RFP Attachment 5 Past Performance Questionnaire.pdf

DEPARTMENT OF THE ARMY

US ARMY MEDICAL RESEARCH ACQUISITION ACTIVITY

820 CHANDLER STREET

FORT DETRICK MD 21702-5014

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

RFP Attachment 5 Past Performance Questionnaire

FCMR-AAA-SF

SUBJECT: Evaluation of Contractor Performance

To Whom It May Concern:

The U.S. Army Medical Research Acquisition Activity (USAMRAA) is evaluating past performance of Offerors submitting a proposal in response to request for proposal (RFP) solicitation W81XWH-20-R-0049 in support of the Mobile Health Care Environment (MHCE): Commercial Off-the-Shelf (COTS) Software Components and Related Support Services for a Bi-Directional, Secure Mobile Health Communication System.

Offerors are responsible for disseminating the Past Performance Questionnaire (Located on Pages 3 and 4 of this document) to their contract point of contact (POC) and having their contract POC complete and independently submit the completed Past Performance Questionnaires back to the Contract Specialist identified below by the closing date and time.

Past performance evaluations prepared by the Offerors contract POCs will be used as a resource during the source selection process; and any information you are able to provide will be helpful USAMRAA in making an award decision.

Please have the Offerors contract POCs complete and return the Past Performance Questionnaires directly to USAMRAA no later than 13 July 2020 at 9:00 AM Eastern Time via email to Ronald.s.sanford2.civ@mail.mil.

Thank you in advance for your attention to this request.

Sincerely, //signed electronically//

Jessica Greene Contracting Officer

Enclosure 1: Past Performance Questionnaire mailto:Ronald.s.sanford2.civ@mail.mil

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

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 Offerors submitting proposals in response to RFP solicitation W81XWH-20-R-0049 in support of the Mobile Health Care Environment (MHCE): Commercial Off-the-Shelf (COTS) Software Components and Related Support Services for a Bi-Directional, Secure Mobile Health Communication System. 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 name and address, telephone number and email address.

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

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.

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

Thank you for your time and participation.

ENCLOSURE 1: 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:

FIXED PRICE COST + FEE

COMPETITIVE NON-COMPETITIVE

SET-ASIDE

SEALED BID NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT

RATING

1 2 3 4 5 6 NA

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

Comments:

2. Contractor anticipated/identified and resolved problems effectively.

Comments:

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

Comments:

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

Comments:

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

Comments:

ENCLOSURE 1: PAST PERFORMANCE QUESTIONNAIRE

6. Contractor met scheduled contract delivery dates.

Comments:

7. Contractor provided accurate, complete and high quality deliverables.

Comments:

8. Contractor complied with the terms of the contract.

Comments:

9. Contractor was diligent in forecasting and controlling contract cost.

Comments:

10. I would recommend award to this Contractor again.

Comments:

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

TO:

U.S. Army Medical Research Acquisition Activity Email: Ronald.s.sanford2.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 mailto:Ronald.s.sanford2.civ@mail.mil

Thank you for your time and participation.