DOL131RP21617_Past_Performance_Questionnaire.doc
DOC document 94 KB Posted
- Attached to
- FINANCIAL SERVICES Federal contract opportunity
- Solicitation number
- DOL131RP21617
About this file
Attached is the Past Performance questionnaire which shall be completed and submitted on the date as stated in the RFP DOL131RP2167.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| DOL131RP21617_0005.pdf | ||
| Attach_III-DOL_SB_Subcontracting_Goals.pdf | ||
| Technical_Exhibit_2_-_Surveillance_Checklist.pdf | ||
| Technical_Exhibit_1_-_Performance_Requirement_Summary.pdf | ||
| DOL131RP21617-0004.pdf | ||
| Attach_II_-_Suggested_Template_for_Proposed_Labor_Categories.pdf | ||
| Attach_1_-_Subcontracting_Plan_Summary_Sheet.pdf | ||
| QA_-_DOL131RP21617_-_Financial_Services_-_rev-_2-4-2013.pdf | ||
| QA_-_DOL131RP21617_-_Financial_Services_-_1-28-2013.pdf | ||
| DOL131RP21617-0003.pdf | ||
| MOD_0002_RFP_21617.pdf | ||
| Subcontracting_Plan_Summary_Sheet.doc | DOC document | |
| RFP_DOL131RP21617-amendment_0001.rtf | RTF text file | |
| RFP_DOL131RP21617.rtf | RTF text file |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
TO:
Government agency or commercial organization (i.e., customer) with knowledge of the offeror's past performance.
1. 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 U.S. Department of Labor (DOL). Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages. Responses will be treated as source selection sensitive information. The contractor who provided your name as a reference was informed, via a solicitation provision, that by listing you as a reference and requesting your submission of the questionnaire, they are authorizing you to release information to DOL relative to their past performance, whether it is positive or negative information.
Fax or email the completed questionnaire to the attention of the responsible Contracting Officer. The offeror must fill in the solicitation number, fax number, email address, and name of Contracting Officer below, prior to providing you with the questionnaire, or provide you with the information to fill in. Your completed questionnaire must be provided directly to the Contracting Officer from you. DOL will not accept completed questionnaires sent from the offeror.
| Solicitation Number: |
| DOL |
FORMTEXT
131RP21617
| *ATTN: Contract Specialist: |
| *Fax: |
| ( ) |
| *Email: |
| @dol.gov |
| If this reference is for a proposed subcontractor, the Prime is: |
*Offeror must obtain this Information from the solicitation
2.
Please complete the following identifying information and past performance assessment:
A.
Contractor:
B.
Contract Number:
C.
Period of Performance:
D.
Total Contract Amount (Including any Options)
E.
Describe product acquired:
3.
Explanation of codes:
| CODE |
| PERFORMANCE LEVEL |
| E |
| EXCEPTIONAL - |
| Performance meets contractual requirements and exceeds many requirements. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| V |
| VERY GOOD - |
| Performance meets contractual requirements and exceeds some (requirements). The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| S |
| SATISFACTORY - |
| Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| M |
| MARGINAL - |
| Performance does not meet some contractual requirements. The contractual performance of the 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. |
| U |
| UNSATISFCTORY - |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective. |
| N |
| NOT APPLICABLE - |
| Unable to provide a score. Performance in this area not applicable to effort assessed. |
4.
Using the codes above, place an “x” next to the appropriate letter for each item on the questionnaire and provide supporting narrative.
(1) ASSESSMENT ELEMENTS
Cost/Price Control - Rate the contractor's ability to control cost and deliver at the agreed-to price. Describe the reasons for changes to contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes, etc.).
FORMCHECKBOX
E
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
N
(2) Schedule Adherence - How well did the contractor adhere to the agreed-to schedule? What were the causes of any schedule variances? Were data deliverables and reports submitted on time?
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
(3) Performance - Rate the contractor's ability to successfully comply with the contract requirements, statement of work, subcontracting plan, etc.
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
(4) Quality - How well did the contractor adhere to the requirements of a Quality Assurance Plan or Performance Based Contracting requirements? Did the services provided meet the required level of quality or results?
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
(5) Business Relations - Did the contractor exhibit reasonable/cooperative behavior in dealing with problems? Was turnover of personnel frequent? Rate the contractor's responsiveness to managing changes in providing replacement personnel.
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
(6) What is your overall rating of the contractor’s performance and why? (Please provide comments)
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
(7) Identify the contractor's strengths.
FORMCHECKBOX
Cost/Price Control
FORMCHECKBOX
Staffing Management FORMCHECKBOX Technical Knowledge FORMCHECKBOX Other (please describe below)
(8) Identify the contractor's weaknesses.
FORMCHECKBOX
Cost/Price Control
FORMCHECKBOX
Staffing Management FORMCHECKBOX Technical Knowledge FORMCHECKBOX Other (please describe below)
(9) Given the choice, would you award to this contractor again? Why?
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
(10) Are you aware of any other efforts performed by this contractor similar in nature to this contract? Please identify contract/program and point of contact.
FORMCHECKBOX
V
FORMCHECKBOX
S
FORMCHECKBOX
M
FORMCHECKBOX
U
FORMCHECKBOX
5. Please provide the name title Government agency or commercial organization phone number and email address of the person completing this questionnaire.
| Name of Respondent: |
| Title:: |
| Government agency/commercial organization |
| Email address: |
| Telephone Number: |
| ( ) |
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