Attachment 6 - Past Performance Questionnaire.docx

DOCX document 27 KB Posted

Attached to
U099--Academic Detailing Services
Solicitation number
36C10G24R0019
Issued by

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This document is a Past Performance Questionnaire (PPQ) for a Request for Proposal (RFP) issued by the Department of Veterans Affairs, Strategic Acquisition Center for Academic Detailing Services Training and Consulting Services, Solicitation No. 36C10G24R0019.

The questionnaire requests information from a recipient regarding the past performance of a contractor on a specific contract, including ratings in areas such as overall quality/satisfaction, delivery performance, quality of service, problem resolution, and personnel quality. The recipient is asked to indicate if any performance issues or termination actions have occurred, and whether they would award another contract to the contractor. Additional contract details such as period of performance, dollar value, and a description of the services provided are also requested. The completed questionnaire is to be returned to the Contracting Officer for use in the evaluation of the contractor's past performance.

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Other files

File Type Posted
36C10G24R0019.docx DOCX document
Attachment 1 - Price Schedule 36C10G24R0019.xlsx XLSX spreadsheet
Attachment 2 - Pay.gov Vendor Submittal Instructions.docx DOCX document
Attachment 4 - Contract Discrepancy Report.pdf PDF
Attachment 3 - Quarterly Reporting Tool.xlsx XLSX spreadsheet
Attachment 5 - ADS Questions.xlsx XLSX spreadsheet

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Attachment 6, PPQ 36C10G24R0019

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Request for Proposal (RFP) No.: 36C10G24R0019 Title: Academic Detailing Services Training and Consulting Services

TO: [Insert CO Name/Title]AGENCY: VA, Strategic Acquisition Center
PHONE: [Insert number]E-MAIL: [Insert email]

INFORMATION REQUEST: PAST PERFORMANCE

The Department of Veterans Affairs is currently in the process of awarding a competitive service contract. [CONTRACTOR NAME] has provided this Questionnaire to you for a reference regarding [CONTRACTOR NAME]’s record of past performance under Contract No. [CONTRACT #].

Send completed questionnaires to Shemika.Wray@va.gov and Brian.Love@va.gov.

NOTE TO OFFERORS: If the Questionnaire is provided for subcontractor’s reference, the offeror’s name below must include both the prime and subcontractor names (e.g. contractor X, who is a subcontractor to offeror Y for this solicitation).

Contractor’s Name:

Name of Person Completing the Evaluation:

Telephone: E-mail:

Title:

Company/Organization:

Please rate the contractor in each of the following areas. Note: there is room for comments where you deem remarks would be helpful to our evaluation.

· Not Applicable: N/A

· 1: Performance clearly below the contract performance standard or requirement

· 2:Performance occasionally does not meet minimum contract performance standard or requirement
· 3:Performance that meets the minimum contract performance standard or requirement
· 4:Performance that meets and occasionally exceeds the contract performance standard or requirement
· 5:Performance that almost always exceeds the contract performance standard or requirement
1. Overall quality/satisfaction
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Overall satisfaction with the Contractor’s performance.

2. Delivery performance
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions.

3. Satisfaction with the quality of service delivered
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.

4. Satisfaction with problem resolution
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

This includes the contractor’s ability to solve problems, the speed in which they handle problems, and their effective delivery of resolutions.

5. Satisfaction with the quality of contractor personnel
N/A |_|
1 |_|
2 |_|
3 |_|
4 |_|
5 |_|

Rate the quality of the contractor’s staff in executing the project work scope.

6. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years?

|_| Yes |_| No If Yes, please explain.

7. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.

8. Based on the contractor’s overall performance, would you award them another contract?

|_| Yes |_| No If No, please explain.

9. Have you discussed any adverse past performance problems with the Contractor and given them an opportunity to comment? |_| Yes |_| No Please explain.

10. Do you file past performance information in a database that the Contracting Officer may search?|_| Yes |_| No Please explain.

11. If the contract had options, were those options exercised? |_| Yes |_| No Please explain.

12. What was the contract period of performance (i.e., when were services provided)?

13. What was the dollar value of the contract performed by the contractor?

14. Provide a brief description of the services provided by the contractor for this contract.

Please attach any past performance database reports or other material you deem appropriate to a full understanding of the Contractor’s past performance by the evaluator. Please provide information on any adverse performance by the contractor and the corrective actions taken.

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