B2 - RFQ-EXHIBIT 2 - PAST PERFORMANCE QUESTIONNAIRE.pdf

PAST PERFORMANCE QUESTIONNAIRE SOLICITATION NUMBER

05GA0A24Q0024

This form contains Source Selection Information when completed. See FAR 3.104.

TO: Agency or other organization (i.e., customer) with knowledge of vendor’s performance.

SUBJECT: Vendor Past Performance Evaluation in Support of Solicitation Number:

The U.S. Government Accountability Office (GAO), an independent, nonpartisan agency that provides oversight on behalf of Congress, is currently conducting a competitive source selection to evaluate vendors’ proposals to provide logistical support for GAO’s Tribal and Indigenous Advisory Council. As part of this evaluation, we have requested that the vendors provide information about their past performance on similar federal, state or local government or commercial contracts with other organizations. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation of the vendor’s bid. Please complete this questionnaire, which concerns the past performance of a contractor or subcontractor who is doing business (or has done business) with you and is interested in doing business with the GAO. The contractor who provided GAO with your name as a reference was informed, via a solicitation provision, that by listing you as a reference and requesting your submission of a the questionnaire, they are authorizing you to release information to GAO relative to their past performance, whether it is positive or negative information.

By law, the Government will not disclose the names of individuals providing reference information during discussions with the contractor identified in the following pages.

QUESTIONNAIRE SUBMISSION RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the Contracting Officer, Cedric Mitchener, mitchenerc@gao.gov no later than 2:00 p.m. (EDT) on [enter date here]. No late submissions will be accepted.

This form contains Source Selection Information when completed. See FAR 3.104.

Instructions:

◊ Sections 1 through 3 provide for contract-related descriptive information and identification of the evaluator.

◊ Section 4 lists the major work elements within our Performance Work Statement (PWS).

Please provide your assessment of the “relevant experience” and “performance” associated with our PWS evidenced within the contract / order for which you are a reference.

◊ Section 5 evaluates the vendor’s technical, schedule, and cost/price performance management. If you cannot answer any questions, please circle Not Applicable or N/A.

The following definitions should be used in your assessment of Contractor performance.

OUTSTANDING

Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.

HIGHLY

ACCEPTABLE

Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

ACCEPTABLE

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE

(N/A)

Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

This form contains Source Selection Information when completed. See FAR 3.104.

PLEASE RETURN THIS GOVERNMENT ACCOUNTABILITY OFFICE

QUESTIONNAIRE TO:

Attn: CEDRIC MITCHENER / mitchenerc@gao.gov

QUESTIONNAIRE DUE BY: TBD

mailto:mitchenerc@gao.gov

This form contains Source Selection Information when completed. See FAR 3.104.

Section 1, Contract Information

A. Name of Vendor:

B. Vendor Cage Code and/or DUNS number:

C. Contract Number:

D. Contract Title:

E. Contract Value:

F. Period of Performance:

G. Contract Status: Active Completed ___

Section 2, Description of Contract

Provide a brief description of work performed.

During the contract performance being evaluated, this firm was the:

Prime Contractor ____ Significant Contractor ___ Team Member

Other (describe) _________________________

Section 3, Evaluator Name:

Title:

Agency/Company/Organization:

E-mail Address:

Office Phone Number:

Section 4, Performance Work Statement Survey Relevance Ratings

ELEMENT

PERFORMED / DID

NOT PERFORM

PERFORMANCE RATING IF

PERFORMED

(see Definitions above for Rating)

Ongoing Administrative Support to Operation of Tribal

Advisory Council

Planning and Convening Tribal Advisory Council Meetings

Technical Assistance Support for Obtaining Tribal Advisory

Council Input and Working Group Efforts

1. Did the Contractor demonstrate a thorough understanding of logistical requirements of the contract/task, particularly the PWS elements noted above? (please briefly explain):

2. Did the Contractor demonstrate a thorough understanding of the following technical requirements for providing logistical support to a Tribal Advisory Council?

(Yes / No / NA) (Please briefly explain any issues encountered):

a. Working knowledge of Native American cultures, traditions, and ways of communicating;

b. A demonstrated track record of working with federally recognized Tribes with wide geographic coverage, including Alaska Native villages as well as smaller, less represented Tribes;

c. A demonstrated track record of organizing national tribal advisory bodies for other federal agencies;

d. The ability to reach and establish working relationships with other Indigenous populations within the U.S., and relevant groups representing their interests— including Native Hawaiian communities, Alaska Native Corporations, and state-recognized Tribes;

e. The ability to work cooperatively with other tribal organizations and federal agencies;

f. Experience and familiarity with various funding vehicles for tribal programs; and

g. Familiarity with GAO and its mission.

3. Did the Contractor provide accurate, complete and high quality performance and deliverables for the SOW elements? (If not, briefly explain).

4. Did the Contractor develop realistic schedules and meet established schedules and delivery dates? (If not, briefly explain).

5. Did the Contractor exhibit a commitment to customer service for advisory council members as well as the customer?

Section 5, General Performance Survey

1. Did the Contractor recruit, hire, train, and retain a qualified workforce with the appropriate skill levels to perform the required work? (please briefly explain):

2. Did the Contractor work and communicate well with advisory council members, customer management, staff, and contracting officials as well as with their own staff and subcontractors? (please briefly explain):

3. Did the Contractor manage and direct resources (i.e. personnel, subcontractors, equipment, etc.) effectively? Did the Contractor meet or exceeded program cost, schedule, and performance goals? Did the Contractor forecast, manage, and control contract cost/price? Did the Contractor invoice appropriately and in a timely manner?

4. Was the Contractor cooperative and responsive to contract changes? Did the Contractor comply with the terms of the contract, with little to no issues? Did the Contractor comply with the terms of the contract.

5. Do you have any hesitation about recommending a future contract award to this contractor? Yes or No (please explain)

6. Is there anything else you think we should know?

Overall Contract Performance Rating (circle or highlight one):

Outstanding / Highly Acceptable / Acceptable / Marginal / Unsatisfactory / N/A