ATTACHMENT_D-_Past-Performance-Questionnaire.doc
DOC document 94 KB Posted
- Solicitation number
- FDA-RFP-1168334
About this file
Attachment D Past Performance Questionnaire
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_3_Responses_to_Questions.pdf | ||
| Attachment_C_Pricing_Table_(2).xlsx | XLSX spreadsheet | |
| FDA-RFP-1168344_(2).pdf | ||
| Attachment_D_Past_Performance_Questionnaire_(2).docx | DOCX document | |
| ATTACHMENT_D-_Past-Performance-Questionnaire.doc | DOC document | |
| FDA-RFP-1168334.pdf | ||
| ATTACHMENT_B_DATA_CHARACTERISTICS_TABLE.pdf | ||
| FDA-RFP-1168344.pdf | ||
| Attachement_A_Glossary.pdf | ||
| Attachment_C_Pricing_Table.xlsx | XLSX spreadsheet |
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ATTACHMENT D- 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: William.Lee@fda.hhs.gov.
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| XXXXXX-XX-R-XXXX |
| Project/Requirement |
| Enter Project Name/Requirement Title |
| Customer/Agency |
| Enter Project Office |
| Project/Requirement Description |
| Enter succinct Project/Requirement Description |
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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