Attachmnet C - Past Performance Questionnaire.doc
DOC document 108 KB Posted
- Attached to
- Dental Care Services Federal contract opportunity
- Solicitation number
- 20342320Q00008
About this file
This document contains a past performance questionnaire for a solicitation seeking dental care services. The Bureau of Fiscal Service is soliciting past performance information from references provided by offerors for solicitation number 20342320Q00008. References are asked to evaluate an offeror's performance on quality of products and services, cost control, timeliness of performance, problem resolution, and business relations using a rating system. The completed questionnaires must be returned by May 15, 2020 via email or fax. The related solicitation seeks proposals for full range dental care services for a 12-month base period and four 12-month option periods to be provided at the Armed Forces Retirement Home in Washington D.C. Questions regarding the solicitation are due by May 8, 2020, with proposals due by May 14, 2020. The opportunity is issued by the Department of the Treasury Bureau of Fiscal Service on behalf of the Armed Forces Retirement Home.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 20342320Q00008.pdf | ||
| Attachment B - IPP Waiver.pdf | ||
| Attachment A - Pricing Sheet.xlsx | XLSX spreadsheet |
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Text version
memorandum
Department of the Treasury, Bureau of the Fiscal Service Division of Procurement
TO:
PROSPECTIVE REFERENCES
FROM:
Paul White, Contracting Officer
DATE:
May 6, 2020
SUBJECT:
Solicitation 20342320Q00008, Dental Care Services Past Performance Questionnaire
The Bureau of the Fiscal Service is conducting a proposal evaluation for the subject solicitation. The point of contact listed in the attached questionnaire has identified your office as a source to evaluate the contractor’s past performance and it also authorizes release of this information to our office.
The individual most knowledgeable of the Contractor’s day-to-day operations and overall condition of performance rendered should complete the survey.
Please complete the questionnaire as thoroughly as possible by indicating your ratings and providing comments wherever applicable. For any rating of Unsatisfactory (U), we request you provide an explanation.
Your time and effort in providing this information is greatly appreciated. The requested information is critical to our evaluation. Please complete and return the completed package as quickly as possible, but no later than May 15, 2020 at 2:00 PM ET. You may e-mail to purchasing@fiscal.treasury.gov with " 20342320Q00008, ATTN: JM/PW" in the subject line, or fax it to 304-480-7204.
Any questions should be sent to purchasing@fiscal.treasury.gov with " 20342320Q00008, ATTN: JM/PW" in the subject line. Thank you for your cooperation and quick response to this request.
Quality of Product or Service Rating Guideline
When responding to the descriptive statements, select the letter, which most accurately describes the contractor’s performance or situation.
| Excellent |
| The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent". |
| Acceptable |
| Overall compliance requires minor Agency resources to ensure achievement of contract requirements. |
| Unacceptable |
| Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements. |
| Not Applicable |
| The contractor was not required to perform or this was not covered under this contract. |
Solicitation:
20342320Q00008 Contractor Name:
REFERENCE: POINT OF CONTACT INFORMATION
1.
Company Name:
2.
Name:
3.
Office:
4.
Email/Telephone:
| I. |
| QUALITY of PRODUCT OR SERVICE: |
| E |
| A |
| U |
| N/A |
| 1. |
| Compliance with contract requirements. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Appropriateness of personnel assigned. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Technical Excellence |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Businesslike Contract Administration |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 5. |
| Accuracy of services provided. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| II. |
| COST CONTROL: |
| E |
| A |
| U |
| N/A |
| 1. |
| The Contractor remained within budget (over/under target costs). |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| The Contractor submits current, accurate and complete invoices. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Unallowable costs not billed. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Cost efficiencies |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| III. |
| TIMELINESS OF PERFORMANCE: |
| E |
| A |
| U |
| N/A |
| 1. |
| Contractor met established milestones/schedules to complete the task on time, as scheduled. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Contractor performed all work and was reliable. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Contractor responded to technical direction. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Contractor completed the requirement on time, including follow-up and contract administration. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 5. |
| Contractor had no liquidated damages associated with missed deadlines. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| IV. |
| PROBLEM RESOLUTION |
| E |
| A |
| U |
| N/A |
| 1. |
| Contractor anticipates and avoids or mitigates problems. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Contractor notified COR promptly of problems. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Contractor provided effective contractor-recommended solutions. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| V. |
| BUSINESS RELATIONS: |
| E |
| A |
| U |
| N/A |
| 1. |
| Contractor provided effective management. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 2. |
| Contractor submitted businesslike correspondence. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 3. |
| Contractor ensured responsiveness to contract requirements. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 4. |
| Contractor demonstrated reasonableness, cooperativeness, flexibility and pro-activeness. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| 5. |
| Contractor provided effective customer service skills. |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
| VI. |
| OVERALL PERFORMANCE: |
| E |
| A |
| U |
| N/A |
| 1. |
| Rate the overall performance of this contractor. Would you rehire this contractor? |
| FORMCHECKBOX |
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Additional Comments:
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