ATTACHMENT_3_Past_Performance_Questionnaire.docx
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- Solicitation number
- 140D0424R0071
About this file
This document is a Past Performance Questionnaire that is part of the solicitation for the Office of Wildland Fire Medical Qualification IDIQ contract (Solicitation Number 140D0424R0071) issued by the Department of the Interior Departmental Offices Interior Business Center.
The Questionnaire instructs recipients to provide information about a relevant past contract, including the contractor name, contract number, dollar value, period of performance, and type of contract (federal or non-federal). Respondents are then asked to rate the contractor's past performance in several areas on a scale of Exceptional, Satisfactory, Unsatisfactory, or Not Applicable, and provide narrative justification. The key performance areas evaluated include meeting deliverable and performance schedules, achieving high customer satisfaction, providing customizable training solutions, and responsiveness in addressing issues. Recipients are instructed to scan and email the completed questionnaire to the Contract Specialist.
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Text version
ATTACHMENT B
PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS
SOLICITATION NUMBER: 140D0424R0071
1. Please complete this questionnaire. Handwritten responses are sufficient.
Explanation of codes:
PERFORMANCE LEVEL
| (E) EXCEPTIONAL |
| The contractor’s performance met contractual requirements and exceeded expectations. Contractor consistently and proactively addressed problems that arose during contract performance before the problems could compromise achievement of contract objectives. |
| (S) SATISFACTORY |
| No problems existed or only minor problems for which solutions were available and corrected with minimal disruption to contract requirements. |
| (U) UNSATISFACTORY |
| Problems existed which the contractor was unable to solve. The problems led to disruption in achievement of contract requirements. Actions taken by the contractor to resolve the problems were ineffective. |
| (N) NOT APPLICABLE |
| Evaluation area not applicable to this contracted effort |
2. Circle the appropriate letter for each item on the questionnaire and provide narrative justification.
3. Please scan and e-mail to:
Sarah Ignacio, Contract Specialist sarah_ignacio@ibc.doi.gov
PRESENT/PAST PERFORMANCE EVALUATION
SOLICITATION NUMBER: 140D0424R0071
Please compete the following:
| A. Contractor: | _____________________________________ |
| B. Contract number: | ________________________________ |
| C. Estimated contract dollar amount: | ____________________ |
| D. Period of Performance: | ___________________________ |
E. Contract type __________________________ F. |_| Federal |_| Non Federal
G. Describe product/service acquired: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
PAST PERFORMANCE EVALUATION CRITERIA:
1. Offeror’s record of success meeting deliverable and performance schedules:
| E | S | U | N |
| ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
2. Offeror’s record of success at achieving high levels of customer satisfaction for services and training provided:
E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3. Offeror’s record of success at providing customizable training solutions to fit the customer’s need:
E S U N _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4. Offeror’s record of success at providing responsive solutions to issues and opportunities:
E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
If more comment space needed, write on back, or attach pages and identify numbered item.
Name/Title _____________________________________________________
Role regarding contract (e.g. Contracting Officer, COR, PM, etc.):__________________________________________________________ Phone_______________________________________
FAX________________________________________
File details come from the government source that posted it. Updated .