Attach__9-Past_Performance_Questionnaire.docx

32 KB Posted

Attached to
Nationally Registered Paramedic (NRP) Paramedic Certification Course
Solicitation number
FA8052-14-R-0014
Issued by

About this file

From the source

Attachment 9 - Past Performance Questionnaire

View the file

Other files

File Type Posted
16_JUN_14-REVISED-Attach__6_-_Pricing_Schedule.xlsx XLSX spreadsheet
16_JUN_14-REVISED-IDIQ-NRP-Combined_synopsis-solicitation.docx DOCX document
16_JUN_14-REVISED-Attach__3_DRAFT_FA8052-14-D-0002_Basic_Contract.doc DOC document
05_JUN_14-Attach__4-FAR_Provision_52.212-2-Revised.pdf PDF
Attach__5-Evaluation_Factors_ _Subfactors-Revised.doc DOC document
Attach__4-FAR_Provision_52.212-2-Revised.docx DOCX document
Attach__4-FAR_Provision_52.212-2.docx DOCX document
Attach__6_-_Pricing_Schedule.xlsx XLSX spreadsheet
FA8052-14-R-0014-NRP-Combined_Synopsis-RFP.pdf PDF
Attach__5-Evaluation_Factors_ _Subfactors.doc DOC document
Attach__7_-_252.209-7993.docx DOCX document
Attach__8-52.212-3_and_Alt_1.docx DOCX document
Attach__2-QASP_FY14_Paramedic_Training_21_APR_14.pdf PDF
Attach__1-_PWS_NRP_(Paramedic_Tng).docx DOCX document
Attach__3_DRAFT_FA8052-14-D-0002_Basic_Contract.doc DOC document
Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

FA8052-14-R-0014

Attachment #9

PAST PERFORMANCE INFORMATION

SOLICITATION# FA8052-14-R-0014, ATTACHMENT 9

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection. Request a representative of your organization to complete this questionnaire and e-mail to:

773 ESS/PKB

Attn: Dustin Tatum 210-395-9382 Dustin.Tatum@us.af.mil

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

BLOCKS 1 THROUGH 7 TO BE COMPLETED BY THE OFFEROR

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CONTRACT AWARD DATE:

4. PERIOD OF PERFORMANCE/COMPLETION DATE:

5. CONTRACT VALUE (WITH OPTIONS):

6. TYPE OF CONTRACT:

7. TITLE OF CONTRACT AND DESCRIPTION OF CONTRACT REQUIREMENTS:

BLOCKS 8 THROUGH 10 TO BE COMPLETED BY EVALUATION ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR’S NAME, POSITION (PCO/PM/COR/OTHER) AND ORGANIZATION:

b. EVALUATOR’S PHONE NUMBER: ________________________________________________________________

c. MONTHS CONTRACTOR PERFORMANCE MONITORED BY EVALUATOR: ____________________________

d. RATINGS Please circle the response code which best reflects your evaluation of the contractor’s performance.

EX = EXCELLENT - Performance meets contractual requirements and exceeds many to the government’s benefit. 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.
VG = VERY GOOD - Performance meets contractual requirements and exceeds some to the government’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
SA = SATISFACTORY - Performance meets contractual requirements. The contractual performance of the element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
MA = 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. The contractor's proposed actions appear only marginally effective or were not fully implemented.
US = UNSATISFACTORY - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.
N/A = NOT APPLICABLE - Contract does not/did not require performance of this element.

A. Technical Ability

A-1. Ability to train provided and coordinate “ride along” training to students.
EX
VG
SA
MA
US
N/A
A-2. Ability to maintain EMS relationships for field internship training.
EX
VG
SA
MA
US
N/A
A-3. Ability to provide students with equipment and materials necessary for training.
EX
VG
SA
MA
US
N/A
A-4. Ability to meet schedules and handle project changes.
EX
VG
SA
MA
US
N/A

B. Management Plan

B-1. Demonstrated ability to maintain competent and knowledgable instructors.
EX
VG
SA
MA
US
N/A
B-2. Overall management of the program.
EX
VG
SA
MA
US
N/A
B-3. Quality assurance of services delivered.
EX
VG
SA
MA
US
N/A
B-4. Solving problems and resolution processes.
EX
VG
SA
MA
US
N/A

C. Training Instruction

C-1. Quality and thoroughness of Contractor’s training materials.
EX
VG
SA
MA
US
N/A
C-2. Competency and effectiveness of Contractor’s instructors.
EX
VG
SA
MA
US
N/A

C-3. Contractor’s demonstrated performance in providing training for different levels of understanding, e.g., conceptual versus practical.

EX
VG
SA
MA
US
N/A
C-4. Ability to provide a sufficient Advanced Life Support (ALS) training.
EX
VG
SA
MA
US
N/A

D. NRP Exam

D-1. Ability to schedule and coordinate NRP exam oppurtunities for all students.
EX
VG
SA
MA
US
N/A
D-2. Overall level of preparedness for students to take the NRP exam.
EX
VG
SA
MA
US
N/A

E. Price, Administration and Certifications

E-1. Overall cost control (avoidance of overruns/underruns).
EX
VG
SA
MA
US
N/A
E-2. Ability to work with program, contracting, and budget offices.
EX
VG
SA
MA
US
N/A
9. Overall Assessment:
EX
VG
SA
MA
US
N/A

10. Any unsatisfactory performance noted above has been shared with the contractor: ( ) Yes [ written ( ) or oral ( )? ] ( ) No Please Comment:

PLEASE PROVIDE COMMENTS TO IDENTIFY:

a. Specific Strengths/Weaknesses Related to Part 8 Above - Please Cite the Alphanumeric Code.
b. Two or Three Best Corporate “Traits” or Skills Observed.

c. Any Areas of Improvement that are most “Troublesome.”

Please add a continuation page for comments (Include Contractor Name, Contractor Number and RFP Number)

File details come from the government source that posted it. Updated .