B08_SOL_Attachment_2_Past_Performance_Questionnaire_(1).docx

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Attached to
OWF Behavioral Health IDIQ
Solicitation number
140D0424R0099
Issued by

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This document is a Past Performance Questionnaire for Solicitation Number 140D0424R0099, the OWF Behavioral Health IDIQ contract opportunity. The questionnaire asks the respondent to provide information on a previous contract, including the contractor name, contract number, dollar value, period of performance, and contract type (federal or non-federal). The questionnaire then requests the respondent to evaluate the contractor's past performance in four areas: meeting deliverable and performance schedules, achieving high levels of customer satisfaction, providing customizable training solutions, and providing responsive solutions to issues and opportunities. The respondent is asked to rate the contractor's performance as Exceptional, Satisfactory, Unsatisfactory, or Not Applicable, and to provide narrative justification for the ratings. The completed questionnaire is to be emailed to the Contract Specialist.

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ATTACHMENT B

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS

SOLICITATION NUMBER: 140D0424R0099

1. Please complete this questionnaire. Handwritten responses are sufficient.

Explanation of codes:

PERFORMANCE LEVEL

(E) EXCEPTIONAL
The contractor’s performance met contractual requirements and exceeded expectations. Contractor consistently and proactively addressed problems that arose during contract performance before the problems could compromise achievement of contract objectives.
(S) SATISFACTORY
No problems existed or only minor problems for which solutions were available and corrected with minimal disruption to contract requirements.
(U) UNSATISFACTORY
Problems existed which the contractor was unable to solve. The problems led to disruption in achievement of contract requirements. Actions taken by the contractor to resolve the problems were ineffective.
(N) NOT APPLICABLE
Evaluation area not applicable to this contracted effort

2. Circle the appropriate letter for each item on the questionnaire and provide narrative justification.

3. Please scan and e-mail to:

Sarah Ignacio, Contract Specialist sarah_ignacio@ibc.doi.gov

PRESENT/PAST PERFORMANCE EVALUATION

SOLICITATION NUMBER: 140D0424R0099

Please compete the following:

A. Contractor:_____________________________________
B. Contract number:________________________________
C. Estimated contract dollar amount:____________________
D. Period of Performance:___________________________

E. Contract type __________________________ F. |_| Federal |_| Non Federal

G. Describe product/service acquired: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PAST PERFORMANCE EVALUATION CRITERIA:

1. Offeror’s record of success meeting deliverable and performance schedules:

ESUN
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Offeror’s record of success at achieving high levels of customer satisfaction for services and training provided:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Offeror’s record of success at providing customizable training solutions to fit the customer’s need:

E S U N _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Offeror’s record of success at providing responsive solutions to issues and opportunities:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If more comment space needed, write on back, or attach pages and identify numbered item.

Name/Title _____________________________________________________

Role regarding contract (e.g. Contracting Officer, COR, PM, etc.):__________________________________________________________ Phone_______________________________________

FAX________________________________________

File details come from the government source that posted it. Updated .