Attachment 3- Past Performance Questionnaire.doc

DOC document 77 KB Posted

Attached to
Management of the Electronic Grants System (EGS)
Solicitation number
W81XWH20R0015
Issued by

About this file

This document contains a past performance questionnaire and instructions for evaluating offerors responding to solicitation number W81XWH20R0015 for management of the Electronic Grants System. The Army Medical Research Acquisition Activity is seeking a contractor to support tasks in the performance work statement for the Congressionally Directed Medical Research Program's Electronic Grants System. The requirements include project management, requirements analysis, application development, and information technology engineering from an experienced team to perform tasks, produce deliverables, and meet cost, schedule, and performance standards. The past performance questionnaire instructions direct respondents to provide ratings and comments on a contractor's understanding of requirements, problem resolution, resource management, personnel provision and retention, schedule adherence, deliverable quality, compliance, cost control, and likelihood of rehire.

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Other files

File Type Posted
Amendment 02-W81XWH-20-R-0015.pdf PDF
Attachment 7- Labor Categories.docx DOCX document
Amendment 01- W81XWH-20-R-0015.pdf PDF
Attachment 5- EGS Pricing Sheet.xlsx XLSX spreadsheet
Attachment 5- EGS Pricing Sheet.xlsx XLSX spreadsheet
Attachment 6- Quality Assurance Surveillance Plan.doc DOC document
Attachment 2 - CDMRP CA.docx DOCX document
W81XWH20R0015.pdf PDF
Attachment 4- Non-Disclosure Agreement.doc DOC document
Attachment 1 - CDMRP OCI Categories.docx DOCX document

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Attachment 5

PAST PERFORMANCE QUESTIONNAIRE

AND INSTRUCTIONS

PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS

U.S. ARMY MEDICAL RESEARCH ACQUISITION ACTIVITY

Fort Detrick, MD

The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to a Congressionally Directed Medical Research Programs (CDMRP) RFP for Electronic Grants Service (EGS). The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).

a.

Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number.

b.

Include the contractor’s name and address, the title and/or description of the type of work performed the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation.

c.

Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.

d.

Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments.

Clear handwritten responses are sufficient.

e.

Please e-mail your response to the Contract Specialists listed at the bottom right corner of the questionnaire. Do not forward this document to any other point of contact.

Thank you for your time and participation.

Your Name & Title yOUR Organizational Address

TEL NO.

FAX:

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE OR DESCRIPTON OF REQUIREMENT:

CONTRACT TYPE:

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FIXED PRICE

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COST + FEE

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COMPETITIVE

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NON-COMPETITIVE FORMCHECKBOX

SET-ASIDE

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SEALED BID

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NEGOTIATED

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

CONTRACT AWARD & COMPETION DATE:

PAST PERFORMANCE ELEMENT
RATING
COMMENTS
1
2
3
4
5
6
NA

1.

Contractor demonstrated a thorough understanding of technical requirements of the contract/task.

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2.

Contractor anticipated/identified and resolved problems effectively.

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3.

Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.

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4.

Contractor provided the necessary skilled personnel to perform the required work.

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5.

Contractor retained the necessary skilled personnel and maintained a low turnover rate.

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6.

Contractor met scheduled contract delivery dates.

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7.

Contractor provided accurate, complete and high quality deliverables.

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8.

Contractor complied with the terms of the contract.

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9.

Contractor was diligent in forecasting and controlling contract cost.

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10. I would hire this contractor again.
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1
0 – 25% of the time
Strongly Disagree
PLEASE RETURN COMPLETED RESPONSE TO:

U.S. Army Medical Research Acquisition Activity

ATTN: FCMR-AAA-SB/ Jennifer Tait

820 Chandler Street

Fort Detrick, MD 21702-5014

E-MAIL: Jennifer.e.tait.civ@mail.mil

2
26 – 40% of the time
Disagree
3
41 – 55% of the time
Somewhat Disagree
4
56 – 70% of the time
Somewhat Agree
5
71 – 85% of the time
Agree
6
86 – 100% of the time
Strongly Agree

NA

No Knowledge of This Element

USAMRAA Form 74-R, Nov04

FOR OFFICIAL USE ONLY – SOURCE SELECTION SENSITIVE WHEN COMPLETED

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