Attachment 6 - Past Performance Questionaire.doc
DOC document 38 KB Posted
- Attached to
- Mindfulness Coaching Services Revised 12/06/24
- Solicitation number
- 75F40125Q00034
About this file
This document is a Past Performance Questionnaire (PPQ) related to a federal contract opportunity for Mindfulness Coaching Services issued by the Food and Drug Administration (FDA).
The key details are:
- The contractor must complete Sections 1 and 3 of the PPQ, contact their clients, and have the clients complete Section 2. The completed PPQ must be emailed to the FDA Contract Specialist by 10am on December 12, 2024.
- The related federal contract opportunity is Solicitation Number 75F40125Q00034 for Mindfulness Coaching Services. It is a set-aside for small businesses with a NAICS code of 611430 and a $15 million size standard.
- The contract will include 4 tasks: 12-week mindfulness coaching cohorts, mindfulness workshops, introduction to mindfulness seminars, and 21-day meditation challenges. Proposals are due by 10am ET on December 12, 2024 and will be evaluated on technical approach/key personnel, relevant experience, past performance, and price.
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Other files
| File | Type | Posted |
|---|---|---|
| FDA Responses to Questions Mindfulness Coaching Services .xlsx | XLSX spreadsheet | |
| Attachment 2 - Pricing Table Rv 120424.xlsx | XLSX spreadsheet | |
| Attachment 1 - Statement of Work rv 120424.docx | DOCX document | |
| 75F40125Q00034 Amendment One Executed.pdf | ||
| Attachment 1 - Statement of Work.docx | DOCX document | |
| SF -18 Sol_75F40125Q00034.pdf | ||
| Attachment 2 - Pricing Table .xlsx | XLSX spreadsheet | |
| Attachment 4 - Instructions to Contractors.docx | DOCX document | |
| Attachment 7 - 52-212-4 Contract-Terms-and-Conditions.docx | DOCX document | |
| Attachment 8 52-212-3-Offeror-Representations-and-Certifications.pdf | ||
| Attachment 3 - 52-212-5-Contract-Terms-and-Conditions-Required-To-Implement-Statutes-or-Executive-Orders.docx | DOCX document | |
| Attachment 5 - Questions Template.xlsx | XLSX spreadsheet |
Show all 12
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Text version
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
The Contractor shall complete the company specific information on this form (Section 1 and Section 3), contact your clients, forward this form to your client(s) to complete Section 2. Request that your client(s) complete Section 2 and send it via email to at Michele.Jackson@fda.hhs.gov on or before 10am on December 12, 2024.
Section 1
Name of client organization:
Project name and contract/task order number:
Brief description of support provided:
Total period of performance, dates, and total cost/price:
Number of contractor personnel assigned to the project, by skill category:
Did you inform your client that a past performance questionnaire must be completed and returned to FDA by December 12, 2024 and that a FDA representative may contact him/her sometime after that date?
FORMCHECKBOX
Yes FORMCHECKBOX No
SECTION 2:
Name and Title of Technical Point of Contact (POC):
Address of Technical POC:
Telephone number of Technical POC:
Date the Technical POC was contacted for this PPQ:
Please BOLD the rating that you are giving the contractor for your project if contacted:
1. Overall Technical Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
2.
Quality of work
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
3.
Schedule Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
4.
Cost Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
5.
Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations? FORMCHECKBOX Yes FORMCHECKBOX No
6. Overall Contractual Performance
| Excellent |
| Very Good |
| Good |
| Fair |
| Poor |
| N/A |
7.
Would your Technical POC use your company again? FORMCHECKBOX Yes FORMCHECKBOX No Instructions for the Client: Please send the entire document with section 2 completed via email to Michele Jackson, Contract Specialist at Michele.Jackson@fda.hhs.gov on or before December 12, 2024.
Please include the following in the subject line of the email “ Past Performance Questionnaire Solicitation Number: 75F40125Q00034 for_____________________ (include the contractors name) from __________________(client name)”
SECTION 3:
Contractor Name: __________________________________________________
Name and Title of Contracting Point of Contact (POC):
Address of Contracting POC:
Telephone number of Contracting POC:
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