Past Performance Questionnaire .docx

Past Performance Questionnaire

Past Performance Questionnaire

Dear Sir or Madam:

The U.S. Food and Drug Administration (FDA) is acquiring to obtain contract services for facility Operations and Maintenance(O&M) and Custodial and Grounds Maintenance (C&GM) for buildings, structures, equipment, lawn, and grounds at FDA facility located at the San Juan, District Office (SJDO), 466 Fernandez Juncos Ave, San Juan PR 00901.

To accomplish this goal, the FDA requires a Contractor to provide, either directly or through qualified sub-Contractors, all aspects of a comprehensive, cradle to grave operations and maintenance services generated by the FDA research laboratory activities in the FDA San Juan, Puerto Rico facility, as defined in the solicitation. Services shall be required on an ongoing basis as set forth in a single IDIQ and issued Task Orders.

FDA is conducting a performance confidence assessment in anticipation of a possible contract award. An Offeror interested in proposing on this work has identified you as a Point of Contact (POC) on a past or present contract which the Offeror deems relevant to this effort. The Government is requesting your assistance in completing the attached Past Performance Assessment Questionnaire, so that FDA may evaluate the Offeror under the evaluation factor of Past Performance. The Questionnaire has been developed for electronic completion. Please provide your comments regarding the overall assessment of the Offeror’s performance on the contract identified and any additional information that your organization deems relevant to the FDA's evaluation team. It is important that your information be as factual, accurate, and complete as possible to preclude the need for follow-up by the evaluators.

Please complete and submit the Questionnaire via e-mail to the Contract Specialist and Contracting Officer at : Iris.Johnson1@fda.hhs.gov and Monifa.Coleman@fda.hhs.gov . If you have any questions relative to the enclosed Questionnaire, please contact me.

Thank you in advance for your assistance. Sincerely, Monifa Coleman Contracting Officer Tel: (240) 402-7601

Past Performance Information Form

Please provide your responses. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does. Please return the completed Questionnaire to the individuals identified in the cover letter.

Adjectival Rating Definitions:

Substantial Confidence. Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.

Satisfactory Confidence. Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Neutral Confidence. Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.

Limited Confidence. Present/past performance effort involved little or none of the scope and magnitude off effort and complexities this solicitation requires.

No Confidence. Absent any recent and relevant past performance history or when the performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned, the Offeror will be assigned an “neutral confidence rating” and its proposal will not be evaluated either favorably or unfavorably on past performance.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor name cited above): Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

PART II. EVALUATION (To be completed by Point of Contact –

Respondent)

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

· Substantial Confidence (Explanation must be provided in Comments field below)

· Satisfactory Confidence

· Neutral Confidence

· Limited Confidence (Explanation must be provided in Comments field below)

· No Confidence (Explanation must be provided in Comments field below)

Comments:

B. Effectiveness of Project Management (to include use and control of subcontractors).

· Substantial Confidence (Explanation must be provided in Comments field below)

· Satisfactory Confidence

· Neutral Confidence

· Limited Confidence (Explanation must be provided in Comments field below)

· No Confidence (Explanation must be provided in Comments field below)

Comments:

C. Timeliness of Performance for Services and Product Deliverables.

· Substantial Confidence (Explanation must be provided in Comments field below)

· Satisfactory Confidence

· Neutral Confidence

· Limited Confidence (Explanation must be provided in Comments field below)

· No Confidence (Explanation must be provided in Comments field below)

Comments:

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

· Substantial Confidence (Explanation must be provided in Comments field below)

· Satisfactory Confidence

· Neutral Confidence

· Limited Confidence (Explanation must be provided in Comments field below)

· No Confidence (Explanation must be provided in Comments field below)

Comments:

F. General Comments. Provide any other relevant performance information.

G. Other Information Sources. Please provide the following information:

Are you aware of other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

H. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number Address:

E-mail Address:

Signature:

PART III. RETURN INFORMATION

Please return this completed Questionnaire via e-mail to the individuals identified in the cover letter. Thank you for your assistance with this important matter.

image1.jpeg