ATTACHMENT B - Heart Lung Bypass Units- PAST PERFROMANCE QUESTIONNAIRE FINAL.docx

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6515--NX EQ LivaNova® or equal Heart-Lung Bypass Units (VA-19-00071385)
Solicitation number
36C10G19R0053
Issued by

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This document contains a past performance questionnaire and details of a federal contract opportunity for Heart Lung Bypass Units. The past performance questionnaire seeks input on an incumbent contractor's performance on a prior contract for medical laboratories accreditation services. It requests ratings and commentary on the contractor's quality of performance, timeliness, cost control, customer satisfaction, and whether the reference would award the contractor another contract. The federal contract opportunity notice is for the acquisition of LivaNova or equal Heart-Lung Bypass Units. The solicitation will be issued on July 13, 2020 with responses due August 13, 2020. The contract would have a one-year ordering period and two one-year options and be carried out nationwide for the Department of Veterans Affairs Strategic Acquisition Center. The opportunity is full and open competition with no set aside.

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File Type Posted
ATTACHMENT D - Heart Lung Bypass Units - REPORTING TOOL Final.xlsx XLSX spreadsheet
36C10G19R0053_1 NX EQ Heart-Lung Bypass 7.7.2020 FINAL.docx DOCX document
ATTACHMENT A - NX EQ -Heart-Lung Bypass Units FINAL.xlsx XLSX spreadsheet
ATTACHMENT C - Heart Lung Bypass Units - PAST PERFORMANCE REFERENCE Final.docx DOCX document

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ATTACHMENT B:

PAST PERFORMANCE QUESTIONNAIRE

NX EQ Heart Lung Bypass Units

This office is currently in the process of awarding a competitive service contract. [CONTRACTOR NAME] has provided your name and organization as a reference regarding [CONTRACTOR’S NAME] record of past performance under Contract No. [CONTRACT NO and DELIVERY/TASK ORDER].

Past Performance Questionnaire

Offeror’s Name:

Solicitation: Heart Lung Bypass Units 36C10G19R0053

Name of Person Completing the Evaluation:Telephone:E-Mail:TitleCompany/Organization:Award Value: $Name of Commodity/
ServiceDate Awarded

Please rate the Offeror 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

· Marginal (M) Performance did not meet some contractual requirements

· Acceptable (A) Performance that meets the minimum contract performance standard or requirement

· Good (G) Performance that meets and occasionally exceeds the contract performance standard or requirement

· Outstanding (O) Performance that almost always exceeds the contract performance standard or requirement

1. Quality of Performance:
N/A
M
A
G
O

Compliance with contract requirements, use of appropriate and helpful staff, and expertise in the accreditation of medical laboratories as a deemed organization.

2. Timeliness of Performance:
N/A
M
A
G
O

The Offeror’s ability to meet milestones and delivery schedules.

3. Price/Price Control:
N/A
M
A
G
O

The Offeror’s ability to control prices claims; change order issues.

4. Customer Satisfaction
N/A
M
A
G
O

The Offeror’s commitment to customer satisfaction and their cooperative, reasonable businesslike behavior. This includes effective management, responsiveness to contract requirements, honesty and integrity, prompt notification of problems, flexible and proactive qualities and effective subcontract selection and management.

5. 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.

6. 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.

7. Based on the Offeror’s overall performance, would you award them another contract? [ ] YES [ ] NO If no, please explain.

8. Have you discussed any adverse past performance problems with the Offeror and given them an opportunity to comment? [ ] YES [ ] NO Please explain

Offeror Evaluation:

Rating (List Number Based on Rating Guidelines Above)

Category
Description
Quality of Service
In compliance with contract requirements, submits accurate reports/deliverables, has effective personnel, and has achieved/maintained technical excellence:

Comment from Reference:

Cost Control
Has achieved efficiencies in costs, managed costs effectively, and has submitted timely/accurate invoices with supporting documentation:

Comment from Reference:

Timeliness of Performance
Has met milestones, is reliable, is responsive to technical direction, and has completed milestones on-time or ahead of schedule:

Comment from Reference:

Business Relations
Has maintained effective management of contract, has exhibited reasonable/cooperative behavior, is responsive to contract requirements, is responsive to inquiries/issues, and is proactive about resolving problems:

Comment from Reference:

YES NO
Overall Satisfaction
Would you (reference) choose to work with this offeror again?

Comment from Reference:

PART III. RETURN INFORMATION

Please return this completed Past Performance Questionnaire AS AN ATTACHMENT via e-mail to Tonya Lasheena Scott at lasheena.scott@va.gov and Timothy Johnson at Timothy.Johnson13@va.gov in PDF format. The subject line of the email must read: RFP 36C10G19R0053 - NX EQ Heart Lung Bypass Units. Past Performance Questionnaire in order for the email to be successfully transmitted and received. Please e-mail the completed questionnaire by 12:00PM EST, August 13, 2020.

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