Attachment_B_-_Past_Performance_Questionnaire_Solication_1305M326R0015.pdf
PDF 222 KB Posted
- Attached to
- Genetic-Based Test Kits for NMFS OLE
- Solicitation number
- 1305M326R0015
About this file
This is a Past Performance Questionnaire Template for federal contract source selection purposes, designated as Attachment #2 to Solicitation 1305M326R0015 for the National Oceanic and Atmospheric Administration (NOAA).
The template is designed to collect past performance data on offerors and major subcontractors for the Office of Law Enforcement (OLE) Genetic Testing Strips and Kits production requirement. The questionnaire is completed in four sections: Sections I and II are completed by the offeror or major subcontractor and submitted to a government assessor with prior contract experience with the contractor; the assessor validates the information in Sections II through IV and returns the completed form to the contracting office. Offerors must submit copies of Sections I and II with their proposals by the solicitation closing date. Section III collects assessor information including name, title, contact details, and the assessor's role in contract administration (such as Procuring Contracting Officer, Administrative Contracting Officer, Contract Specialist, Contracting Officer's Representative, Technical Project Lead, Quality Assurance Specialist, or DCAA Auditor). Section IV requires the assessor to provide an overall performance rating based on contract requirement compliance, quality and timeliness of delivery, cost management, communications, and customer satisfaction, using rating categories of Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable. The template is classified as Source Selection Information for Official Use Only.
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1305M326R0015
ATTACHMENT #2
Source Selection Information – See RFO 2.101 and RFO 3.104
For Official Use Only
Past Performance Questionnaire Template
Instructions:
◊ Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.
◊ Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.
◊ Sections III through IV to be completed in their entirety by the assessor.
Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you please e-mail the completed questionnaire(s) to: name@noaa.gov.
I. Solicitation Data (for the proposed effort)
Solicitation Number 1305M326R0015 Project/Requirement Office of Law Enforcement (OLE) GENETIC TESTING STRIPS AND KITS Customer/Agency NOAA AGO On Behalf of NOAA OLE Project/Requirement Description
OLE Genetic Testing Strips and Kit Production
II. Current or Historical Contract Information
Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.
CONTRACTOR NAME &
ADDRESS:
Contract No Type of Contract Initial Final Contract Value Period of Performance/Delivery Schedule
Project/Requirement Description
Please select from the following as it applies to this contract:
Contracting Role ☐ PRIME ☐ SUBCONTRACTOR Termination History ☐ Convenience ☐ Default ☐ N/A
1305M326R0015
ATTACHMENT #2
Source Selection Information – See RFO 2.101 and RFO 3.104
For Official Use Only
III. Assessor Information
Assessor Name Title Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement.
✔ Role Period of Involvement
Procuring Contracting Officer (PCO) Administrative Contracting Officer (ACO)
Contract Specialist Contracting Officer’s Representative (COR)
Technical Project Lead/Project Officer Quality Assurance Specialist Defense Contract Audit Agency (DCAA)
Auditor
Other:
IV. Overall Performance Rating
Please provide the overall performance rating based on performance of contract requirements, quality and timeliness of delivery of goods, services and/or construction, cost management, communications between contracting parties, proactive management and/or customer satisfaction.
EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.
VERY GOOD
Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
SATISFACTORY
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
UNSATISFACTORY
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.
NOT APPLICABLE
(N/A)
Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.
Additional comments/notes:
| Contract No |
| Contract Value |
| Contracting Role |
| Assessor Name |
| EXCEPTIONAL |
| IV. Overall Performance Rating |
| VERY GOOD |
| SATISFACTORY |
| MARGINAL |
| UNSATISFACTORY |
| NOT APPLICABLE (N/A) |
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