Attachment C - Past Performance Questionnaire.docx
DOCX document 49 KB Posted
- Attached to
- U099--VA Contact Center Training Federal contract opportunity
- Solicitation number
- 36C10G24Q0139
About this file
This document is an Attachment C - Past Performance Questionnaire for a federal contract opportunity with the Department of Veterans Affairs, Strategic Acquisition Center - Frederick.
The questionnaire requests information about the past performance of a contractor under Contract No. [CONTRACT #] for a competitive service contract being awarded by the Department of Veterans Affairs (VA). The VA is seeking feedback on the contractor's performance in areas such as quality, schedule, cost control, management, small business utilization, and regulatory compliance. Respondents are asked to provide an overall recommendation on whether they would award to the contractor based on their past performance. The questionnaire includes instructions and rating scales for each performance area.
The related federal contract opportunity is for VA Contact Center Training, with Solicitation Number 36C10G24Q0139. This is a draft Request for Quote (RFQ) issued for market research purposes, not an actual solicitation. The VA is seeking industry input on the draft RFQ before issuing the final version and is not accepting proposals at this time. The RFQ includes a draft Performance Work Statement, Pricing Spreadsheet, and Past Performance Questionnaire as attachments.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment B - Pricing Spreadsheet.xlsx | XLSX spreadsheet | |
| 36C10G24Q0139_1.docx | DOCX document | |
| 36C10G24Q0139_DRAFT RFQ Final_1.pdf | ||
| Attachment A - Performance Work Statement.docx | DOCX document |
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Text version
ATTACHMENT C - PAST PERFORMANCE REFERENCES
AGENCY: Department of Veterans Affairs, Strategic Acquisition Center - Frederick RFQ: 36C10G24Q0139, Department of Veterans Affairs (VA), Integrated Veterans Care (IVC) TO: Justin Sink, Contracting Officer and Jennifer Balsiger, Contract Specialist EMAIL: Justin.Sink@va.gov and Jennifer.Balsiger1@va.gov
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 #].
Please send completed questionnaires to Justin.Sink@va.gov and Jennifer.Balsiger1@va.gov
NOTE TO RESPONDENTS: If the Questionnaire is provided for a subcontractor’s reference, the contractor’s name below must include both the subcontractor’s name and the offeror’s name who will be the prime contractor for this solicitation (e.g. contractor X, who will be a subcontractor to offeror Y for this solicitation).
Vendor’s Name:
Name of Person Completing the Evaluation:
Telephone: E-mail:
Title:
Company/Organization:
Instructions:
Please rate the vendor in each of the following areas. Note: there is room for comments where you deem remarks would be helpful to our evaluation.
· Exceptional: Performance that almost always exceeds the contract performance standard or requirement
· Very Good: Performance that meets and occasionally exceeds the contract performance standard or requirement
· Satisfactory: Performance that meets the minimum contract performance standard or requirement
· Marginal: Performance occasionally does not meet minimum contract performance standard or requirement
· Unsatisfactory: Performance clearly below the contract performance standard or requirement
· Not Applicable: N/A
| Performance Areas |
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| N/A |
| 1. QUALITY | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Comments: Assess the achieved service performance relative to performance parameters required by the contract or order. |
| 2. SCHEDULE | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Comments: Assess the timeliness of the Contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance). |
| 3. COST CONTROL (Not required for Fixed Price type contracts or orders) | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Comments: Assess the Contractor’s effectiveness in forecasting, managing, and controlling contract or order cost. |
| 4. MANAGEMENT | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Comments: Assess the integration and coordination of all activity needed to execute the contract or order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the Contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts. |
| 5. UTILIZATION OF SMALL BUSINESS | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Comments: Assess compliance with all terms and conditions in the contract or order relating to Small Business participation (including FAR 52.219-8 Utilization of Small Businesses, and FAR 52.219-9 Small Business ☐Subcontracting Plan, when required). |
| 6. REGULATORY COMPLIANCE | |||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Comments: E.g failure to report in accordance with contract terms and conditions, late or nonpayment to subcontractors, trafficking violations, tax delinquency, defective cost or pricing data, terminations, suspension and debarments. Assess compliance with all terms and conditions in the contract/order relating to applicable regulations and codes, using the Evaluation Ratings Definitions. |
7. What was the contract period of performance (i.e., when were services provided)?
8. What was the dollar value of the contract performed by the vendor?
9. Provide a brief description of the services provided by the vendor for this contract.
| 10. Overall Recommendation |
| Would |
| Would Not |
| Signed |
| Given what I know today about the contractor’s ability to execute what he promised in his proposal, I _________________ award to him today given that I had a choice. | |
| ☐ | ☐ |
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