L-2 PPQ Questionnaire.doc
DOC document 53 KB Posted
- Attached to
- Rural eConnectivity Support Services for the Reconnect Program Federal contract opportunity
- Solicitation number
- 12C0BA21R0005
About this file
This document contains a past performance questionnaire and details of a federal contract opportunity for rural connectivity support services. The past performance questionnaire is being used to evaluate contractors for a potential three-year IDIQ contract to provide business support services for the Rural eConnectivity Program. It requests ratings and comments on an incumbent's performance, quality control, timeliness, cooperation, and flexibility on past relevant contracts. The federal contract opportunity is an IDIQ with a $25 million ceiling to provide rural connectivity program support services throughout the United States and territories. The NAICS code is 541611. Responses are due by September 17, 2021 with an estimated contract award date of October 15, 2021. The solicitation number is 12C0BA21R0005 and it is a 100% small business set-aside being conducted by the Department of Agriculture Rural Housing Service.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers - 12C0BA21R0005.pdf | ||
| Solicitation 12C0BA21R0005 Amendment 00002.pdf | ||
| SF30 12C0BA21R0005- Amendment 0002 - Signed.pdf | ||
| Attachment J-1 - PWS 08-18-2021.pdf | ||
| Solicitation 12C0BA21R0005 - Amendment 00001.pdf | ||
| 12C0BA21R0005- Amendment 0001.pdf | ||
| J-5 Consent Certification to Disclosure.pdf | ||
| L-1 PPQ Cover Letter.doc | DOC document | |
| J-3 - Non-Disclosure Agreement.pdf | ||
| Attachment J-2 Pricing Schedule.xlsx | XLSX spreadsheet | |
| Solicitation 12C0BA21R0005.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE
IAW FAR 2.101 AND 3.104
SOLICITATION/RFP: 12C0BA21R0005
PROGRAM: Business Support Services for the Rural eConnectivity Program
CONTRACTOR NAME: __________________________
1. Background
The U.S. Department of Agriculture (USDA), Rural Development (RD) is currently in the process of soliciting for a competitive service contract for its Business Support Services for the Rural eConnectivity Program.
This questionnaire is to obtain past performance information relative to contracts that have previously been completed within the past three years or are currently being performed by the contractor identified above. This company is a potential source for performing a three-year Indefinite Delivery Indefinite Quantity Contract.
2. Instructions
Please complete the questionnaire based on the following guidance:
A. Handwritten responses are sufficient.
B. Indicate, based on the description below, the contractor’s performance on the identified program in the assessment area. Assessments should reflect only the contractor’s relevant performance. The following is a definition of the scoring levels:
| Rating |
| Description |
| Exceptional |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
Check next to the word corresponding to your rating
C. Please provide comments for all questions in which a “Unsatisfactory”, “Marginal”, or “Satisfactory” rating is given and as appropriate for all other answers. Space for your comments is provided in each area. If more space is needed, attach additional sheets to the end of the questionnaire and reference the respective question.
D. You are urged to supplement your own knowledge of the offeror’s performance with the judgement of others in your organization. In addition to completing the attached questionnaire for the program, we solicit your comments on other similar programs for which your office has contracts with this offeror.
E. PLEASE EMAIL YOUR COMPLETE QUESTIONNAIRE WITHIN 7 DAYS AFTER RECEIPT, BUT NO LATER THAN 8:00 PM, October 15, 2020 TO THE FOLLOWING:
erin.lush@usda.gov, allen.hunt@usda.gov, and daniel.lewis@usda.gov Your assistance in evaluating the contractor’s past performance is appreciated. Our goal is to select the best value to the Government. Your Past performance evaluation is a consideration in determining the best value.
3. Program Identification:
Evaluator please complete:
A. Contractor: _______________________________________________
B. Contract Number: __________________________________________
C. Estimated contract dollar amount: _____________________________
D. Period of Performance: _____________________________________
E. Describe product acquired: ___________________________________
F. Contract Type: ____________________________________________
G. Contract Description: Brief description of the services provided by the contractor for this contract:
Comments: ___________________________________________________________________________________
4. Past Performance Evaluation:
a.. How would you rate the contractor’s overall performance on the project?
[ ] Exceptional [ ] Very Good [ ] Satisfactory [ ] Marginal [ ] Unsatisfactory Comments: ___________________________________________________________________________________
b. How would you rate the contractor’s responsiveness and flexibility?
[ ] Exceptional [ ] Very Good [ ] Satisfactory [ ] Marginal [ ] Unsatisfactory Comments:____________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
c. How would you rate the contractor’s experience with the Government’s stringent standards/regulations?
[ ] Exceptional [ ] Very Good [ ] Satisfactory [ ] Marginal [ ] Unsatisfactory Comments:____________________________________________________________________________________ _____________________________________________________________________________________________
THE CONTRACTOR:
5. Provided effective quality control and/or inspection procedures to meet contract requirements?
[ ] Exceptional [ ] Very Good [ ] Satisfactory [ ] Marginal [ ] Unsatisfactory Comments: ___________________________________________________________________________________
6. Corrected deficiencies in a timely manner?
[ ] Exceptional [ ] Very Good [ ] Satisfactory [ ] Marginal [ ] Unsatisfactory Comments:____________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7. Cooperated with Government personnel?
[ ] Exceptional [ ] Very Good [ ] Satisfactory [ ] Marginal [ ] Unsatisfactory Comments:____________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
8. Met volume orders in a timely manner?
[ ] Exceptional [ ] Very Good [ ] Satisfactory [ ] Marginal [ ] Unsatisfactory Comments:_________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Knowing what I know about this contractor and in my experience please choose one of the following:
____I would not consider entering into another contract with this contractor
____I might consider entering into another contract with this contractor
____I would consider entering into another contract with this contractor
9. Additional Information, if available:
Please attach any past performance database reports or other material you deem appropriate to a full understanding of the Contractor’s past performance by the evaluator. Please provide information on any adverse performance by the contractor and the corrective actions taken.
10. Respondent Information:
The following information will assist in the analysis of the data and will be kept confidential.
A. Name of Evaluator:
B. Office Symbol/Location:
C. Phone:
D. Position of Title/Grade:
E. Length of Time on Program/Contract:
F. Date Questionnaire Completed:
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