
Rater Information
| Name |
| Title |
| Agency/Company |
| Phone: |
| Email: |
Signature (Digital)
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