Attachment 4 - Past Performance Reference Questionnaire.docx
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- Solicitation number
- 89303020QMA000035
- Issued by
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Department of Energy Headquarters
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Attachment 4 – Past Performance
| RFQ 89303020QMA000035 0000 |
| Page 3 of 3 |
PAST PERFORMANCE REFERENCE QUESTIONNAIRE
Training Delivery Support/Services
Quoter/Offeror Name:
Quoting as a (circle one): Prime Contractor, Teaming Partner, or Subcontractor to this RFQ
Section I is for Quoters to complete and be provided to the reference with instructions to submit the completed questionnaire directly to the Government contact identified in Section II. If bidding as a prime on this requirement, complete one Questionnaire for your firm and submit Section II (Questions) to each reference. If proposing Sub(s) or a teaming partner, have them complete separate questionnaires and specify their arrangement/association to the prime at the top of this form. This Attachment is due with your quotation no later than the quotation date of Friday, August 28, 2020 at 2:00 P.M.).
Section I – Past Performance Matrix
Quoter Instructions:
For each Citation provided in the “PWS Column” to this Chart, follow up with your firm’s relevant past contract experience. See the bold Sample Row below for the formatting, minimum information expected and follow. In addition to this questionnaire, as stated in Evaluation Factors to this RFQ, the Government may also check CPARS/PPIRS for the provided contract experience. However, please take the opportunity to disclose relevant past performance information in this form. Also, in addition to the chart below, please fill out the bullets provided with the relevant Point of Contact Information for the information documented in your chart. You may copy/paste the format/bullets below for each citation and it may continue on additional pages.
| PWS Section/ Page No. |
| Quoter’s Relevant Contract Experience |
| Work Performed as Prime Contractor, Teaming Partner, or Subcontractor |
| Notes |
| (Sample response) Task Area 1: Course Delivery for COTS Ancillary Support |
| Contract # DT4444555 for Training Spt Svs Size: $10Million, Orders under the SAP, 5 year POP Scope: SINS (if GSA), Task Areas as follows: Complexity: Multiple Locations, task areas and deadlines. Low Risk. |
| Prime Contractor |
| In/not in CPARs; provide POC below. This experience prepared our firm for this area by… |
Task Area 1: Course Delivery for
COTS
Subtask 1.1 – Ancillary Support
Task Area 2: Customized Coursework Delivery
Subtask 2.1 – Ancillary Support
Quoter Instructions Continued:
For each Citation provided in the Chart above, follow up with the specified contract’s information to verify performance information with a reference. Each contract listed above should have a matching Point of Contact below. You may copy/paste the format/bullets below for each citation and it may continue on additional pages.
· Contractor:
· Contract Name & Number:
· Provide two (2) Rater Names & Name of Client (Federal, State, local government or private):
· Provide two (2) Rater Telephone Number(s) & E-Mail Addresses:
· Rater’s Role in Relation to the Contract (program/project manager, contracting officer, major end user, etc.):
· Other Offeror Comments or additional identified POC for contact: Offerors are encouraged to preemptively address any adverse performance reviews that the Government may encounter during independent research.
Definitions
Relevancy – Contracts or delivery orders will be considered relevant if they are similar in size, scope or complexity to this requirement. The above chart pulls specific sections of the PWS to cite to.
Size – dollar ($) value; order value; contract/order duration Scope – Type of work Complexity – Performance challenge(s) and risk(s) Section II – Questions to Contract Point-of-Contact(s)
POC/Reference Instructions: Please respond to the following questions in the narrative section to provide support for the vendor’s cited past performance above. Please use the Scoring/Rating Plan on a scale of 1-10. A numerical score requires a narrative. Please e-mail the completed questionnaire to Ellen.Clayton@hq.doe.gov no later than the quotation due date of Friday, August 21, 2020 by 5:00 P.M. EST. (local time). For any questions pertaining to this questionnaire, please contact Ellen Clayton at Ellen.Clayton@hq.doe.gov.
Contractor Performance
1. How would you rate the quality of the contractor’s products/services provided?
Rate: [1, 2, 3, 4, 5, 6, 7, 8, 9, 10] Supporting narrative:
2. How would you rate the contractor’s timeliness of the products/services delivered?
3. How would you rate the contractor’s ability to meet special needs (such as expedited delivery or crisis support) for delivery requirements?
4. How would you rate the contractor’s ability to effectively manage, coordinate, and integrate subcontractors?
5. How would you rate your overall satisfaction with the contractor’s performance?
Scoring Plan:
10 – 9 (91% - 100% of the time) 8 - 7 (81% - 90% of the time) 6 - 5 (71% - 80% of the time) 4 - 2 (60% - 70% of the time) 1 - 0 (59% of the time or less) N/A (Not applicable)
Signature of Rater:
Date:
<Signature is not required if sent via e-mail directly from rater.>
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