Past Performance Questionnaire.docx

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Attached to
R602--SPS Courier Services - 5yr IDIQ
Solicitation number
36C24425Q0404
Issued by

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This is a Past Performance Questionnaire template for solicitation #36C24425Q0404 for SPS Courier Services, with responses due by March 11, 2025 at 12:00 PM EST to Stanley Kwasny at the Department of Veterans Affairs.

The questionnaire requires detailed evaluation of contractors across three main performance areas: Quality of Services (including personnel qualifications, equipment maintenance, and contract compliance), Timeliness of Performance (meeting response times and administrative requirements), and Business Relations (problem resolution, initiative, and staff interactions). Evaluators must provide narrative responses and rate performance on a five-tier scale from Excellent to Unsatisfactory for each category. The form also requires evaluators to identify contractor strengths/weaknesses, indicate whether they would award to the contractor again, and provide an overall performance rating. This is a standard template that does not contain any completed evaluation information.

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36C24425Q0404 RFQ.pdf PDF
P07_WD 2015-4239 - Rev 28 - Date 12-23-2024.pdf PDF

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Attachment E

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

SOLICITATION NUMBER – 36C24425Q0404

WB SPS Courier Service

PLEASE COMPLETE THE FOLLOWING IDENTIFYING INFORMATION AND PAST PERFORMANCE ASSESSMENT. PLEASE SEND THE COMPLETED FORM TO STANLEY KWASNY, STANLEY.KWASNY@VA.GOV . SOLICITATION CLOSE DATE IS 03/11/2025 AT 12:00PM EST:

I. CONTRACTOR IDENTIFICATION:

Contractor:

Contract Number:

Period of Performance:

Negotiated price or cost at award:

Current estimated contract dollar amount:

Describe service acquired:

II. EVALUATOR INFORMATION:

Name:

Organization:

Phone Number:

(i.e., Contracting Officer, Program Manager, Contract Specialist/Administrator, Contracting Officer's Technical Representative, other, etc.)

Time on Contract:

III. ASSESSMENT ELEMENTS: Narrative statements are vital. Please provide a narrative for each element below and then an adjectival rating under Paragraphs III.A2, III.B.2, III.C.2, and an overall Past/Present Performance adjectival rating under par. III.F based on the Adjectival Rating Descriptions below. Attach additional pages if there is insufficient space in the comment space.

PERFORMANCE ADJECTIVAL RATINGS: Choose the appropriate adjective that most accurately describes the contractor’s performance based on the descriptions below.

EXCELLENT
GOOD
SATISFACTORY
MARGINAL
UNSATISFACTORY

Performance meets contractual requirements with most exceeded to the Government’s benefit. The contractual performance of the element being assessed was accomplished with no more than a few minor problems for which corrective actions taken by the contractor were highly effective.

Performance meets contractual requirements with some exceeded to the Government’s benefit. The contractual performance of the element being assessed was accomplished with no more than some minor problems for which corrective actions taken by the contractor was effective.

Performance meets contractual requirements. The contractual performance of the element contains some minor problems for which corrective actions taken by the contractor were satisfactory.

Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

A. QUALITY OF SERVICES

1. Narrative: Address the Contractor’s ability to provide qualified personnel (including experienced managers and/or supervisors), necessary equipment, which is properly maintained, quality control for performance of your contract, and contractor’s compliance with contractual terms and conditions.

2. Rating for Quality of Services: (Please check one and provide a narrative explanation of a Marginal or Unsatisfactory rating):

|_| Excellent |_|Good |_|Satisfactory |_|Marginal |_|Unsatisfactory

B. TIMELINESS OF PERFORMANCE:
1. Narrative: Address the Contractor’s ability to meet the contract’sspecific response times and Contractor’s timeliness in providing anyadministrative reports/documents required by your contract.

2. Rating for Timeliness of Performance: (Please check one and provide a narrative explanation of a Marginal or Unsatisfactory rating):

C. BUSINESS RELATIONS
1. Narrative: Address Contractor’s willingness to improve and correctnoncompliance issues and concerns. Describe Contractor’s ability to correct problems and prevent or mitigate potential problems in a timely manner. Does Contractor display initiative and flexibility? Do Contractor personnel promote a strong working relationship with your agency/organization? Are Contractor personnel courteous andresponsive? Do Contractor personnel interface effectively with your staff?

2. Rating for Business Relations: (Please check one and provide a narrative explanation of a Marginal or Unsatisfactory rating):

D. Identify the contractor’s overall strengths and weaknesses:

E. Given the choice, would you award to this contractor again?

YES |_| NO |_|

If no, please explain:

F. CONTRACTOR’S OVERALL PAST/PRESENT PERFORMANCE RATING: (Please check one and provide a narrative explanation of a Marginal or Unsatisfactory rating):

Additional Comments: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Name/Signature Date

Title

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