ATTACHMENT F PAST PERFORMANCE QUESTIONNAIRE (AOI).docx

The Department of Veterans Affairs National Acquisition Center, Commodities and Services Acquisition Service, Denver Logistics Center

AOI SOLCITITATION NO. 36C79120R0006

ATTACHMENT F, PAST PERFORMANCE QUESTIONNAIRE (PPQ)

AGENCY: Department of Veterans Affairs, Commodities & Services Acquisition Service (CSAS) | Golden, CO The following Offeror has submitted a proposal for for AOI products and related services and has referenced your company for the purpose of obtaining related professional references. Please provide information on the past performance of the Offeror under evaluation by completing this document and returning it via email to:

Thomas Brick, thomas.brick@va.gov, and Joanna Hudson-Lundquist, joanna.hudson-lundquist@va.gov.

Solicitation Number

Name of the Offeror (“Contractor”)

Please, describe the nature of your contract with the referenced Offeror (Please use the “Additional Comments” block on the second page for additional information.)

Name of Company/Organization Providing References

Name and Title of the Company/Organization Point of Contact (POC)

Company/Organization POC Email]

Company/Organization POC Telephone Number

Contract Description

Contract Number or Project ID

Period of Performance

Contract Award Amount

Complete the following questions, by marking the adjectival ratings and providing comments in which there was significant discrepancies or excellent performance.

PLEASE NOTE: In accordance with Federal Acquisition Regulations, contractors may be advised of adverse remarks and given an opportunity to respond. However, the contracting officer will not provide your name or copies of this questionnaire to the contractor or any other party not directly involved in the evaluation of the contractor’s proposal.

ADJECTIVAL RATINGS DEFINITIONS

Low Risk

(LR)

Little doubt exists, based on the contractor's past performance record, that the contractor can successfully perform requirements similar in size, scope, and complexity provided in the Solicitation. The past performance is relevant, recent, and the PPIRS or PPQs reflect satisfactory or better performance.

Moderate Risk

(MR)

Some doubt exists, based on the contractor's past performance record, that the contractor can successfully perform requirements similar in size, scope, and complexity provided in the Solicitation. The past performance is relevant and recent. The PPIRS or PPQs may reflect minimally satisfactory performance.

High Risk

(HR)

Significant doubt exists, based on the contractor's past performance record, that the contractor can successfully perform requirements similar in size, scope, and complexity provided in the Solicitation. The past performance is relevant, recent, but the PPIRS or PPQs may not reflect satisfactory performance.

Neutral (N) The contractor has no relevant or recent past performance.

Comments:

Comments:

Comments:

Comments:

Comments:

Comments:

Comments:

Comments: