Attachment L _Past Performance Questionnaire.docx
DOCX document 25 KB Posted
- Solicitation number
- 36C10D22R0001
- Issued by
-
Department of Veterans Affairs
About this file
This document contains a past performance questionnaire template to evaluate a contractor's performance on a previous federal contract. The template requests information on the contract including value, period of performance, and whether the contractor was prime or sub. It includes a five-point rating scale to assess the contractor's overall quality of goods and services, timeliness, cost control, management and business relations, and any regulatory issues. Space is provided for comments on each rating. Additional questions gather details on services provided, any performance issues, terminations, past performance reporting, and whether the agency would award the contractor another contract.
The related federal contract opportunity is a request for proposal from the Department of Veterans Affairs for nationwide Chapter 31 Vocational Rehabilitation and Employment Services. Interested offerors must submit any questions by July 14, 2022 and final proposals by August 1, 2022. The RFP provides further details on the requirements for these services.
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PAST PERFORMANCE QUESTIONAIRE
Contractor’s Name:
Contract Number & Total Contract Value_____________________________________________ Contract Title___________________________________________________________________ Contract Total Period of Performance_________________________________________________ Was Contractor Prime or Sub for this contract?___________________________________ Name of Person Completing the Evaluation:
| Title: | Agency/Company: | |
| Telephone: | E-mail: |
Please rate the contractor in each of the following areas. Note: there is room for comments that will be helpful to our evaluation.
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
· 2: Performance occasionally does not meet minimum contract performance standard or requirement
· 3: Performance that meets the minimum contract performance standard or requirement
· 4: Performance that meets and occasionally exceeds the contract performance standard or requirement
· 5: Performance that almost always exceeds the contract performance standard or requirement
| 1. Overall Quality of Goods/Services Provided |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
What was the quality of the Contractors performance in executing the scope of the contract? Were key personnel qualified, professional, & reliable? Was the Contractor flexible in responding to emerging issues and implementing required solutions? Please provide comments below:
2. Satisfaction of Contractor Delivery Schedule/Timeliness
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Was the Contractors delivery performance on time with the contract schedule? Were they consistent in meeting the schedule & milestones? Was the Contractor responsive to technical direction? Was the Contractor timely to Government/customer inquiries? Please provide comments below:
| 3. Satisfaction of Contractors Cost Control |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Was the Contractor timely in submitting invoices? Did the Contractor submit accurate invoices in accordance with the price schedule of the contract? Please provide comments below:
| 4. Satisfaction of Management/Business Relations |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Was Contractor businesslike in all correspondence? Was Contractor responsive to contract requirements?
Did Contractor have proactive approach? Did the Contractor solve/handle problems in a quick & professional manner? Was Contractor prompt in notifying the Agency/customer of any problems.
Please provide comments below:
| 5. Regulatory |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Were there any regulatory issues with the Contractors performance? Please provide comments below:
6. Please provide a description of the services/products provided by the Contractor for this contract.
7. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem to this contractor in the past 3 years?
|_| Yes |_| No If Yes, please explain.
8. Have you terminated this contractor for cause/default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.
9. Have you filed past performance information in the CPARS database that the contracting officer may search?|_| Yes |_| No Please explain.
10. Based on the contractor’s overall performance, would you award them another contract?
|_| Yes |_| No If No, please explain.
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