Attachment 1 - Past Performance Survey - RFQ 75H70425Q00036.pdf
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- Solicitation number
- 75H70425Q
About this file
This document is a Past Performance Survey from the Indian Health Service (IHS) for a Community Health Representative E-Learning Training Services solicitation. The survey is designed to collect detailed performance feedback from previous clients, with ratings across multiple categories including quality of service, cost control, timeliness of performance, business relations, and customer satisfaction.
The survey provides a comprehensive evaluation framework with ratings ranging from Excellent to Unacceptable, assessing specific aspects such as compliance with contract requirements, accuracy of reports, effectiveness of personnel, technical excellence, cost forecasting, milestone achievement, and overall customer satisfaction. The document is marked "SOURCE SELECTION SENSITIVE - NOT FOR PUBLIC RELEASE", indicating it is part of a confidential procurement process for evaluating potential contractors' past performance for the IHS e-learning training services contract.
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ATTACHMENT #1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service Past Performance Survey
Solicitation No.
Services
Contractor Name:
CLIENT INFORMATION
Commercial Client Federal Client Client Name:
Client Address:
City State Zip Code Project Name:
Contract Number(s): Total Contract Value:
Performance Period: Teaming Partner(s):
Government or Commercial Project Manager Contact
Alternate Government or Commercial Project Manager Contact
Name: Name:
Title: Title:
Phone number: Phone number:
Fax number: Fax number:
E-mail address:__ E-mail address:
SPECIFIC PERFORMANCE
Instructions: This part consists of open-ended questions to determine the scope, complexity, and relevance of the project to the current requirement. Please answer the questions concisely and to the best of your knowledge.
1. Describe the overall project type the contractor provided.
2. Describe the end goal/end product and result.
3. Describe the long-term program development involved in performing this task.
4. Describe the level of planning and staffing contractor was required to perform and if they met the contracts exceptions.
5. Describe the average timeline involved in completing this project and if contractor met that timeline within reason.
SOURCE SELECTION SENSITIVE
NOT FOR PUBLIC RELEASE
Past Performance Survey
PAST PERFORMANCE RATINGS
Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Comments to support ratings may be noted on last page. The Government will assess an overall past performance rating for each reference contacted. The overall ratings of each reference will then be combined to arrive at a final past performance rating that will be assigned points based upon the following rating scheme:
RATINGS ARE DEFINED AS FOLLOWS:
Definition Description
Excellent The Contractor demonstrates an excellent performance level in all categories. There have been no performance problems and the Contractor has demonstrated initiative to enhance/exceed contractual requirements and objectives.
The Contractor also has maintained an excellent Contractor/Government relationship throughout contract performance
Good There are no quality of service problems; no cost/price issues; and no delays. Responses to inquiries and technical/service administrative issues are consistently effective and responsive. Non-conformance does not impact achievement of contract requirements.
Acceptable Non-conformances are minor and have little impact in achievement of contract requirements, requires minor intervention by Government personnel to resolve issues.
Marginal Non-conformances are impacting achievement of contract requirements, requires substantial intervention by Government personnel to resolve issues.
Unacceptable Non-conformances are compromising the achievement of contract requirements, despite substantive intervention by Government personnel.
SOURCE SELECTION SENSITIVE
NOT FOR PUBLIC RELEASE
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