Past-Performance-Questionnaire.doc

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Attached to
TOBACCO ANALYSIS AND ENGINEERING LABORATORY SERVICES Federal contract opportunity
Solicitation number
fda-20-1236379
Issued by
Department of Health and Human Services Food and Drug Administration Office of Acquisition and Grant Services

About this file

This document contains a past performance questionnaire template for a federal solicitation. The solicitation is for tobacco analysis and engineering laboratory services being procured by the Food and Drug Administration's Center for Tobacco Products. Offerors are required to submit completed past performance questionnaires from previous clients along with their proposals by November 11, 2021. The questionnaire collects information on the offeror's technical performance, management, and cost control on prior relevant contracts. It also provides assessment rating definitions and requests the assessor provide an overall rating of the offeror's past performance.

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Data Disclosure Clearance form.pdf PDF
Attachment 7 Labor Category Description.docx DOCX document
Sol_Doc Attachment 3.docx DOCX document
Attachement 4 Class Deviation 2020-05.pdf PDF
Attachment 6 CLass Deviation 2018-01.pdf PDF
Sol_Doc Attachment 1.xlsx XLSX spreadsheet
Sol_Doc RFP_FDA-SOL-1236379 (F).pdf PDF
Attachment 5 Class Deviation 2020-02.pdf PDF
Sol_Doc Attachment 2.docx DOCX document

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FDA-RFP-20-1236379

Past Performance Questionnaire Instructions:

· Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.

· Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.

· Sections III through VII to be completed in their entirety by the assessor.

Message to the assessor: Your feedback is requested by FDA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed questionnaire(s) to: Telisha.Wilson@fda.hhs.gov.

I. Solicitation Data (for the proposed effort)

Solicitation Number
FDA-RFP-20-1236379
Project/Requirement
Tobacco Analysis and engineering Laboratory Services
Customer/Agency
FDA/CTP
Project/Requirement Description
See Statement of Work

II. Current or Historical Contract Information

Assessor: The performance data submitted by the Offeror is FORMCHECKBOX FILLIN \* MERGEFORMAT correct or FORMCHECKBOX incorrect.

CONTRACTOR NAME & ADDRESS:

Contract No

Type of Contract

Initial
Final

Contract Value

Period of Performance/Delivery Schedule

Project/Requirement Description

Please select from the following as it applies to this contract:

Contracting Role
FORMCHECKBOX

PRIME

FORMCHECKBOX

SUBCONTRACTOR

Termination History
FORMCHECKBOX

Convenience

FORMCHECKBOX

Default

FORMCHECKBOX

N/A

III. Assessor Information Assessor Name

Title

Phone Number/Email Address

Identify your role in the contract award or administration and the period of your involvement.

(
Role
Period of Involvement

Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO)

Contract Specialist

Contracting Officer’s Representative (COR)

Technical Project Lead/Project Officer

Quality Assurance Specialist

Defense Contract Audit Agency (DCAA) Auditor

Other:

IV. Evaluation Definitions The following definitions should be used in your assessment of Contractor performance.

EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns.
VERY GOOD
Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
SATISFACTORY
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
UNSATISFACTORY
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.
NOT APPLICABLE (N/A)
Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

V. Performance Evaluation

1. Technical Performance

a. What is your OVERALL assessment of the Contractor’s ability to meet the technical requirements?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Technical Performance

Please provide rationale for the assigned rating.

b. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

2. Management

a. What is your OVERALL assessment of the Contractor’s management performance?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Management

Please provide rationale for assigned rating.

b. Did the Government contribute in any way to any of the technical problems identified in the above assessment? Please explain.

3. Cost Control

a. What is your OVERALL assessment of the Contractor’s ability to forecast, manage, and control costs?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Cost Control

Please provide rationale for assigned rating.

VI. Overall Rating of Contractor’s performance (technical, management, and cost) on contract being assessed.

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

VII. General Comments:

Assessor’s Signature

Date

Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only

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