RRB14R0003_Attachment_2-_Past_Performance_Questionnaire.docx

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Attached to
Benefit Payment Program Fraud Prevention/Detection Assessment/Advisory Services Federal contract opportunity
Solicitation number
RRB13R0003
Issued by
Railroad Retirement Board

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Attachment 2 - Past Performance Questionnaire

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RRB Solicitation No. RRB14R0003 - Benefit Program Fraud Prevention/Detection Assessment/Advisory Services Attachment 2 - Past Performance Questionnaire Page 1 of 3

Past Performance Questionnaire (Please fill in Identifying information below) Contractor/Offeror : __________________ Reference Organization : __________________ Name of Contact : __________________ Contact phone Number:________________ Date : __________________

The Contractor, who has indicated that they have performed services for your company in the past have submitted your company’s name as a past performance reference for the above referenced Railroad Retirement Board (RRB) solicitation. We appreciate your assistance in completing this brief summary of your experience, with your selection of a level of service/satisfaction and brief explanatory comments on your experience. Please return the completed form by email to proposals@rrb.gov and mark the email subject line PPQ RRB14R0003.

Please mark an “x” next to the applicable response below.

1. Direct applicability of the referenced project:

The RRB is considering this contractor to provide Fraud Prevention and Detection (for Benefit Payment Programs) Assessment/Advisory/Consultant services. Did this contractor perform this specific type of services for your organization?

A. Positively yes, the referenced project was virtually identical

to what we are pursuing……………………..….……………___
B. Basically yes; the referenced project was generally similar to
what we are pursuing………………...………………………___

C. The referenced project was only slightly related to what we are pursuing……………………………………………… ___ D. The project was fundamentally different than what we are pursuing……………………………..………………………. ___

Comments:

2. Overall customer satisfaction:

How satisfied overall were you and others with the service provided?

A. Very satisfied with every aspect of the service.....................___
B. Relatively satisfied................................................................___
C. Neither satisfied nor dissatisfied...........................................___
D. Dissatisfied............................................................................___
Comments:
______________________________________________________
______________________________________________________

2. Overall customer satisfaction (Continued):

Which of the following statement is most true considering all aspects of the project?

A. There were no contractor-caused problems of any kind…… ___ B. Contractor-caused problems encountered were minor in nature and were remediated in a timely fashion……..…….. ___ C. Contractor-caused problems were significant but the contractor was willing to adequately remediate the problems.___ D. Contractor-caused problems were significant and the contractor was unwilling to adequately remediate the problems……………………………………………...…..…. ___

Comments:

Taking the entire project into account, would you use this contractor again?

A. Yes, definitely........................................................................___
B. Yes, but with certain reservations..........................................___
C. Maybe/maybe not...................................................................___
D. Never......................................................................................___

Comments:

3. Quality of service:

What was the quality of the work performed?

A. Of the highest quality that could be expected............................. ___ B. Exceeded minimum requirements............................................... ___ C. Met minimum requirements........................................................ ___ D. Below minimum requirements.................................................... ___

Comments:

To what extend did the contractor display initiative in meeting requirements?

A. The contractor displayed considerable initiative……..…………___ B. The contractor displayed some initiative………………..………___ C. The contractor displayed little initiative………………..……… ___ D. The contractor displayed no initiative……………….…..…….. ___

Comments:

4. Reliability and timeliness of performance:

Was the contractor reliable and timely in their performance of your work?

A. Yes, in every situation.................................................................. ___ B. Yes, in most situations.................................................................. ___ C. To a minimum acceptable level.................................................... ___ D. At an unacceptable level............................................................... ___

Comments:

5. Business relations:

Did the vendor cooperate with your organization on business and contract administration issues?

A. Yes, in every situation...........................................................___
B. Yes, in most situations...........................................................___
C. To a minimum acceptable level.............................................___
D. At an unacceptable level........................................................___

Comments:

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