EST Attachment 6 Past Performance Questionaire.docx

Department of Treasury Enterprise Testing System (EST) Contractor Support Services Blanket Purchase Agreement (BPA) Past Performance Questionnaire

IRS RFQ # 8298 / GSA RFQ # 1696978

Date:

To:

Dear "Client":

The Department of Treasury, Office of Chief Information Officer (OCIO) is interested in your assessment of [enter your company name] performance on your contract for the purpose of utilizing this information to evaluate the firm’s probability of successfully performing a federal government requirement that is currently being advertised.

Treasury is requiring that past or current clients of companies responding to its Request for Quote (RFQ) be identified and their participation in the evaluation process be requested. In this regard, we have identified Mr./Ms.____________ of your organization as the point of contact based on his/her knowledge concerning their work. We, therefore, request that you complete the attached Past Performance Questionnaire and email the required response as an attachment to Contracting Officer at Megan.M.McMullen@irs.gov.

Questionnaires must be received by the Contracting Officer by 12 p.m. EST on 06/07/2024. If you have questions regarding the attached questionnaire, or require assistance, please contact the Contracting Officer.

Thank you for your assistance.

Signature and Title

PAST PERFORMANCE QUESTIONNAIRE FORM

SECTION 1: QUOTER INFORMATION (to be completed by the Quoter requesting evaluation prior to sending to Client)

A. Quoter name and address:

B. Point of Contact:

C. Phone Number:

D. Contract Number:

E. Project Title or Description of Work performed under this project:

F. Problems Encounter and Corrective Action

G. Major Subcontractor Details

H. Contract Type: |_| Firm Fixed Price |_| Indefinite Delivery/Indefinite Quantity Task Order |_| Cost Reimbursement |_| Time & Material |_| Labor Hour |_| Incentive

J. Project Award Amount: Current/Final Project Amount:

K. Contractor being evaluated performed as the |_| Prime Contractor |_| Subcontractor |_| Supplier

L. Authorization is hereby granted to provide the information requested in this Questionnaire.

(Signature)

(Name and Title of Authorized Official) (Date)

SECTION 2: RESPONDENT INFORMATION (to be completed by respondent)

EVALUATED BY:

Signature Date

Typed or Printed Name

Title

Phone Number

Address

SECTION 3: PERFORMANCE INFORMATION: Choose the rating that most accurately describes the Contractor’s performance or situation. Please provide a narrative explanation for any ratings of poor or unacceptable.

Note: When assigning a rating to the questions below, place an X in the box under your rating selection.

Question 1. Performance What is your assessment of the Contractor’s ability to meet your requirements?

Comments, if any

Questions 2. Timeliness and Schedule What is your assessment of the Contractor’s ability to meet established schedules?

Question 3. Overall Rating of Contractor’s performance What is your overall rating of Contractor’s performance (requirements, schedule, and price) on the contract being assessed?

Question 4. Responsiveness What is your assessment of the Contractor’s ability to identify issues and cooperate to resolve problems, attended meetings as needed, and maintained communication with the government to maintain operational status and minimize downtime?

Question 5. Staffing What is your assessment of the Contractors ability to provide qualified staff with extensive technical knowledge?

Additional Comments: