Attachment 1 - Past Performance Questionnaire.doc
DOC document 60 KB Posted
- Attached to
- U. S. Vape Shop and Vaper Surveys
- Solicitation number
- FDA-RFP-1224045
About this file
This document contains a past performance questionnaire for a contractor bidding on the Food and Drug Administration solicitation number FDA-RFP-1224045. The solicitation seeks to obtain additional data and information on tobacco product sales from vape shops and tobacco product use among vapers, including de-identified raw data and information from a U.S. Vape Store Survey and U.S. Vape Product Consumer Survey. The past performance questionnaire requests a reference to rate the contractor's performance on a previous contract in areas such as requirements, timeliness, quality of deliverables, cost control, and small business goals. References are asked to provide ratings of exceptional, very good, satisfactory, marginal, or unsatisfactory and any relevant comments. The completed questionnaire must be submitted to the FDA contract specialist Ravichandan Palaniandy by 3:00 PM Eastern Standard Time on May 15, 2020.
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| File | Type | Posted |
|---|---|---|
| Attachment 2 - Question and Answer.pdf | ||
| FDA-RFQ-1224045 Final.pdf |
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Attachment 1 – Past Performance Questionnaire
FDA—RFP-1224045
U.S. Vape Shop and Vaper Surveys
We are currently in the process of preparing our proposal for the United States Food and Drug Administration, (FDA) Solicitation Number FDA-RFP-1224045. As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.
Please complete this Questionnaire Contract Specialist, Ravichandan.Palaniandy e-mail: Ravichandan.Palaniandy@fda.hhs.gov; Phone: 301-796-4378 The Questionnaire is due to Ravichandan Palaniandy no later than 3:00 PM Eastern Standard Time on May 15, 2020. Questionnaire must be submitted directly to the Contract Specialist on company letterhead if faxed or emailed from a corporate email account.
Thank you.
NAME OF OFFEROR:
Phone:
E-Mail:
I. Current or Historical Contract Information
CONTRACT REFERENCED:
1. Contract or Identifying Number: ________________________________________________
2. Contract Value: _____________________________________________________________
3. Period of Performance: ______________________________________________________________________________
4. Brief description of services provided:
5. Name of Person Completing Questionnaire: _______________________________________ Agency/Company:
Title: __________________________________ Phone: _____________________________
E-mail: _____________________________________________________________________ Signature:____________________________________________________________ II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.
Evaluation Definitions – The following definitions should be used in the assessment of Contractor performance.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
Past Performance Evaluation
Question 1. Performance What is your assessment of the Contractor’s ability to meet your requirements?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Performance
Comments, if any.
Questions 2 and 3. Timeliness
What is your assessment of the Contractor’s ability to provide deliverables in a timely manner?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Timeliness
Ability to Resolve Timeliness Problems
Question 4. Quality of Deliverables What is your assessment of the quality of the Contractor’s deliverables?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Quality of Deliverables
Question 5. Cost Control (Cost/T&M Contracts Only) Did the contractor succeed at keeping actual cost/projected level of effort consistent with the negotiated/awarded cost ceiling/projected level of effort? Did the contractor provide adequate budgetary internal controls, current, accurate, and complete billings?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
Cost Control
Question 6. Small Business Goals (If applicable) In accordance with FAR 15.304(c)(3)(ii), if the performance of this contract required a subcontracting plan, describe the contractor’s success/ability in obtaining the goals set out in their plan?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
General Comments:
Question 7. Overall Rating of Contractor’s performance What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
General Comments:
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