Attachment_1_Past_Perf_Questionnaire.docx
DOCX document 21 KB Posted
- Attached to
- NADDIS and DSS Data Entry Support Services Federal contract opportunity
- Solicitation number
- DJD-15-R-0022
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| DJD-15-R-0022_Amendment_0003.pdf | ||
| DJD-15-R-0022_-_Amendment_0002.pdf | ||
| DJD-15-R-0022_-_Amendment_0002.xml | XML file | |
| DJD-15-R-0022_Q_and_A_-_Amendment_0002_8-19-15_(2).pdf | ||
| Solicitation_No._DJD-15-R-0022_-_Amendment_0002_8-19-15.pdf | ||
| DJD-15-R-0022_Amendment_0001.docx.pdf | ||
| Solicitation_DJD-15-R-0022_Amendment_0001_8-14-15.pdf | ||
| Company_Attendance_Sheet_-_8-3-15.pdf | ||
| DJD-15-R-0022_Q_and_A_-_Amendment_0001_8-14-15.doc | DOC document | |
| Solicitation_DJD-15-R-0022_7-20-15.pdf |
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Attachment 1
U.S. DRUG ENFORCEMENT ADMINISTRATION
PAST PERFORMANCE QUESTIONNAIRE
NAME OF FIRM TO BE EVALUATED: ___________________________________________
The purpose of this questionnaire is to obtain an evaluation of past performance on a contract that has been completed or is currently being performed by the Contractor listed above. You have received this questionnaire because the Contractor selected you to provide this evaluation in response to a request by the Drug Enforcement Administration (DEA) for past performance information. DEA will use the information you provide to assess the Contractor’s ability to perform the requirements of a contract to provide financial management support services. The information is to be provided directly to DEA. The information you provide may be released to the Contractor during debriefings; however, the source of the information will not be released.
It is requested that the Program Manager or the Contracting Officer Representative (COR) complete the evaluation. Please complete this past performance questionnaire, and submit your responses via email to alyse.n.girard@usdoj.gov, no later than 11:00am EST August 25, 2015.
Thank you for your assistance in this Past Performance Evaluation process.
Alyse Girard DEA Contract Specialist
Please rate the Contractor on the abilities listed in this questionnaire by circling the appropriate number to the right. The following definitions apply:
1 = Unacceptable Performance: Requirements were not achieved with significant consequences.
| 2 = Marginal Performance: | Requirements were frequently not fully achieved, often with significant consequences. |
| 3 = Satisfactory Performance: | Requirements were generally achieved with occasional exceptions, and in most cases with minor consequences. |
| 4 = Good Performance: | Requirements were achieved with only rare exceptions, and the exceptions had minor consequences. |
| 5 = Excellent Performance: | Requirements were essentially always achieved or exceeded. |
NA = Not Applicable: This does not apply to the work that was performed.
PAST PERFORMANCE QUESTIONNAIRE
Solicitation DJD-15-R-0022:
Narcotics and Dangerous Drugs Information System (NADDIS) and the Defendant Statistical System (DSS) – Data Entry Support Services
CONTRACT & EVALUATOR INFORMATION
Contractor Name & Address:
| Contract No./Title: |
| Contract Value ($): |
| Period of Performance (include options): |
Description of Work Performed:
Name & Title of Evaluator:
| Agency/Company Name: |
| Phone Number: |
QUESTIONS
| 1. Ability to manage daily operational and contractual tasks. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
| 2. Ability to submit required reports and deliverables on schedule. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
| 3. Ability to prepare and submit accurate and timely invoices for completed work. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
| 4. Ability to resolve problems, initiate corrective actions and negotiate contract changes and modifications |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
| 5. Overall timeliness of delivery. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
| 6. Overall relationships with customers and subcontractors. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
| 7. Overall commitment to customer satisfaction. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
| 8. Overall quality of services provided. |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NA |
Please provide any additional comments to describe the Contractor’s performance:
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