ATT_J.2__PP_QUESTIONNAIRE.docx

DOCX document 155 KB Posted

Attached to
FISMA Annual Independent Audit Services Federal contract opportunity
Solicitation number
CSOSA16R0021
Issued by
Court Services and Offender Supervision Agency

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Updated Questionnaire Attachment J-2

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SF30_Amendment_2.pdf PDF
QA_FISMA_Amendment_1.docx DOCX document
SECTION_J_LIST_OF_ATTACHMENTS.docx DOCX document
RFQ_Letter-Final_7-15-16.docx DOCX document
Sections_A_-_F_SF1449_Price_Schedule_SOW_Deliverables_-Final_7-15-16.doc DOC document
Attachment_J-1_Personal_Statement_of_Independence.docx DOCX document
SECTION_M_-_Final__7-15-16.docx DOCX document
ATT_J.2__PP_QUESTIONNAIRE.docx DOCX document

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PAST AND PRESENT PERFORMANCE QUESTIONNAIRE When Filled In This document Is Source Selection Information IAW FAR 2.101 and 3.104

ATTACHMENT J-2

RFQ CSOSA-16R0021 Re: Audit Services iaw FISMA Amendment 1

CONTRACTOR’S NAME:

CONTRACT NUMBER

1. The survey should be completed by the individual most knowledgeable of the Contractor’s day-to-day operations and overall condition of services being rendered. However, that individual is encouraged to supplement their own knowledge of the Contractor’s performance with the judgment of others in their organization, as applicable.

2. Handwritten responses are sufficient. Please make them legible.

3. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just descriptive. Space for narrative comments is included on the last page of the survey. If more space is needed, additional pages may be added.

4. As the survey relates to an ongoing source selection for the services for “Audit Services” we request that all information provided within the survey be safeguarded against unauthorized disclosure.

A. GENERAL INFORMATION: Please correct any information below known to be inaccurate:

Contractor’s Name: Telephone Number: Fax Number:

Point of Contact:

Address:

Project Title or Brief Description of Work: *

Contract Number Provided by Offeror:

Dollar Amount: $ *

Contract Period or Dates of Performance Provided by Offeror: *

*Note: If offeror holds or has held other contracts with your agency/organization in the last 3 years, please complete separate evaluation forms for those contracts as well.

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel. B. RESPONDENT INFORMATION:

Name of Respondent: Title:

Company Name/Address:

Telephone Number: Fax Number:

Email Address:

C. E-MAIL COMPLETED SURVEY FORM TO: Matthew Metheny at matthew.metheny@csosa.gov

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE When Filled In This document Is Source Selection Information IAW FAR 2.101 and 3.104

CONTRACTOR’S NAME:

CONTRACT NUMBER

D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF 1, 2 OR 3..

1
2
3
4
5
6

NEUTRAL

UNSATIS-

FACTORY

MARGINAL

SATISFACTORY

GOOD

EXCEPTIONAL

Performance was not observed or not applicable to the current effort being reported against.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub- element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance does not meet some contractual requirements. The contractual performance of the element or sub- 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.

Performance meets contractual requirements. The contractual performance of the element or sub- element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element or sub- element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor were effective.

Performance meets contractual requirements with many exceeded to the Government’s benefit. The contractual performance of the element or sub- element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Place an “X” in the appropriate column using the definitions matrix above.

SCHEDULE

1.
Contractor’s responsiveness/timeliness in

providing the required services.

1
2
3
4
5
6
2.
Contractor’s responsiveness/timeliness to

administrative functions of the contract.

1
2
3
4
5
6
3.
Contractor’s responsiveness/timeliness in

responding to questions or correspondence.

1
2
3
4
5
6
4.
Contractor’s compliance with contract

terms and conditions.

1
2
3
4
5
6

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE When Filled In This document Is Source Selection Information IAW FAR 2.101 and 3.104

CONTRACTOR’S NAME:

CONTRACT NUMBER

5.
Were any contract

concessions/changes/terminations made due to the contractor’s failure to accurately plan?

Yes
No

MANAGEMENT OF KEY PERSONNEL

6.
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel

during the contract period.

1
2
3
4
5
6
7.
Contractor’s preparation & training of

personnel.

1
2
3
4
5
6
8.
Contractor’s ability to effectively manage

subordinates.

1
2
3
4
5
6

QUALITY OF SERVICES

9.
Provided effective quality control and/or

inspection procedures to meet contract requirements.

1
2
3
4
5
6
10.
Followed approved quality control plan.
1
2
3
4
5
6
11.
Corrected deficiencies in timely manner

and pursuant to their quality control procedures.

1
2
3
4
5
6
12.
Provided timely resolution of contract

discrepancies.

1
2
3
4
5
6
13.
Identified problems as they occurred.
1
2
3
4
5
6
14.
Suggested alternative approaches to

problems.

1
2
3
4
5
6

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE When Filled In This document Is Source Selection Information IAW FAR 2.101 and 3.104

CONTRACTOR’S NAME:

CONTRACT NUMBER

15.
Displayed initiative to solve problems.
1
2
3
4
5
6
16.
Developed realistic progress schedules.
1
2
3
4
5
6
17.
Met established project schedules.
1
2
3
4
5
6
18.
Contractor’s ability to assimilate &

accommodate changes in contractual requirements and/or priority.

1
2
3
4
5
6
19.
Contractor’s exhibited knowledge of and

compliance with Government (or other) regulations.

1
2
3
4
5
6
20.
Contractor’s demonstration of technical

expertise in providing all contractual services.

1
2
3
4
5
6
21.
Contractor possession/utilization of

tools/equipment necessary for adequately providing the required services.

1
2
3
4
5
6
22.
Contractor’s accomplishment in meeting

the Quality standards specified for:

1
2
3
4
5
6
a. Technical Performance
1
2
3
4
5
6
b. Administrative Performance
1
2
3
4
5
6
c. Safety & Health
1
2
3
4
5
6
23.
Has the Contractor ever failed to

effectively control the quality of services provided? If yes, please explain in Remarks Section.

Yes
No
24.
Has a Contract Discrepancy Report

(or equivalent) ever been issued? If yes, please explain in the Remarks Section

Yes
No

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE When Filled In This document Is Source Selection Information IAW FAR 2.101 and 3.104

CONTRACTOR’S NAME:

CONTRACT NUMBER

25.
Has a Cure Notice or Show Cause Letter

ever been issued? If yes, please explain in the Remarks Section

Yes
No
26.
Have there been any disputes/claims

relative to the contract? If yes, please explain in the Remarks Section

Yes
No
27.
Has a Contractor demonstrated the ability

to correct any of the problems referenced above? If yes, please explain in the Remarks Section

Yes
No
28.
Has a Contract been terminated for

default? If yes, please explain in the Remarks Section

Yes
No
29.
Has an election ever been made to not

exercise an option due to the Contractor’s poor performance? If yes, please explain in the Remarks Section

Yes
No

BUSINESS RELATIONS

30.
Contractor’s management of subcontracts.
1
2
3
4
5
6
31.
Have there been any labor disputes? If

yes, please explain in the Remarks Sect ion

Yes
No
32.
Have there been any violations of Public

Law, especially the Service Contract Act? If yes, please explain in the Remarks Section

Yes
No
33.
Contractor’s ability/willingness to

consistently provide prompt and courteous service.

1
2
3
4
5
6

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE When Filled In This document Is Source Selection Information IAW FAR 2.101 and 3.104

CONTRACTOR’S NAME:

CONTRACT NUMBER

34.
Contractor’s ability/willingness to

promptly and courteously resolve customer complaints.

1
2
3
4
5
6
35.
Contractor’s overall commitment to

customer satisfaction.

1
2
3
4
5
6
36.
Contractor’s overall cooperation relative to

this contract.

1
2
3
4
5
6
37.
How would you rate the integration and

coordination of all activity needed to perform this contract?

1
2
3
4
5
6
38.
How would you the Contractor’s overall

performance?

1
2
3
4
5
6
39.
Would you award another contract to this

Contractor? If not, please explain in the Remarks Section

Yes
No

Remarks:

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