Past Performance Questionaire update 6-22-23.docx
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- Attached to
- RFP for SNAP Income Verification 12319723R0001
- Solicitation number
- FNS12319723R0001
About this file
This document contains a past performance questionnaire template for a solicitation seeking an income verification vendor for the Supplemental Nutrition Assistance Program (SNAP). The past performance questionnaire requests ratings and comments on a contractor's prior project management, ability to meet objectives and schedules, quality control, and ability to rectify issues. Respondents are asked to provide their name, organization, and role in relation to the prior project. The Food and Nutrition Service is seeking these past performance assessments by July 19, 2023 to inform its source selection for solicitation FNS12319723R0001, which requires a vendor to provide income verification services for SNAP.
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Text version
ATTACHMENT 3
PAST PERFORMANCE QUESTIONNAIRE FOR
SOLICITATION NUMBER: 12319723R0001
THIS FORM IS PROVIDED TO CONTRACTORS FOR THE PURPOSE OF PROVIDING PAST PERFORMANCE HISTORY FROM OTHER ENTITIES TO THE GOVERNMENT Our company is being considered in a Source Selection by the Food and Nutrition Service (FNS), Contract Management Division. It would be appreciated if you would provide comments regarding our past performance. Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulation (FAR) prohibits the release of the names of individuals providing reference information about a Vendors past performance. In order to maintain the integrity of the source selection process, respectfully request that you do not divulge the name of the contractor nor discuss your comments on this questionnaire with any other individuals.
This form shall be sent via e-mailed to: Ian Lipscomb and Belal Hammad at Ian.Lipscomb@usda.gov and Belal Hammad at Belal.Hammad@usda.gov NLT 12PM EDT on July 19, 2023. (** This date has been extended from the original date in the RFP of July 6, 2023**).
Past Project Information:
| 1. | Contractor name and address: |
| 2. | Contract Number and Project Title: |
Evaluator (The following information will assist in the analysis of the data. Information will be kept confidential.)
| 1. | Name of Evaluator: | Date: |
| 2. | Phone Number: | |
| 3. | Address: | |
| 4. | Position held or function in relation to the project: |
RATINGS:
Please evaluate the contractor’s performance using the following ratings:
| (E) | Exceptional | The contractor’s performance greatly exceeded the stated requirements. | |
| (HA) | Highly Acceptable The contractor’s performance exceeded the stated requirements. | ||
| (A) | Acceptable | The contractor’s performance met the stated requirements. | |
| (M) | Marginal | The contractor’s performance met the stated requirements, but with | difficulty. |
| (U) | Unacceptable | The contractor’s performance did not meet the stated requirements. |
Please rate and provide any supporting information for the following: (Use additional sheets as necessary)
1. The contractor’s on-site management and coordination of subcontractors.
2. The contractor’s ability to maintain a professional working relationship with Government personnel.
3. The contractor’s ability to provide qualified personnel to meet performance objectives as outlined in the Performance Work Statement or Statement of Work.
5. The contractor’s quality control ability.
6. The contractor’s ability to meet the performance schedule.
7. Was the contractor provided an opportunity to discuss any negative performance ratings? If so, what were the results?
8. The contractor’s ability to rectify identified problems in a timely fashion without further incident of the same.
9. Has the contractor been given any of the following: Cure notice; show cause, letters of reprimand, suspension of payments, termination? If yes, please explain.
10. Would you award another contract to this contractor? If no, please explain.
11. Was the contractor provided an opportunity to discuss any negative performance ratings? If so, what were the results?
12. The contractor maintained a professional working relationship with Government personnel.
OVERALL RATING:
Please provide any additional comments.
File details come from the government source that posted it. Updated .