Past Performance Questionnaire.doc

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Microbiome Sequencing and Analysis Services
Solicitation number
W81XWH22Q0067
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Department of the Army

US ARMY MEDICAL RESEARCH ACQUISITION ACTIVITY

820 CHANDLER STREET

FORT DETRICK MD 21702-5014

Enclosure 1: Past Performance Questionnaire

MCMR-AAA-SF

SUBJECT: Evaluation of Contractor Performance

To Whom It May Concern:

The U.S. Army Medical Research Acquisition Activity is evaluating past performance of Quoters submitting a quote in response to solicitation W81XWH22Q0067 for Microbiome Sequencing and Analysis Services. Any Quoter submitting a quote is required to distribute Contract Performance Reports to no more than three agencies with whom they have provided same or similar services with the last three years.

Past performance evaluations prepared by customers of Quoters will be used as a resource during the source selection process; and any information you are able to provide will be helpful to us in making award decisions.

Please return directly to the contracting activity by 15 July 2021 by 10:00am Local Time, Eastern via email to brian.d.miller1.civ@mail.mil.

Thank you in advance for your attention to this request.

Sincerely, //signed electronically// Brian Miller Contracts Specialist Enclosure 1: Past Performance Questionnaire

U. S. Army Medical Research Acquisition Activity

Fort Detrick, Maryland Past Performance Questionnaire Instructions The information obtained from this questionnaire will be utilized to evaluate the past and present performance of Quoters submitting quotes in response to the solicitation W81XWH22Q0067 for Microbiome Sequencing and Analysis Services. The information you provide will be instrumental in allowing the Government to evaluate how well the Contractor performed under your contract(s).

a.

Please complete all sections of the attached questionnaire. Include your name and title, organizational address, email address, and telephone number.

b.

Include the Contractor’s name and address, the title and/or description of the type of work performed, the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation.

c.

Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.

d.

Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient.

e.

Please email your response to the Contract Specialist whose number and address is shown at the bottom right corner of the questionnaire.

Thank you for your time and participation.

Past Performance Questionnaire Your Name & Title yOUR Organizational NAME & Address

TEL NO.

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE & DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

CONTRACT TYPE:

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FIXED PRICE

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COST + FEE

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COMPETITIVE

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NON-COMPETITIVE

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SET-ASIDE

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SEALED BID

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NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT
RATING
1
2
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4
5
6
NA

1.

Contractor demonstrated a thorough understanding of technical requirements of the contract/task.

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Comments:

2.

Contractor anticipated/identified and resolved problems effectively.

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Comments:

3.

Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.

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Comments:

4.

Contractor provided the necessary skilled personnel to perform the required work.

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Comments:

5.

Contractor retained the necessary skilled personnel and maintained a low turnover rate.

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Comments:

Past Performance Questionnaire 6.

Contractor met scheduled contract delivery dates.

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Comments:

7.

Contractor provided accurate, complete and high quality deliverables.

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Comments:

8.

Contractor complied with the terms of the contract.

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Comments:

9.

Contractor was diligent in forecasting and controlling contract cost.

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Comments:

10. I would recommend award to this Contractor again.
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Comments:

1
0 – 25% of the time
Strongly Disagree
PLEASE RETURN COMPLETED RESPONSE TO:

U.S. Army Medical Research Acquisition Activity

Email: brian.d.miller1.civ@mail.mil

2
26 – 40% of the time
Disagree
3
41 – 55% of the time
Somewhat Disagree
4
56 – 70% of the time
Somewhat Agree
5
71 – 85% of the time
Agree
6
86 – 100% of the time
Strongly Agree

NA

No Knowledge of This Element

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FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

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