Attachment_1_Past_Performance_Questionnaire_DJF-18-4210-PR-0008262.pdf

Attachment #1

PAST PERFORMANCE QUESTIONNAIRE

Solicitation# DJF-18-4210-PR-0008262

1 Source Selection Information - See FAR 2.101 and 3.104

To Whom It May Concern:

The Federal Bureau of Investigation intends to acquire Contractor services to provide an psychological wellness evaluations and therapeutic counseling sessions for FBI Victim Services Personnel.

In order to accurately evaluate the Quoter’s past performance, your assistance is requested in obtaining and verifying its relevant past performance history on the attached Past Performance Rating Form.

Upon completion of this form, please e-mail it to the Contracting Officer, Brian Chrostowski at bchrostowski@fbi.gov and the Contract Specialist, Rania Ali at roali@fbi.gov. Please make the subject line of the e-mail read “Solicitation # DJF-18-4210-PR-0008262– Past Performance Questionnaire – Insert Evaluated Company’s Name.”

The following standards will be used in arriving at the rating:

Outstanding The Contractor’s performance exceeded customer expectations and was technically acceptable, providing significant features or benefits.

Satisfactory The Contractor met customer expectations or contract requirements and demonstrated an acceptable understanding of the requirements.

Unsatisfactory The Contractor’s performance was either marginal or did not meet customer expectations or contract requirements.

Other If the element is not applicable, indicate with “N/A.” If no data has been obtained or additional comments are provided, please note in this column.

mailto:bchrostowski@fbi.gov mailto:roali@fbi.gov

2 Source Selection Information - See FAR 2.101 and 3.104

PERFORMANCE RATING FORM

Name of Company Evaluated:

Address of Company Evaluated:

Contract Number:

Period of Performance:

Contract Value: Contract Type:

Contracting Officer Name, Address, Telephone Number, and Email Address:

Type of Relevant Services Performed:

IN ADDITION TO COMPLETING THE ATTACHED QUESTIONNAIRE -- PLEASE VALIDATE THE

EXPERIENCE CITATION PROVIDED BY THE CONTRACTOR WITH ITS REQUEST FOR

COMPLETITION OF THE QUESTIONAIRE. PLEASE NOTE ANY EXCEPTIONS YOU MAY HAVE

WITH THE CONTRACTOR’S NARRATIVE BELOW:

Name of Evaluator, Company / Agency, Address, Telephone Number, and Email Address:

Date Evaluation Provided:

3 Source Selection Information - See FAR 2.101 and 3.104

PERFORMANCE ELEMENT

Outstanding Satisfactory Unsatisfactory Other

Program Management

1. OVERALL PROGRAM MANAGEMENT

(Example: Was the Contractor effective in integrating and coordinating all activities required to execute the contract? Did the Contractor appropriately assign responsibilities to its workforce?)

2. MANAGEMENT RESPONSIVENESS

(Example: Did Contractor management provide timely, complete, and quality problem identification? Did Contractor management provide effective business relations?)

3. MANAGEMENT OF PERSONNEL / EMPLOYEE TURNOVER

(Example: Did the Contractor show an ability to select, retain, support, and replace personnel with the experience and expertise necessary to accomplish the Government’s requirement within schedule and budget?)

Technical Performance (Quality of Product or Service)

4. QUALITY OF TECHNICAL APPROACH

(Example: Were the provided services comprehensive, complete, and feasible? Did the provided services meet requirements and accommodate changing requirements.)

5. UNDERSTANDING OF REQUIREMENTS

(Example: Did the Contractor show an understanding of the scope of the requirements and an appreciation of the complexity of the requirements?

If applicable, did the Contractor effectively identify flaws, inconsistencies, and other inaccuracies in technical direction?)

Timeliness of Performance

6. EFFECTIVE AND EFFICIENT USE OF RESOURCES

(Example: Was the Contractor able to timely provide the number and type of personnel resources required to support the contract, and effectively train the personnel and maintain the required workforce throughout the term of the contract?)

7. TIMELINESS OF PERFORMANCE

(Example: Was the Contractor successful in planning and proposing realistic schedules, monitoring performance, completing work on time, and implementing corrections / changes in a timely manner?)

Quality / Customer Satisfaction

8. QUALITY OF PERFORMANCE / CUSTOMER SATISFACTION

(Example: Was the Contractor committed to customer satisfaction?)

4 Source Selection Information - See FAR 2.101 and 3.104

9. BUSINESS BEHAVIOR

(Example: Was the Contractor reasonable and cooperative at the corporate and program levels in response to changes in technical direction?)

10. COMMUNICATION

(Example: Did the Contractor work and communicate well with

Contracting Officer, Contracting Officer’s Representative, other contractors, subcontractors, and Government staff?)

Cost Control

11. COST CONTROL

(Example: Was the Contractor successful in planning and proposing realistic costs, monitoring performance, operating at or below budget, and implementing corrections / changes in a cost effective manner?)

For #12, PLEASE ANSWER “Yes” or “No”, as appropriate YES NO

12. GIVEN THE CHOICE, WOULD YOU DO BUSINESS WITH THIS

CONTRACTOR AGAIN?

ADDITIONAL COMMENT AREA

Please provide any additional comments regarding your performance element ratings in the space below.

Please add additional pages as necessary.