Attachment_G_-_Past_Performance_Questionnaire.docx

DOCX document 23 KB Posted

Attached to
Biologics Effectiveness and Safety (BEST) Initiative: Development of New and Innovative Methods for Automated Reporting for CBER-Regulated Products
Solicitation number
FDA-18-223-SOL-1196210
Issued by

About this file

Attachment G

View the file

Other files

Show all 19

On GovTribe

Work with this file

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

Text version

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

Solicitation FDA-18-223-SOL-1196210

1. Contract Identification: (to be completed by offeror)

Offeror Name and Address, Offeror Point of Contact Name/Title, Telephone Number, and E-Mail Address:

Reference (client) Information: Agency/Company Name and Address, Agency Point of Contact Name/Title, Telephone Number and E-Mail Address, for/ to whom this questionnaire was submitted:

Contract information for which this questionnaire was submitted:

Contract Number: ___________________________________________________ Contract Type: _____________________________________________________ Period of Performance: ______________________________________________ Total Contract amount: ______________________________________________ Location of Work:

Description of Work, scope, and responsibilities:

Relevance of the referenced contract to the current requirement: _________________________________________________________________

Problems Encountered in Performance and Corrective Actions Taken:

Company’s capacity served on the project, i.e., prime, subcontractor etc.

2. Agency/Company Identification: (to be completed by Client)

Description of Work Performed and the Contractor’s Association with the Project (Prime, Subcontractor, etc). __________________________________________________________________

3. Contractor Performance Ratings: (to be completed by Client) https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Evaluation+Areas

Definition
Justification
a) Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.
(b) Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.
To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.
(c) Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There should have been NO significant weaknesses identified. A fundamental principle of assigning ratings is that contractors will not be evaluated with a rating lower than Satisfactory solely for not performing beyond the requirements of the contract/order.
(d) Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated 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.
To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).
(e) Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).

Please evaluate the following areas:

1. Quality of Product or Service https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Quality )

|_|Exceptional
|_|Very Good
|_|Satisfactory
|_|Marginal
|_|Unsatisfactory
|_|N/A

Rating Narrative: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Schedule https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Schedule )

|_|Exceptional
|_|Very Good
|_|Satisfactory
|_|Marginal
|_|Unsatisfactory
|_|N/A

Rating Narrative: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Cost Control (https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Cost+Control)

|_|Exceptional
|_|Very Good
|_|Satisfactory
|_|Marginal
|_|Unsatisfactory
|_|N/A

Rating Narrative:

4. Management Business Relations/Key Personnel) https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Management

|_|Exceptional
|_|Very Good
|_|Satisfactory
|_|Marginal
|_|Unsatisfactory
|_|N/A

Rating Narrative: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Small Business Subcontracting https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Small+Business

|_|Exceptional
|_|Very Good
|_|Satisfactory
|_|Marginal
|_|Unsatisfactory
|_|N/A

Rating Narrative: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Regulatory Compliance:

https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Regulatory

|_|Exceptional
|_|Very Good
|_|Satisfactory
|_|Marginal
|_|Unsatisfactory
|_|N/A

Rating Narrative: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Other Areas: https://cpars.cpars.gov/cpars/common/helpinfo_input.action?module=cpars&scope=de&topic=Other+Areas specify additional evaluation areas that are unique to the contract, or that cannot be captured elsewhere on the form. More than one type of entry may be included, but should be separately labeled.

|_|Exceptional
|_|Very Good
|_|Satisfactory
|_|Marginal
|_|Unsatisfactory
|_|N/A

Rating Narrative: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Is/was the contractor committed to customer satisfaction?

Yes/no

Narrative:

9. Would you hire this contractor to provide products/services for your organization in the future? Please explain why or why not.

Evaluator Information:

Name (please print):

Title:

Work phone number (including area code): __________________________________________________________________

E-Mail address:

Signature:

File details come from the government source that posted it.