Attachment_G_FBO.pdf

Department of Education, Federal Student Aid Solicitation ED-FSA-14-R-0013

Title IV Financial Aid Origination and Disbursement Services

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection. The contractor/offeror who has provided you this questionnaire is proposing to provide Title IV Financial Aid Origination and Disbursement Services to the Department of Education, Federal Student Aid.

Past performance is an extremely important part of the evaluation criteria for this acquisition (Solicitation ED- FSA-14-R-0013), so your input is crucial, and will be very much appreciated. This information will not be disclosed to the contractor/offeror.

Please complete this questionnaire and email it to MPDODTeam@ed.gov. In the subject line, please state, “Phase I Title IV Questionnaire – [Insert Contractor Name]”. This questionnaire must be received from the evaluator by 4 PM ET, April 14, 2014, in order for it to be evaluated and considered.

The information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and will be protected accordingly.

If you have any questions, please contact Raj Kohli at MPDODTeam@ed.gov.

TO BE COMPLETED BY THE OFFEROR

Please add a continuation page if additional space is necessary

Contractor Name:

Contractor Address:

Contract/Project or Other Binding Agreement Number:

Contract/Project Period of Performance:

Contract Description:

Contract/Project Value (with Options):

TO BE COMPLETED BY THE EVALUATING ORGANIZATION REPRESENTATIVE

Organization Name:

Evaluator’s Name and Title:

Evaluator’s Phone and Email:

Please provide responses to the statements below and the rating code that best reflects your experience with this Contractor.

Explanation of rating codes:

HS = Highly Satisfactory

Highly Satisfactory: A record of exceeding expectations and contractual requirements in adherence to quality.

All other expectations and contractual requirements related to quality were at least met, if not exceeded.

S = Satisfactory

Satisfactory: A record of meeting all expectations and contractual requirements in adherence to quality of product or service.

UN = Unsatisfactory

Unsatisfactory: A record of not meeting expectations and contractual requirements in adherence to quality of product or service.

N/A = Neutral

Neutral: A lack of a record of relevant past performance, so the offeror is deemed neither favorably nor unfavorably.

ASSESSMENT

1. Please rate the Contractor’s ability to control cost and deliver at the agreed-to-price. Please provide a narrative supporting your rating.

Rating code:

Narrative:

2. How well did the Contractor adhere to the agreed-to-schedule? Please provide a narrative supporting your rating.

3. Please rate the Contractor’s ability to successfully comply with the contract terms and conditions. Please provide a narrative supporting your rating.

4. How would you rate the Contractor’s ability to identify and mitigate technical and programmatic risks?

Please provide a narrative supporting your rating.

5. How would you rate the Contractor’s responsiveness to changes in technical direction? Please provide a narrative supporting your rating.

6. How would you rate the Contractor’s ability to process, collect, transmit, secure, and store the following types of Personally Identifiable Information (PII): Social Security Numbers, Names, Dates of Birth, Mailing Addresses, Email Addresses, and Incomes? Please provide a narrative supporting your rating.

7. What is your overall rating on the contractor’s performance? Please provide a narrative supporting your rating.

END OF QUESTIONNAIRE

THANK YOU FOR YOUR TIME AND INPUT