ATTACHMENT 12 - Past Performance.docx
DOCX document 21 KB Posted
- Attached to
- R405--Terminology Standards Support IDIQ Federal contract opportunity
- Solicitation number
- 36C77621R0001
About this file
This document contains a past performance questionnaire template for a federal contract opportunity to provide terminology services to the Department of Veterans Affairs. The questionnaire seeks evaluations on an offeror's performance on previous relevant contracts in areas such as quality of work, responsiveness, ability to manage projects, communication, and quality control. Respondents are asked to provide ratings of outstanding, above average, satisfactory, or unacceptable for each evaluation area and an overall rating. The completed questionnaires must be returned to Kymberly Morgan at the VA by the deadline for proposals in response to solicitation number 36C77621R0001 for an IDIQ contract to provide terminology standard support services to the VA.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C77621R0001 0001.docx | DOCX document | |
| ATTACHMENT 11 - Business Associate Agreement.doc | DOC document | |
| ATTACHMENT 5 - Contractor Personnel Change Form.doc | DOC document | |
| ATTACHMENT 10 - Sample BOE.xlsx | XLSX spreadsheet | |
| ATTACHMENT 9 - Sample TBOE.xlsx | XLSX spreadsheet | |
| ATTACHMENT 1 - Terminology PWS_.docx | DOCX document | |
| 36C77621R0001.docx | DOCX document | |
| ATTACHMENT 7 - Labor Categories and Descriptions.xlsx | XLSX spreadsheet | |
| ATTACHMENT 6 - Contractor Staff Roster.doc | DOC document | |
| ATTACHMENT 8 - IDIQ PRICE SCHEDULE.xlsx | XLSX spreadsheet | |
| ATTACHMENT 4 - TMS User Request.doc | DOC document | |
| ATTACHMENT 3 - Travel Authorization Request.doc | DOC document | |
| ATTACHMENT 2 - Quality Assurance Surveillance Plan.doc | DOC document |
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Text version
Attachment K
PAST PERFORMANCE QUESTIONNAIRE
The Department of Veterans Affairs, Veterans Health Administration - Program Contracting Activity – Central (PCAC) is considering the Offeror listed below for award of a contract to provide Terminology Services for Veterans Health Administration.
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. In addition to submitting this questionnaire, the PCAC may contact you in order to obtain any additional information regarding a contract award.
Please email your completed questionnaire to Kymberly Morgan at Kymberly.Morgan@va.gov no later than the date proposals are due.
**All Email Correspondence for this project must reference the RFQ Number, Project Identifier and Project Title in the subject line of the email:36C77621R0001, Terminology Services
If you have questions regarding the attached questionnaire, or require assistance, please email Kymberly Morgan at Kymberly.Morgan@va.gov.
Past Performance Information:
Name and Address of Company (Offeror) being evaluated:
Contract Number/Delivery or Task Order Number, Title, & Location of project the Offeror performed:
Evaluator: (The following information will assist in the analysis of the data. Information will be kept confidential)
Name of Evaluator:
Address:
Phone Number:
Position held or function in relation to project:
Rating: Please evaluate the past performance using only the following ratings without variation. DO NOT RATE ON A “+” OR “-“SCALE. If a “+” or “-“is used, the rating without the "+" or "-" will be applied. In addition to the ratings, please provide a short narrative in the appropriate block or in the remarks section of this form.
| “O” |
| Outstanding |
| The Offeror’s performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the offeror were highly effective. |
| “A” |
| Above Average |
| The Offeror’s performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the offeror were effective. |
| “S” |
| Satisfactory |
| The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory. |
| “U” |
| Unacceptable |
| Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the offeror has yet to identify corrective actions or the offeror’s proposed actions appear only marginally effective or were not fully implemented. |
Please rate and provide any supporting information/comments for the following:
1. The quality of the working relationship with the client (the tenant and/ or owner).
O A S U
2. The professionalism and integrity with which offeror conducted business.
O A S U
3. The responsiveness to the client’s needs and expectations.
O A S U
4. The Offeror’s ability to manage and perform the project successfully.
O A S U
5. The offeror’s level of communication.
O A S U
6. The quality control of the project.
O A S U
7. Would you award another contact to the party being evaluated? If no, please explain.
Yes No
8. The delivery of the project was on schedule.
O A S U
9. Overall rating for this firm:
O A S U
Signature of Evaluator
Date
File details come from the government source that posted it. Updated .