RPA Phase 2 Past Performance Questionaire.docx

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Department of State RPA Phase Two Solicitation
Solicitation number
19AQMM21R0293
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RPA Phase Two Past Performance Questionnaire

PAST PERFORMANCE RATING FORM

PAST PERFORMANCE PROJECT IDENTIFICATION (To be filled out by the Offeror):

CONTRACTOR NAME:

CONTRACT NUMBER:

ORDER NUMBER (if applicable):

PROJECT TITLE:

TOTAL PERIOD OF PERFORMANCE, INCLUDING OPTIONS: MM/YYYY - MM/YYYY or MM/YYYY - Present

PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the Rater):

NAME:
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TITLE:
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AGENCY or CUSTOMER:
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PHONE:
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E-MAIL
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For each of the criteria listed below, the rater must choose one (1) Adjectival Rating by checking the box, as applicable. At a minimum, for any rating that is checked Marginal or Unsatisfactory, please submit additional comments to substantiate the rating. For any rating that is checked Not Applicable, please explain why it does not apply.

1. QUALITY OF SERVICE

Rating
Adjectival Rating
Definition
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Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
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Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.
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Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
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Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or sub element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
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Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
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Not Applicable

ADDITIONAL COMMENTS:

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2. SCHEDULE

Rating
Adjectival Rating
Definition
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Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or subelement being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
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Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or subelement being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.
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Satisfactory
Performance meets contractual requirements. The contractual performance of the element or subelement contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
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Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or subelement being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
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Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
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Not Applicable

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4. BUSINESS RELATIONS

Rating
Adjectival Rating
Definition
|_|
Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub element being evaluated was

accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

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Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.
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Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
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Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or sub element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
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Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
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Not Applicable

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5. MANAGEMENT OF KEY PERSONNEL

Rating
Adjectival Rating
Definition
|_|
Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub element being evaluated was

accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

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Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.
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Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.
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Marginal
Performance does not meet some contractual requirements. The contractual performance of the element or sub element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.
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Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.
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Not Applicable

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Source Selection Information – See FAR 2.101 and 3.104SENSITIVE BUT UNCLASSIFIED

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