RRB15Q0020-PPQ-Attch-2.docx

DOCX document 24 KB Posted

Attached to
Quality Assurance Review Services. Federal contract opportunity
Solicitation number
RRB15Q0020
Issued by
Railroad Retirement Board

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Attachment 2

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RRB15Q0020_Attachment_1_Physician_Review_Checklist-_updated_4-7-15pdf.pdf PDF
RRB15Q0020_Attachment_4_RIGHT_SIDE_DBD_CASE_-_Sanitized.pdf PDF
RRB15Q0020_Attachment_3_LEFT_SIDE_DBD_CASE_-_Sanitized.pdf PDF
RRB15Q0020_Amendment_A1.pdf PDF
RRB15Q0020-RFQ.pdf PDF
RRB15Q0020-PMEC-Attch.1.doc DOC document

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Text version

Solicitation No. RRB15Q0020 Page 1 of 2 Attachment 2

PERFORMANCE EVALUATION FORM & PAST PERFORMANCE QUESTIONNAIRE

Name of Evaluator: ________________________________

Official Position: ________________________________

Name of Company: ________________________________

Company Address: ________________________________

Phone/Fax/Email: ________________________________

Period of Performance: ________________________________

Contract No. or
Reference’s Name________________________________

Contract Type: ________________________________

Contract Value: ________________________________

Please provide a thorough and complete description of the most recent services you have contracted for from the vendor.

INSTRUCTIONS – For each item, circle the rating that best describes the contractor’s work on this project and provide any additional comments. For items not applicable to your project, please indicate N/A.

5= ExcellentNo problems, issues, or delays in achieving contract requirements
4= GoodDoes not impact achievement of contract requirements
3=SatisfactoryRequires minor agency resources to ensure achievement of contract requirements
2=MarginalRequires major agency resources to ensure achievement of contract requirements
1= UnsatisfactoryAchievement of contract requirement is compromised
For Yes or No Questions:5=Yes & 1=No
N/A= Not applicableDoes not apply

(1) Overall implementation of the contract? 5 4 3 2 1 N/A

Comments:

(2) Ability to pro-actively and aggressively perform 5 4 3 2 1 N/A contract requirements and quality of service?

Comments:

(3) Effectiveness and reliability of contractor's key personnel? 5 4 3 2 1 N/A

Comments:

(4) Timeliness of performance, reliability, and ability to meet54321N/A
contractually established deadlines.

Comments:

(5)Customer satisfaction; was the contractor’s staff responsive,54321N/A
cooperative, and effective in working with your staff, and
were there an adequate number of staff resources?

Comments:

(6)Effectiveness in interfacing with agency or organization54321N/A
personnel.

Comments:

(7)Overall business relations with your agency or organization,54321N/A
and the contractors ability to effectively respond to inquiries.

Comments:

(8)Quality of the contractor’s billing procedures,54321N/A
billing accuracy and resolution of billing discrepancies.

Comments:

(9)Ability to meet agency’s or organization’s security54321N/A
requirements.

Comments:

(10) Rate the contractor’s overall technical competence. 5 4 3 2 1 N/A

Comments:

(11)Based on this contractor’s overall performance,54321N/A
would you award this contractor a similar contract?

Comments:

File details come from the government source that posted it. Updated .