ATTACHMENT F - PAST PERFORMANCE.docx

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Attached to
R410--VHA MMO Manpower Study (VA-20-00068903)
Solicitation number
36C77620Q0174
Issued by

About this file

This combined synopsis/solicitation requests quotations for manpower management services to support the Veterans Health Administration. Offerors must provide manpower studies, updates to organizational manuals, special projects, progress reports, staffing plans, and transition plans over a one-year base period and three one-year options. Key personnel requirements include a manpower subject matter expert and management consultant. Quotes are due by September 9, 2020 and shall include separate technical, price, and past performance volumes. The solicitation is set aside for veteran-owned small businesses and will result in a fixed-price contract awarded to the offeror representing the best value at a fair and reasonable price.

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Other files

File Type Posted
36C77620Q0174 0001_1.docx DOCX document
CONTINUATION PAGE.pdf PDF
ATTACHMENT B - CONTRACTOR STAFF ROSTER.doc DOC document
36C77620Q0174.docx DOCX document
ATTACHMENT C - CONTRACTOR PERSONNEL CHANGE FORM.doc DOC document
P09 - QASP - MMO Manpower.doc DOC document
ATTACHMENT D - TRAVEL AUTHORIZATION REQUEST.doc DOC document
P09 - PWS - MMO Manpower.docx DOCX document
ATTACHMENT E - Security Request Packet.pdf PDF

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Attachment F

PAST PERFORMANCE QUESTIONNAIRE

The Department of Veterans Affairs, Veterans Health Administration - Program Contracting Activity – Central (PCAC) is considering the Offeror listed below for award of a contract to provide MMO Manpower.

Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. In addition to submitting this questionnaire, the PCAC may contact you in order to obtain any additional information regarding a contract award.

Please email your completed questionnaire to Adeitra.Jimmison@va.gov and Benjamin.Niznik@va.gov no later than the date proposals are due.

**All Email Correspondence for this project must reference the RFQ Number, Project Identifier and Project Title in the subject line of the email:36C77620Q0174, MMO Manpower

If you have questions regarding the attached questionnaire, or require assistance, please email Adeitra Jimmison and Clayton Smith at Adeitra.Jimmison@va.gov and Benjamin.Niznik@va.gov.

Past Performance Information:

Name and Address of Company (Offeror) being evaluated:

Contract Number/Delivery or Task Order Number, Title, & Location of project the Offeror performed:

Evaluator: (The following information will assist in the analysis of the data. Information will be kept confidential)

Name of Evaluator:

Address:

Phone Number:

Position held or function in relation to project:

Rating: Please evaluate the past performance using only the following ratings without variation. DO NOT RATE ON A “+” OR “-“ SCALE. If a “+” or “-“ is used, the rating without the "+" or "-" will be applied. In addition to the ratings, please provide a short narrative in the appropriate block or in the remarks section of this form.

“O”
Outstanding
The Offeror’s performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the offeror were highly effective.
“A”
Above Average
The Offeror’s performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the offeror were effective.
“S”
Satisfactory
The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory.
“U”
Unacceptable
Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the offeror has yet to identify corrective actions or the offeror’s proposed actions appear only marginally effective or were not fully implemented.

Please rate and provide any supporting information/comments for the following:

1. The quality of the working relationship with the client (the tenant and/ or owner).

O A S U

2. The professionalism and integrity with which offeror conducted business.

O A S U

3. The responsiveness to the client’s needs and expectations.

O A S U

4. The Offeror’s ability to manage and perform the project successfully.

O A S U

5. The offeror’s level of communication.

O A S U

6. The quality control of the project.

O A S U

7. Would you award another contact to the party being evaluated? If no, please explain.

Yes No

8. The delivery of the project was on schedule.

O A S U

9. Overall rating for this firm:

O A S U

Signature of Evaluator

Date

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