ATTACHMENT D PAST PERFORMANCE QUESTIONNAIRE.docx
DOCX document 31 KB Posted
- Attached to
- S201--FY22: Janitorial Services Lake Nona
- Solicitation number
- 36C24822Q1093
About this file
This document contains a past performance questionnaire template for a janitorial services solicitation. The solicitation is for janitorial services at the Orlando VA Medical Center Lake Nona location, with responses due by July 8, 2022. Offerors must provide references who will complete Section II through IV of the questionnaire, rating the offeror's past performance on ability to provide janitorial services, timeliness, ability to meet special needs, subcontractor management if applicable, and overall satisfaction. Ratings are on a scale of exceptional, very good, satisfactory, and marginal. The solicitation number is 36C24822Q1093 and is being conducted by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8.
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ATTACHMENT D
PAST PERFORMANCE QUESTIONNAIRE
RFQ 36C24822Q1093, Janitorial Services Orlando A Medical Center Lake Nona Section I is to be completed by the offeror and provide to their reference with instructions to complete Section II through IV and submit to the Contracting Officer prior to the offer due date/local time at block 8 of the SF1449. Contractor shall submit a completed copy of section I with their quote.
SECTION I:
Contractor:
Contractor UEI #:
Contract Number:
Contract Title:
Rater Name:
Rater Telephone:
Rater E-Mail Address:
Rater’s Role in Relation to the Contract (program/project manager, contracting officer, major end user)
INDEX
Section I – Contractor completes and submit with his/her offer Section II – Ratings to be completed by the agency rater you provided in Section I and must be submitted by the rater Section III – Additional Narrative Justification Section IV – Signature of Rater Section V – Return Instructions Section VI – Rating Definitions
| SECTION II-RATINGS |
| Select a Rating Category |
1. Provide a short description of worked performed to include square footage.
2. How would you rate the contractor’s ability to provide janitorial services for your location?
Supporting narrative: see rating definitions
Choose an item.
3. How would you rate the contractor’s timeliness of the services provided?
Supporting narrative: see rating definitions
Choose an item.
4. How would you rate the contractor’s ability to meet special needs (such as emergency calls for services?
Supporting narrative: see rating definitions
Choose an item.
5. Were there any subcontractors (Yes) (No), and how would you rate the contractor’s ability to effectively manage, coordinate, and integrate any issues with subcontractors on site?
Supporting narrative: see rating definitions
Choose an item.
6. How would you rate your overall satisfaction with the contractor’s performance?
Supporting narrative: see rating definitions
Choose an item.
SECTION III – Additional Supporting Narrative, if required.
Include the number of the question above to which this supporting narrative applies.
SECTION IV – Signature of Rater
Rater Name:
Signature of rater: _______________________________________ Date: __________________________________________________ Signature of rater is not required if sent via e-mail directly from rater.
SECTION V – Return Instructions
Return the completed questionnaire via e-mail to: Rohan.McKenzie@va.gov. no later than 4:00 PM EDT, July 08, 2022, EASTERN DAYLIGHT TIME (EDT).
SECTION VI – Rating Definitions
| Rating |
| Definition |
| Note |
Exceptional (E)
| Performance met contractual requirements and exceeded many to the government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| To justify an “exceptional” rating, identify multiple significant events and state how they were of benefit to the government. A singular benefit, however, could be of such magnitude that it alone merits an “exceptional” rating. Also, there should have been no significant weaknesses identified. |
Very Good
(VG)
| Performance met contractual requirements and exceeded some to the government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| To justify a “very good” rating, identify a significant event and state how it was a benefit to the government. There should have been no significant weaknesses identified. |
Satisfactory (S)
| Performance met contractual requirements. The contractual performance of the element or sub element contained some minor problems for which corrective actions taken by the contractor appeared to be or were satisfactory. |
| To justify a “satisfactory” rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There should have been no significant weaknesses identified. A fundamental principle of assigning ratings is that contractors will not be evaluated with a rating lower than “satisfactory” solely for not performing beyond the requirements of the contract/order. |
Marginal (M)
| Performance did not meet some contractual requirements. The contractual performance of the element or sub element being evaluated reflected a serious problem for which the contractor did not identify corrective actions. The contractor’s proposed actions were only marginally effective or were not fully implemented. |
| To justify a “marginal” performance rating, identify a significant event in each category that the contractor had trouble overcoming and state how it affected the government. A “marginal” rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter). |
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