J-23.pdf

PDF 117 KB Posted

Attached to
FACILITIES OPERATIONS AND MAINTENANCE (O&M) SERVICES Federal contract opportunity
Solicitation number
DRAFT19AQMM24R0191
Issued by
Department of State Office of Acquisition Management

About this file

This document is a Draft Request for Quote (DRFQ) for Past Performance Questionnaire related to a federal contract opportunity. The contract provides Facilities Operations and Maintenance (O&M) Services for over 40 Department of State (DoS) buildings and facilities across the United States. The contract is expected to be a mix of contract types, including Firm-Fixed-Price, Cost-Plus-Fixed-Fee, Time-and-Materials, and Indefinite Quantity. The questionnaire requests information on the contractor's past performance, including quality of service, timeliness, price/cost control, business relations, and customer satisfaction. Respondents are asked to indicate whether they would award the contractor another contract based on their overall performance. The related federal contract opportunity is a Pre-Solicitation for Facilities O&M Services, to be managed 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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