ATTACHMENT F - PAST PERFORMANCE.docx
DOCX document 21 KB Posted
- Attached to
- U009--Mosby Preceptor (VA-21-00030702)
- Solicitation number
- 36C77621Q0374
About this file
This document is a combined synopsis/solicitation for commercial items from the Department of Veterans Affairs Technology Acquisition Center Austin. It seeks a nationwide Preceptor Training License for unlimited use of online preceptor training tools, including online training courses, testing, and reporting tools. Interested vendors must provide pricing for base and option years by line item in their response. The due date for questions is June 28, 2021 and quotes are due by July 2, 2021. The award will be made based on a comparative evaluation of quotes considering technical approach, price, past performance, and veteran-owned business status. Relevant past performance examples within the last three years include experience providing similar preceptor training and reporting licenses. Attachments include the statement of work and a past performance questionnaire.
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| File | Type | Posted |
|---|---|---|
| P09 - SOW - Preceptor Course.docx | DOCX document | |
| 36C77621Q0374.docx | DOCX document |
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Text version
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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