MRDSS_Past_Perfomane_Questionnaire_31_Aug_16.docx

VOLUME III - PAST PERFORMANCE- QUESTIONNAIRE INSTRUCTIONS:

The Company that has provided you this questionnaire is proposing on an Air Force contract for the Medical Readiness Decision Support System (MRDSS) provides life cycle management for standard medical management information systems located at all Air Force medical treatment facilities worldwide. Performance Risk is a very important factor for this acquisition, so accurate and honest input from previous customers of the Company is very important. We would greatly appreciate you taking the time to complete this past performance questionnaire.

Please email your completed survey directly to Mrs. Maria Jones, the Contracting Officer, at the email addresses shown below, no later than 2:00 PM CDT, on 30 September, 2016.

Email response to: maria.jones@us.af.mil

IMPORTANT CRITERIA:

Please provide a supporting narrative for all of the ratings except for Acceptable (A) and Good (G). Comments for Outstanding ratings will allow us to differentiate amongst the contractors. For any adverse rating, Marginal or Unsatisfactory, it is required by FAR 15.306 that the contractors be allowed to comment on the adverse ratings, therefore, detailed information to support the rating is REQUIRED (e.g., the Rater should explain the events that took place and explain why corrective action did not correct the problem). It is requested that you not adversely rate the contractor in the rating if the Government is at fault. Please use additional pages for supporting narrative, if required.

Air Force – Medical Readiness Decision Support System RFP Number: FA8771-16-R-0016, 1 September, 2016

Use or disclosure of data contained on this sheet is subject to the restriction on the title page of this proposal.

Volume IV-1

Past Performance Evaluation Questionnaire Form Medical Readiness Decision Support System (MRDSS)

RATING GUIDELINES:

The following questions pertain to the contractor’s record of past performance (within the past three years) and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. Please provide examples and/or explanations (use additional pages if necessary). The following adjectival ratings shall be used in your response.

Outstanding: During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) many. Very few, if any, minor problems encountered. Contractor took immediate and effective corrective action.

Good: During the contract period, contractor performance is meeting (or met) all contract requirements and consistently exceeding (or exceeded) some. Some minor problems encountered. Contractor took timely corrective action.

Acceptable: During the contract period, contractor performance is meeting (or met) all contract requirements. For any problems encountered, Contractor took timely corrective action.

Marginal: During the contract period, contractor performance is not meeting (or did not met) some contract requirements. For any problems encountered, corrective action appeared only marginally effective, not effective, or not fully implemented. Customer involvement was required.

Unacceptable: During the contract period, contractor performance is failing (or fails) to meet most contract requirements. Serious problems encountered. Corrective actions were either ineffective or non-existent. Extensive Customer oversight and involvement was required.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

E-mail Address:

PART II. EVALUATION (To be completed by Contracting Officer Representative (COR) Point of Contact (POC) – Respondent) A. Respondent Identification. Please provide the following information:

COR POC

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

Email Address:

Technical POC (if different from COR) Organization:

Name:

Title:

Date:

Telephone Number:

Email Address:

B. Conformance to Specifications and Standards of Good Workmanship

Comments:

C. Adherence to Contract Schedules, including the Administrative Aspects of Performance

D. Ability to Resolve Technical Problems Quickly and Effectively

E. Professionalism in its Concern for the Interest and Satisfaction of its Customers

F. Establishing and Maintaining Adequate Management of Subcontractors

G. Quality of Services Delivered

H. Staffing for the duration of the contract

I. Red Hat/Linux System Adminstration Services

J. Subject Matter Experts (SME) Services

K. Software Sustainment Services

L. Oracle Database Adminstration Services

M. Help Desk Services

N. Configuration Management Services

O. User Training

P. General Comments. Provide any other relevant performance information.

PART III. RETURN INFORMATION

Please return the completed Questionnaire via e-mail to the Contracting Officer identified in the Instructions.

Thank you for your assistance.