A_Past_Perf_Questionnaire_FINAL.docx
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- Attached to
- DEFENSE ADVANCED RESEARCH PROJECTS AGENCY (DARPA), BIOLOGICAL TECHNOLOGIES OFFIC Federal contract opportunity
- Solicitation number
- D15PS00167
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Past Performance Questionnaire
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Attachment A
PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS
DEPARTMENT OF THE INTERIOR/INTERIOR BUSINESS CENTER
On behalf of
DEFENSE ADVANCED RESEARCH PROJECTS AGENCY (DARPA)
The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to the Department of Interior (on behalf of DARPA) Request for Proposals for Scientific, Engineering, Technical Assistance, and Administrative (SETA) support. The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).
| a. | Complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number. |
| b. | Include the contractor’s name and address, the title and/or description of the type of work performed, the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation. |
| c. | Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element. |
| d. | Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient. |
e. E-mail your response by the due date and time designated by this RFP for submission of proposals to the Contract Specialist at the following address: Kurrin Benham (Kurrin_Benham@ibc.doi.gov)
Thank you for your time and participation.
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
PAST PERFORMANCE QUESTIONNAIRE
YOUR NAME & TITLE
YOUR ORGANIZATIONAL ADDRESS
TEL NO.:
FAX:
E-MAIL:
CONTRACTOR’S NAME & ADDRESS:
TITLE OR DESCRIPTION OF REQUIREMENT:
CONTRACT NUMBER:
CONTRACT VALUE (INCLUDING OPTIONS):
| CONTRACT TYPE: | |
| |_| FIXED PRICE | |_| COST + FEE |
| |_| COMPETITIVE | |_| NON-COMPETITIVE |
|_| SET-ASIDE
|_| SEALED BID |_| NEGOTIATED
|_| SEALED BID |_| NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
| PAST PERFORMANCE ELEMENT |
| RATING |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 1. | Contractor demonstrated a thorough understanding of technical requirements of the contract/task. |
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Comments:
| 2. | Contractor provided the necessary skilled personnel to perform the required work. |
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Comments:
| 3. | Contractor retained the necessary skilled personnel and maintained a low turnover rate. |
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Comments:
| 4. | Contractor anticipated/identified and resolved problems effectively. |
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Comments:
| 5. | Contractor quickly replaced departing personnel (to include subcontractors and consultants). Replacement personnel were fully trained. |
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Comments:
| 6. Contractor communicated effectively with customer staff and kept the COR informed of potential issues and provided resolutions quickly. |
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Comments:
| 7. | Contractor managed resources (i.e. personnel, subcontractors, independent consultants)effectively. |
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Comments:
| 8. | Contractor provided accurate, complete and high quality deliverables. |
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Comments:
| 9. | Contractor complied with the terms of the contract. |
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Comments:
| 10. Contractor was diligent in forecasting and controlling contract cost. |
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Comments:
| 11. I would recommend award to this contractor again. |
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Comments:
| 1 |
| 0 – 25% of the time |
| Strongly Disagree |
| PLEASE RETURN COMPLETED RESPONSE TO: |
Kurrin Benham E-MAIL: kurrin_benham@ibc.doi.gov
| 2 |
| 26 – 40% of the time |
| Disagree |
| 3 |
| 41 – 55% of the time |
| Somewhat Disagree |
| 4 |
| 56 – 70% of the time |
| Somewhat Agree |
| 5 |
| 71 – 85% of the time |
| Agree |
| 6 |
| 86 – 100% of the time |
| Strongly Agree |
NA
No Knowledge of This Element
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
D15PS00167 Attachment A
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