Attachment_4_Past_Performance_Questionnaire.docx

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Emergency Medical Personnel
Solicitation number
M6890917Q7628
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M6890917Q7628 - Attachment 4 - Past Performance Questionnaire

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Attachment 4

PRESENT AND PAST PERFORMANCE QUESTIONNAIRE

Please complete the questionnaire and return it to the Government Contracting Officer. DO NOT send completed questionnaires to the vendor. Please submit via email the completed questionnaire no later than the solicitation closing date specified in the RFQ.

Email Address: kathleen.ruyle@usmc.mil

SECTION I: CONTRACT IDENTIFICATION

Please complete the following information on the contract in which you are involved.

Customer/Agency Name

M68909-17-Q-7628

Contract Number Contractor Cage Code Contract Type (Please check one box from each column)

Total Contract Value IDIQ Contract Ceiling

Firm-Fixed Price

Cost Plus Fixed FeeIndependent Contract
Labor HourIDIQ Contract

Time and Materials Other, Specify:

(if applicable) Status Active Complete Award Date Period of Performance (inc. unexercised options) Start End Geographic location of performance Extent of Competition Full and Open Full and Open After Exclusion of Sources Other than Full and Open

Provide a description of the service provided:

Describe the type and extent of subcontracting:

SECTION II: EVALUATION

Use the following ratings and descriptions as guidance in providing element ratings. Ratings should only reflect the performance of the contractor in question.

Rating
Definition

Exceptional (E) Performance meets contractual requirements and exceeds many to the Government’s (or customer’s) benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good (VG) Performance meets contractual requirements and exceeds some to the Government’s (or customer’s) benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the customer were effective.

Satisfactory (S) 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 (M) Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed 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 (U) 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 problem(s) for which the contractor’s corrective actions appear or were ineffective.

Neutral (N)
Performance was not observed or not applicable to the current effort being

reported.

For each question, please place an “X” in the box corresponding to the rating. For all ratings except “Satisfactory (S)” or “Neutral (N),” place an “X” in the “Comments” box and provide supporting rationale below. For each comment, reference the corresponding performance area number. The narratives need not be lengthy, just detailed, clear and concise.

Please rate Contractor performance in the following areas:

Performance Area

E

VG

S

M

U

N

Comments

Ability of the contractor to comply with contract terms and conditions

Quality of the contractor’s management relationship with Government (or customer) counterparts

Ability of the contractor to consistently meet performance timeline requirements

Performance Area

E

VG

S

M

U

N

Comments

Accuracy and timeliness in providing contract deliverables

Ability of the contractor to recruit, hire, and retain sufficient personnel to ensure contract performance

Ability of the contractor to respond to short notice requirements

Resolution of contract discrepancies

Identified problems as they occurred

Ability of the contractor to obtain appropriate company and personnel security clearances

Ability of the contractor to safeguard classified materials in compliance with Government regulations

Responsiveness to contract changes

What is your overall rating of the contractor’s performance?

Please discuss all ratings except “Satisfactory” or “Neutral.” Provide a reference to the performance area number being discussed.

Government Contracts Only

1. Was the contractor ever issued a cure or show cause notice? Yes No If yes, please explain.

2. Was this contract partially or completely terminated for default or convenience, or are there any pending terminations?

Yes
If yes or pending, select:
Default

No Pending Termination

Convenience

If yes or pending, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION III: NARRATIVE SUMMARY

1. What were the contractor’s most positive aspects in the performance of the contract?

2. What were the contractor’s most negative aspects in the performance of the contract?

3. Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

4. Please provide any additional comments concerning this contractor’s performance, as desired.

SECTION IV: EVALUATOR IDENTIFICATION

Please provide information for the primary individuals completing this survey.

Name Office Identifier Telephone Number

Mailing Address Email Address Relationship to Contract

File details come from the government source that posted it. Updated .