J-23.pdf
PDF 117 KB Posted
- Solicitation number
- 19AQMM24R0191
About this file
This document is a DRAFT Request for Quote (RFQ) for a past performance questionnaire related to contract 19AQMM24R0191 for Facilities Operations and Maintenance (O&M) Services. The contract is for the Department of State's domestic portfolio of over 40 buildings and facilities around the United States. The services required include all aspects of safety and facilities management such as fire and life safety, electrical systems, HVAC, energy management, environmental compliance, plumbing, elevators, janitorial, recycling, and grounds maintenance. The document outlines the contract information, complexity of the effort, and provides scoring criteria for evaluating the contractor's past performance in areas such as quality of service, timeliness, price/cost control, business relations, and customer satisfaction. The related federal contract opportunity is a pre-solicitation for the O&M services contract 19AQMM24R0191, to be issued by the Department of State Office of Acquisition Management.
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Text version
DRAFT RFQ _19AQMM24R0191
PAST PERFORMANCE QUESTIONNAIRE
CONTRACT INFORMATION
a. Contractor: ________________________________________
b. Contract Number: ________________________________________
c. Type of Contract: (check all that apply)
i. ( ) Negotiated ( ) Sealed Bidding
ii. ( ) Competitive ( ) Non-Competitive
iii. ( ) Firm-Fixed-Price ( ) Cost-Plus-Fixed-Fee ( ) Time-and-Materials ( ) Labor Hour ( ) Indefinite Quantity ( ) Requirements Other: __________________________________
d. Please complete the following:
Period of Performance: _________________ to ___________________ Initial Contract Value: $_____________________ Current (or Completed) Contract Value $_____________________
e. Brief description of requirement:
f. Complexity of effort: ( ) Difficult ( ) Routine
Please provide the following information (to assist us in tracking responses received and resolving any conflicts in the evaluation process if necessary):
Name of Evaluator: _________________________________ (Customer Contact) Telephone Number: __________________________________ Facsimile Number: __________________________________ Organization/Office Symbol: ________________________ Mailing Address: ___________________________________ Position Title/Grade: ______________________________ Thank you in advance for completing this survey. THIS INFORMATION WILL BE PROTECTED IN ACCORDANCE WITH FAR 15.1004(e).
SCORING CRITERIA
EXCEPTIONAL - Indicates the Contractor’s performance within the area of evaluation clearly and consistently exceeds contractual requirements.
ACCEPTABLE - Indicates no problems in area of evaluation or has only minor problems for which solutions were satisfactory.
MARGINAL - Indicates major agency resources to ensure achievement of contract requirements.
UNACCEPTABLE - Indicates serious problems in the evaluation area. The Contractor is/was in danger of being unable to satisfy contractual requirements and timely recovery is not likely or did not occur.
I. QUALITY OF SERVICE
_____ Exceptional _____ Acceptable ____Marginal _____ Unacceptable Narrative:
II. TIMELINESS OF PERFORMANCE
_____ Exceptional _____ Acceptable ____Marginal _____ Unacceptable Narrative:
III. PRICE/COST CONTROL
Narrative:
IV. BUSINESS RELATIONS (Ability to effectively manage contract.)
Narrative:
V. CUSTOMER SATISFACTION
_____ Exceptional _____ Acceptable ____Marginal _____ Unacceptable Narrative:
BASED ON THIS CONTRACTOR’S OVERALL PERFORMANCE, WOULD YOU
AWARD THIS CONTRACTOR ANOTHER CONTRACT? YES NO
If no, please explain: _______________________________________
PLEASE USE THE SPACE BELOW TO PROVIDE ANY ADDITIONAL COMMENTS
CONCERNING THE PAST PERFORMANCE OF THE CONTRACTOR:
Survey Completion Date: ____________________________
Thank you for completing this past performance evaluation.
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