Attachment C_Past Performance - Final.pdf

9523ZY20R0001 Attachment C Page 1

Commodity Futures Trading Commission (CFTC)

Past Performance Evaluation Message to the assessor:

Your feedback is requested by CFTC 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 do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to the Contracting Officer at: krison@cftc.gov

Solicitation Data (for the proposed effort):

CFTC RFQ Number 9523ZY20R0001 Project Name Dental Insurance Plan for the CFTC Offeror Name Your Name, Contact Information, and Position (e.g. CO or COR)

Your Organization Date

BACKGROUND INFORMATION

1. Contract number:

2. Did the contractor in question perform as the prime contractor?

3. Did the contractor in question perform as a subcontractor?

If yes, describe the subcontractor’s role in the overall project.

4. Contract type (CPFF, FFP, T&M, etc.):

5. Contract award date:

6. Contract award amount:

7. Current contract cost:

8. Period of performance:

mailto:krison@cftc.gov

9523ZY20R0001 Attachment C Page 2

9. Procuring agency or organization:

10. Detailed description of product and/or services provided:

Instructions and Evaluation Definitions:

The questions below are to be completed by the technical and/or contracting personnel that had experience with the offeror/contractor on a previous relevant contract and submitted to the requesting CFTC Contracting Officer.

Please rate the statements below as they relate to the contractor’s performance in each category. If a “Poor” rating is given, please discuss in the section provided at the end of the rating section.

Excellent Good Fair Poor N/A Performance substantially and consistently exceeded contract requirements.

The vendor displayed an overall superior understanding of customer needs, and used innovate approaches leading to enhanced performance.

Performance was above minimum contract requirements. The vendor displayed a thorough understanding of customer needs.

Performance met minimum contract requirements.

Performance was below minimum contract requirements.

The vendor displayed a lack of understanding of customer needs in one or more significant performance areas.

Question is not applicable to the performance the vendor provided to you.

Performance Evaluations:

Please rate the services provided by the contractor for your organization, particularly as it pertains to assisting in the development and implementation of a dental insurance plan in terms of expertise, experience, and operational support.

How would you rate the vendor’s overall performance in meeting the requirements of the contract?

Excellent

Good

Fair

Poor

N/A

How would you rate the vendor’s performance with regard to completing work and providing deliverables on time?

Excellent

Good

Fair

Poor

N/A

How would you rate the accurateness and completeness of the vendor’s reports/other documents submitted under the contract?

Excellent

Good

Fair

Poor

N/A

How would you rate the vendor’s ability to identify and solve technical problems that arose during contract performance in an effective and expeditious manner?

Excellent

Good

Fair

Poor

N/A

How would you rate the quality of staff provided by the vendor?

Excellent

Good

Fair

Poor

N/A

How would you rate the vendor’s ability to demonstrate a cooperative, business-like attitude with agency or company staff?

Excellent

Good

Fair

Poor

N/A

How would you rate the vendor’s responsiveness to technical direction and/or technical revisions to the contract?

Excellent

Good

Fair

Poor

N/A

9523ZY20R0001 Attachment C Page 3

How would you rate the vendor’s ability to manage the overall performance of the contract? (Consider items such as, planning, scheduling, monitoring, billing and reporting.)

Excellent

Good

Fair

Poor

N/A

For any ‘Poor’ ratings, please provide a brief discussion of the factors that contributed to your rating.

Please give an example(s) of something the vendor did particularly well during the performance of your contract.

Nobody is perfect. Even the best dental insurance firm is bound to have a flaw or make mistakes. What has the vendor done for you that you’ve been disappointed in?

Have you ever issued a Cure Notice or Performance Deficiency Report to the vendor?

Given the choice, would you award to this vendor again?

Other comments?