ATTACHMENT D 36C10X21Q0151.docx

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Attached to
U009--EUO Personality Assessment Tool/Hogan Project (VA-21-00059946)
Solicitation number
36C10X21Q0151
Issued by

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This document is a request for quote from the Department of Veterans Affairs Strategic Acquisition Center in Frederick for a personality assessment tool. The RFQ is set aside as 100% service-disabled veteran-owned small business and will be evaluated in tiers, first considering SDVOSBs, then VOSBs, small businesses, and large businesses. Quotes are due by June 16, 2021 for the anticipated one-year contract period beginning July 1, 2021 with four optional one-year extensions. The contract will be firm-fixed-price. The RFQ requires quotes to include a technical approach, past performance references using the provided questionnaire template, and pricing on the attached schedule. Evaluation will consider technical approach, past performance, and price as the most, moderately, and least important factors. Awards may be made to other than the lowest priced offer if a price premium is determined warranted based on non-price factors.

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ATTACHMENT E 36C10X21Q0151.xlsx XLSX spreadsheet
36C10X21Q0151.docx DOCX document
ATTACHMENT A 36C10X21Q0151 (MK)(AZ).docx DOCX document
ATTACHMENT C 36C10X21Q0151.pdf PDF
ATTACHMENT B 36C10X21Q0151.xlsx XLSX spreadsheet

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ATTACHMENT D - PAST PERFORMANCE QUESTIONNAIRE (PPQ)

AGENCY: Department of Veterans Affairs, Strategic Acquisition Center - Frederick RFQ: 36C10X21Q0151, for Personality Assessment Tool

TO: Anthony Zibolski, Contracting Officer and Alanna Wilson, Contract Specialist

PHONE: 240-215-0598

E-M AIL: Alanna.Wilson@va.gov and Anthony.Zibolski@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: Anthony.Zibolski@va.gov and Alanna.Wilson@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
☐☐☐☐☐☐
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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