PPQ MWWP Atch 3 .docx

Solicitation No.: HT0011-25-R-0006 Past Performance Questionnaire Solicitation No.: HT0011-25-R-0006

Past Performance Questionnaire

Recent and Relevant Past Performance Questionnaire

1. Past Performance Assessment. The Defense Health Agency’s Contracting Office, Defense Health Agency, Professional Services - Contracting Division (PS-CD), is soliciting competitive offers for the acquisition of non-personal services for the Medical Workforce Wellbeing Program for the Defense Health Agency (DHA) Solutions Delivery Division (SDD), Medical Simulation and Training Program Management Office (MST PMO).

We are requesting that you complete this questionnaire.

PLEASE RETURN THIS COMPLETED QUESTIONNAIRE TO THE OFFEROR. THE OFFEROR WILL INCLUDE IT AS PART OF ITS OFFER.

If you need more space than that provided, please attach additional pages. Responses will be treated as source selection sensitive information. If you have any questions contact Defense Health Agency, Professional Services – Contracting Division (PS-CD), Contracting Officer Kevin.d.hodge8.civ@health.mil and Contract Specialist: author.e.sandlain.ctr@health.mil

*NOTE: IT IS THE RESPONSIBILITY OF THE OFFEROR TO ENSURE ALL PAST PERFORMANCE QUESTIONNAIRES ARE SUBMITTED TO THE GOVERNMENT BY THE SOLICITATION CLOSING DATE AND TIME.

2. Contract Information. Please complete the following. If a question is not applicable, use N/A:

Contractor:

Contract Number:

Period of Performance:

Contract Type: Fixed-Price; Labor Hour or Time and Material; Cost-Reimbursement (CPFF, CPAF, CPIF, etc.)

Describe the Products or Services:

3. Contract Relevancy. For comparison with the size and scope of the acquisition, please provide the following information pertaining to the contract identified in Section 2 above:

A. Size: Number of users/participants per year in contract services _________________.

B. Scope: As the Customer, does the contract you are providing a past performance evaluation for (Check all that apply):

______ Have experience supporting a global user base across all time zones.

______ Have experience accepting/integrating information media content from external parties.

______ Have experience delivering wellbeing training to a large user base (> 25,000 participants).

______ Have experience conducting engagement events to recruit and enroll participants.

______ Have experience in providing analytics and metrics at the individual and organizational level.

______ Have experience delivering hardware to a large broad user base (> 25,000 participants).

______ Have experience providing training on software/hardware.

______ Have experience providing help desk support for fielded software/hardware.

______ Have experience developing content and updating software for hosted content.

______ Have experience working with the Department of Defense, , or Federal Entity, or Civilian hospital system.

______ Have experience in meeting current cybersecurity compliance and policy standards of NIST 800-171, or DODI 8500.01, or DODI 8510.01.

______ Have personnel that are familiar with, and the application of, provisions contained in DoD 8570.01-M, Information Assurance Workforce Improvement Program, Ch. 4.

______ Have personnel who will be able to obtain and maintain DoD approved baseline certifications.

4. Performance Assessment Values

5 - Outstanding. Performance meets contractual requirements and exceeds many requirements, to the Government’s benefit. Contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 - Excellent. Performance meets contractual requirements and exceeds some requirements, to the Government’s benefit. Contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 – Good. Performance meets contractual requirements. Contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2 - Satisfactory. Performance barely meets some contractual requirements. 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.

1 - Unsatisfactory. Performance does not meet some or most contractual requirements and recovery is not likely in a timely manner. Contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

0 - Not Applicable. Unable to provide a score. Performance in this area not applicable to effort assessed.

5. Assessment Elements. Please select/circle the appropriate performance assessment value for each item on the questionnaire and provide supporting narrative.

A. Cost Control. Rate the contractor’s effectiveness in forecasting, managing, and controlling costs (including reporting and analyzing variances) and ability to deliver at the agreed-to cost/price. Provide reasons for changes to the contract value (e.g., scope changes, overrun/underrun, Government-imposed schedule changes).

5 4 3 2 1 0

Comments:

B. Schedule. Rate the contractor’s ability to deliver according to the agreed-to schedule. What were the causes of any schedule variances?

5 4 3 2 1 0

Comments:

C. Mission Requirements. Rate the contractor’s ability to provide a product or service that met your mission requirements.

5 4 3 2 1 0

Comments:

D. Quality. Rate the contractor’s ability to provide a product or service that met your required level of quality. Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards.)

5 4 3 2 1 0

Comments:

E. Subcontract Management. Rate the contractor’s ability to meet the goals of the subcontracting plan, to include the ability to timely award and manage subcontracts.

5 4 3 2 1 0

Comments:

F. Business Relations. Rate the contractor’s ability to integrate and coordinate all activities needed to execute the contract, specifically the timeliness, completeness, quality of problem resolution, corrective action plans, the contractor’s history of reasonable and cooperative behavior, customer satisfaction, and its ability to submit accurate invoices in a timely manner.

5 4 3 2 1 0

Comments:

G. Management of Personnel. Assess the contractor’s performance in selecting, retaining, supporting, and replacing—when necessary— personnel.

5 4 3 2 1 0

Comments:

6. Other References. If you are aware of any other contract or a Point of Contact (POC) who is familiar with the contractor’s performance under this contract, please identify.

Name, Phone, and E-Mail Address:

7. Assessor Information. Please provide the following information about yourself:

Name:

Title:

Address:

Phone Number:

E-Mail Address:

Reference Signature: _______________________________

[Note: Either physical (pen and ink) or CAC enable electronic signatures are acceptable]

Date: _________________

Thank you for your assistance.