ATTACHMENT L2 PRESENT AND PAST PERFORMANCE QUESTIONNAIRE.docx
DOCX document 16 KB Posted
- Solicitation number
- HT001121R0004
- Issued by
-
Defense Health Agency
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Other files
| File | Type | Posted |
|---|---|---|
| HT001121R0004 OMNIBUS IV 4 RFP.pdf | ||
| Attach 1_SOO.PDF.pdf | ||
| Attach 2_dd254 DoD Contract Security Classification Specification.pdf | ||
| Attach 6_PIEE Vendor Registration Instructions.pdf | ||
| Attach 4_Self Scoring Worksheet.xlsx | XLSX spreadsheet | |
| ATTACHMENT L1 Present and Past Performance Information Form.docx | DOCX document | |
| Attach 5_ Performance Guarantee Agreement.pdf | ||
| QA FOR DRAFT RFP POSTING OMNIBUS IV.xlsx | XLSX spreadsheet | |
| Attach 3_Price Sheet.xlsx | XLSX spreadsheet | |
| ATTACHMENT S1 SMALL BUSINESS PARTCIPATION CALCULATION TEMPLATE.docx | DOCX document |
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ATTACHMENT L-2: Present and Past Performance Questionnaire
ATTACHMENT L-2: PRESENT AND PAST PERFORMANCE QUESTIONNAIRE
SOLICITATION NUMBER: HT0011-21-R-0004
1. Please complete this questionnaire. This provides a description of the performer’s direct experience on relevant efforts; describes details of prior project work and explains relevancy. Handwritten responses are sufficient. If you need more space that what is provided, please attach additional pages. Responses will be treated as source selection sensitive information. Please submit the completed questionnaire to dha.ncr.cod-fc.mbx.dha-acq-omnibus-iv@mail.mil prior to 1 PM EST APRIL 28, 2021.
2. Explanation of codes:
| CODE | PERFORMANCE LEVEL |
| E | EXCEPTIONAL – Performance meets contractual requirements and exceeds many requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| V | VERY GOOD – Performance meets contractual requirements and exceeds some requirements to the Government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| S | SATISFACTORY – Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| M | MARGINAL – Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| U | UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| N | NOT APPLICABLE – Unable to provide a score. Performance in this area not applicable to effort assessed. |
3. Please complete the following identifying information and past performance assessment:
A. Contractor:
B. Contract Number:
C. Period of Performance:
D. Negotiated cost or price at award:
E. Current estimated contract dollar amount:
F. Describe the product/service acquired:
4. Circle the appropriate letter for each item on the questionnaire and provide supporting narrative.
ASSESMENT ELEMENTS
(a) Rate the contractor’s ability to deliver at the agreed to price. Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.).
E V S M U N
(b) Rate the contractor’s ability to successfully manage the contracted services/support in order to meet the mission requirements on time.
E V S M U N
(c) Rate the contractor’s management of subcontractors.
E V S M U N
(d) Rate the contractor’s ability to hire and retain a quality workforce to support this effort.
E V S M U N
(e) Rate the effectiveness of assigned personnel in terms of the appropriate mix of education and experience to accomplish the requirement.
E V S M U N
(f) Rate the contractor’s responsiveness to providing replacement personnel. Was training provided and proper security clearances issued to ensure smooth transition of personnel?
E V S M U N
(g) How would you rate the sufficiency of contractor internal quality control or review systems in place from the onset of the contract?
E V S M U N
(h) Rate the contractor’s responsiveness/effectiveness in resolving difficulties of a technical, business, performance, and/or quality nature.
E V S M U N
(i) Rate the effectiveness of overall contract management (including the ability to effectively lead, manage and control the program).
E V S M U N
(j) Rate the contractor’s ability to successfully respond to emergency and/or surge requirements without degradation to ongoing missions.
E V S M U N
(k) What is your overall rating of the contractor’s performance? Why?
E V S M U N
(l) Given the choice, would you award to this contractor again and why?
(m) Is there anyone else we should send this questionnaire to? Please identify by name, organization, and phone number/e-mail address.
(If more comment space needed, attach pages.)
5. Please provide the name, title, address, phone number and e-mail address of the person completing this questionnaire.
Name
Title
Address
Phone No.
E-mail:
6. Thank you for your assistance in this source selection. If you have any questions, please contact us via the email at dha.ncr.cod-fc.mbx.dha-acq-omnibus-iv@mail.mil.
File details come from the government source that posted it. Updated .