ID04150093_TAB_10__Past_Performance_Questionnaire_10292015.docx
DOCX document 29 KB Posted
- Attached to
- EPA PM 2. 5 PFTE Teflon Filters
- Solicitation number
- ID04150093
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Offerors Pricing Worksheet dated 10/29/2015
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ_Questions_ID04150093_EPA_Filters_FINAL.docx | DOCX document | |
| ID04150093_TAB_10_RFQ_ITO_11202015_FINAL.pdf | ||
| ID04150093_RFQ_Amd_002_11242015.pdf | ||
| ID04150093_RFQ_Amd_001_11.17.15.pdf | ||
| ID04150093_TAB_10_RFQ_ITO_11172015_FINAL.pdf | ||
| ID04150093_TAB_10_ITO_Pricing_Worksheet_10292015.xls | XLS spreadsheet | |
| ID04150093_TAB_10__Past_Performance_Questionnaire_10292015.docx | DOCX document | |
| ID04150093_TAB_10_ITO_Min_Stds_Attach_3.docx | DOCX document | |
| ID04150093_TAB_10_RFQ_ITO_11022015_FINAL.docx | DOCX document |
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PAST PERFORMANCE QUESTIONNAIRE
Please return completed questionnaire via ITSS with proposal due 18 Dec 2015
Please complete this evaluation document and send via ITSS as soon as possible for inclusion in the Pre-Award Technical Evaluation process.
Please reference attachment: PPQ - ID04150093
Your participation in this acquisition is greatly appreciated!
Keierrah P. Beasley Contract Specialist Federal Acquisition Service (FAS) GSA, Region 4 - Atlanta Office: 404-215-6878 Keierrah.Beasley@gsa.gov
PAST PERFORMANCE QUESTIONNAIRE
Instructions to Quoters:
This questionnaire will be used in evaluating your ability to perform the required services listed in the Performance Work Statement. Provide your name, address and contract number to the references in order to fill out the form and submit through the ITSS program, Attachment: PPQ - ID04150093
Instructions to Evaluator:
1. Please complete this questionnaire based on the following guidance:
a. Typed or handwritten responses are sufficient.
b. Indicate, based on the adjectival ratings below, the contractor's performance on the identified program. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:
| Rating |
| Definition |
| Exceptional |
| Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required work. |
| Very Good |
| Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required work. |
| Satisfactory |
| Based on the offeror’s performance record, some doubt exists that the offeror will successfully perform the required work. |
| Margin |
| Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required work. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements. |
| Unsatisfactory |
| Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required work. |
| Not Observed |
| This element was not observed. |
c. For each question please circle or bold one rating. Select "Not Observed" if you are unable to provide a score for an area.
d. Please provide narrative explanations for your answers. Space for your remarks is provided after each question. If more space is needed, use the back of this questionnaire or attach additional sheets.
e. You are urged to supplement your own knowledge of the contractor's performance with the judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, you may provide comments on other similar programs with which your activity has contracts with this offeror.
PAST PERFORMANCE QUESTIONNAIRE
Please return completed questionnaire via ITSS by 18 Dec 2015
Reference: PPQ - ID04150093
Company Information
Company Name:
Contract/Task Number:
Contract/Task Information
Title of Work Performed:
Type of Contract: Firm Fixed Price, Labor Hour, Time & Materials, Cost-Reimbursement
Date of Award:
Period of Performance:
Dollar Value of Contract:
Description of Work Performed:
Quantity of filters delivered per year:
Delivery Schedule:
Evaluation
1. How well did the contractor meet schedule compliance (Milestones, Deliverables and Contract Activities)?
Exceptional Very Good Satisfactory Marginal Unsatisfactory Not Observed
2. How well did the contractor provide quality customer relations and thorough contract administration (reasonable and cooperative behavior, commitment to customer service, responsiveness to issues)?
Exceptional Very Good Satisfactory Marginal Unsatisfactory Not Observed
3. How well did the contractor comply with contract requirements, accuracy/compliance with the quality of delivered items?
Exceptional Very Good Satisfactory Marginal Unsatisfactory Not Observed
4. The contractor’s overall performance on this contract is/was:
Exceptional Very Good Satisfactory Marginal Unsatisfactory Not Observed
5. Would you hire this company again? Yes No
Evaluator Information
Name of Evaluator: ______________________________________________________________________
Position/Title: ______________________________________________________________________
Organization: ______________________________________________________________________
Length of Involvement in Program/Contract: ________________________________________________________
Phone Number: ________________________________
Email: _______________________________________
Date Questionnaire Completed: ______________________________________
ID04150093
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