Attachment A - Past Performance - Conference Hotel Space NEO - RFQ36C24721Q0359.docx

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Attached to
Conference Hotel Space for New Employee Orientation - Amendment 0001 Federal contract opportunity
Solicitation number
36C247
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

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S-36C24721Q0359 0001.pdf PDF
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PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE

(To be completed by References)

Request for Quote Number: 36C24721Q0359, closing date: February 19, 2021, 10:00AM EST

Submit completed Survey via email or mail to:

Department of Veterans Affairs, RHJ VA Medical Center 109 Bee Street Charleston, SC 29401

Subrena C. Magee, Contract Specialist Network Contracting Office (NCO) 7 Email: subrena.magee@va.gov

*Do not return this form to the contractor being evaluated. It is desired that this form be submitted to the person identified above, no later than 2 days before closing date.

1. Handwritten responses are acceptable. If a response is handwritten, please print legibly.

2. If more space is needed for narrative comments, use the back of the survey or attach additional pages.

3. Your time and effort in providing this vitally important information is greatly appreciated.

GENERAL INFORMATION

Please provide the following information:

Your Company Name:______________________________________
Person Filling Out Survey Form:______________________________________
Phone Number:______________________________________
Fax Number:_________________________________
Email Address:_______________ ______________________

Name of Company for which you are filling out this survey:

Contract Number(s):________________________________
Period of Performance:_____________________________________

General Description of Contract Services: _______________________________________ Contract Dollar Value: ________________________________________________________ Type of Contract (firm fixed price, cost plus fixed fee, etc.): _______________________

REMARKS: (Add on separate sheet.)

CONTRACTOR PERFORMANCE EVALUATION SURVEY RATING SHEET

RATING SCALE

Please use the following rating to answer the questions. If you are unable to rate any item because it was not a requirements, never an issue, or you have no knowledge of the item in question, then you should mark “N/A”.

CONTRACTOR PERFORMANCE EVALUATION SURVEY RATING SHEET

FOR CONTRACT: 36C24721Q0323

Excellent
Very Good
Good
Marginal
Unknown (Neutral)

A. QUALITY OF SERVICE

(1) The Contractor provided a product or service that conformed to contract requirements, specifications and standards of good workmanship

(2) The Contractor submitted accurate reports.

(3) The Contractor utilized personnel who were appropriate to the effort performed.

B. COST CONTROL

(1) The Contractor performed the effort within the estimated cost/price.

(2) The Contractor submitted accurate invoices on a timely basis.

(3) The Contractor demonstrated cost efficiencies in performing the required effort.

(4) The actual costs/rates realized closely reflected the negotiated costs/rates.

C. SCHEDULE

(1) The services required under this effort were available in a timely manner and in accordance with the period of performance of the contract.

(2) The Contractor was responsive to technical and/or contractual direction.

D. BUSINESS RELATIONSHIPS

(1) The Contractor demonstrated effective management over the effort performed.

(2) The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) and/or Technical Point of Contact (TPOC) were apprised of technical, cost and schedule issues.

(3) The Contractor presented information and correspondence in a clear, concise and businesslike manner.

(4) The Contractor promptly notified the COR, TPOC and/or Contracting Officer in a timely manner regarding urgent issues.

(5) The Contractor cooperated with the Government in providing flexible, proactive and effective recommended solutions to critical program issues.

(6) The Contractor made timely award to, and demonstrated effective management of, its subcontractors.

(7) The Contractor demonstrated an effective small/small disadvantaged business subcontracting program.

E. CUSTOMER SATISFACTION

(1) The products/services provided adequately met the needs of the program.

(2) The Contractor was able to perform with minimal or no direction from the COR or TPOC.

(3) I am satisfied with the performance of the Contractor under this effort.

F. Key Personnel

(1) The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance

(2) The Contractor proposed qualified personnel to fulfill the requirements of the contract.

G. OTHER:

(1) Would you award this firm another contract? ( ) Yes ( ) No If you answered “no”, provide an explanation.

(2) Was the contract terminated for default? ( ) Yes ( ) No

COMMENTS: (Required for ALL Poor and Excellent Ratings)

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