Past Performance Questionaire.docx
DOCX document 23 KB Posted
- Solicitation number
- 36C26023Q0593
About this file
This document contains a past performance questionnaire for contractor evaluation and a solicitation for fresh dairy products for the Roseburg VA Medical Center. The past performance questionnaire requests ratings and comments on an incumbent contractor's overall quality, timeliness, cost control, management, and any regulatory issues on a prior contract. Details on the contractor, contract period and value, products provided, and questions on cure notices, terminations, and past performance reporting are included. The solicitation provides opportunity details for fresh dairy products with a response date of June 5, 2023 under the Department of Veterans Affairs and Veterans Health Administration. Specific required products, delivery locations, and terms are not outlined.
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| File | Type | Posted |
|---|---|---|
| 36C26023Q0593_1.docx | DOCX document | |
| P07 WD 2015-5579 REV19 DATE 12.27.22.pdf |
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E.11 PAST PERFORMANCE QUESTIONAIRE
Contractor’s Name:
Contract Number & Total Contract Value_______________________________________ Contract Title______________________________________________________________ Contract Total Period of Performance__________________________________________ Was Contractor Prime or Sub for this contract?___________________________________ Name of Person Completing the Evaluation:
| Title: | Agency/Company: | |
| Telephone: | E-mail: |
Please rate the contractor in each of the following areas. Note: there is room for comments that will be helpful to our evaluation.
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
| · 2: | Performance occasionally does not meet minimum contract performance standard or requirement |
| · 3: | Performance that meets the minimum contract performance standard or requirement |
| · 4: | Performance that meets and occasionally exceeds the contract performance standard or requirement |
| · 5: | Performance that almost always exceeds the contract performance standard or requirement |
| 1. Overall Quality of Goods/Services Provided | |
| N/A |_| | |
| 1 |_| | |
| 2 |_| | |
| 3 |_| | |
| 4 |_| | |
| 5 |_| |
What was the quality of the Contractors performance in executing the scope of the contract? Were key personnel qualified, professional, & reliable? Was the Contractor flexible in responding to emerging issues and implementing required solutions? Please provide comments below:
| 2. Satisfaction of Contractor Delivery Schedule/Timeliness |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Was the Contractors delivery performance on time with the contract schedule? Were they consistent in meeting the schedule & milestones? Was the Contractor responsive to technical direction? Was the Contractor timely to Government/customer inquiries? Please provide comments below:
| 3. Satisfaction of Contractors Cost Control |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Was the Contractor timely in submitting invoices? Did the Contractor submit accurate invoices in accordance with the price schedule of the contract? Please provide comments below:
| 4. Satisfaction of Management/Business Relations |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Was Contractor businesslike in all correspondence? Was Contractor responsive to contract requirements?
Did Contractor have proactive approach? Did the Contractor solve/handle problems in a quick & professional manner? Was Contractor prompt in notifying the Agency/customer of any problems.
Please provide comments below:
| 5. Regulatory |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Were there any regulatory issues with the Contractors performance? Please provide comments below:
6. Please provide a description of the services/products provided by the Contractor for this contract.
7. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem to this contractor in the past 3 years?
|_| Yes |_| No If Yes, please explain.
8. Have you terminated this contractor for cause/default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.
9. Have you filed past performance information in the CPARS database that the contracting officer may search?|_| Yes |_| No Please explain.
10. Based on the contractor’s overall performance, would you award them another contract?
|_| Yes |_| No If No, please explain.
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