S02-Attachment 3 - Past Performance Questionnaire.docx
DOCX document 22 KB Posted
- Attached to
- J063--C-CURE 9000 Maintenance Federal contract opportunity
- Solicitation number
- 36C77624Q0121
About this file
This document is a Past Performance Questionnaire for the Department of Veterans Affairs, Veterans Health Administration - Program Contracting Activity - Central (PCAC) regarding a contract to provide C-CURE 9000 maintenance and support.
The questionnaire requests feedback from an evaluator on the past performance of the offeror, including the quality of the working relationship, professionalism and integrity, responsiveness to client needs, ability to manage and perform the project successfully, communication, quality control, and whether the evaluator would award another contract to the party. The evaluator is asked to provide ratings of Outstanding, Above Average, Satisfactory, or Unacceptable, along with supporting details, for each performance area. The completed questionnaire is to be emailed to the Contract Specialist and Contracting Officer no later than the date quotes/proposals are due for the related solicitation, 36C77624Q0121 - C-CURE 9000 Maintenance and Support for WMC.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C77624Q0121 A0001.docx | DOCX document | |
| S02-Attachment 1- Final SOW - C-CURE 9000 - V2.2 dated 2.12.24.docx | DOCX document | |
| S02-Attachment 2- SOW Attachment - 6500 Appendix C.pdf | ||
| 36C77624Q0121_1.docx | DOCX document |
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Text version
PAST PERFORMANCE QUESTIONNAIRE
The Department of Veterans Affairs, Veterans Health Administration - Program Contracting Activity – Central (PCAC) is considering the Offeror listed below for award of a contract to provide C-CURE 9000 maintenance and support for the Veterans Health Administration.
Your comments would be appreciated regarding this firm’s past performance. The intent of this form is to evaluate the company’s ability to perform the work as described in the solicitation. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. In addition to submitting this questionnaire, the PCAC may contact you in order to obtain any additional information regarding a contract award.
Please email your completed questionnaire to Ron Shelko, Contract Specialist ronald.shelko@va.gov and Michelle Rhodes, Contracting Officer at michelle.rhodes@va.gov no later than the date quotes/proposals are due.
**All Email Correspondence for this project must reference the RFQ/RFP Number, Project Identifier, and Project Title in the subject line of the email: 36C77624Q0121 – C-CURE 9000 Maintenance and Support for WMC HROO.
If you have questions regarding the attached questionnaire, or require assistance, please email the Contract Specialist and Contracting Officer identified above.
Past Performance Information:
Name and Address of Company (Offeror) being evaluated:
Contract Number/Delivery or Task Order Number, Title, & Location of project the Offeror performed:
Evaluator: (The following information will assist in the analysis of the data. Information will be kept confidential)
Name of Evaluator:
Address:
Phone Number:
Position held or function in relation to project:
Rating: Please evaluate the past performance using only the following ratings without variation. DO NOT RATE ON A “+” OR “-“SCALE. If a “+” or “-“is used, the rating without the "+" or "-" will be applied. In addition to the ratings, please provide a short narrative in the appropriate block or in the remarks section of this form.
| “O” |
| Outstanding |
| The Offeror’s performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the offeror were highly effective. |
| “A” |
| Above Average |
| The Offeror’s performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the offeror were effective. |
| “S” |
| Satisfactory |
| The Offeror’s performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory. |
| “U” |
| Unacceptable |
| Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the offeror has yet to identify corrective actions or the offeror’s proposed actions appear only marginally effective or were not fully implemented. [Please provide additional details]. |
Please rate and provide any supporting information/comments for the following:
1. The quality of the working relationship with the client (the tenant and/ or owner).
Additional Details:
O A S U
2. The professionalism and integrity with which offeror conducted business.
O A S U
3. The responsiveness to the client’s needs and expectations.
O A S U
4. The Offeror’s ability to manage and perform the project successfully.
O A S U
5. The offeror’s level of communication.
O A S U
6. The quality control of the project.
O A S U
7. Would you award another contact to the party being evaluated? If no, please explain.
Yes No
8. The delivery of the project was on schedule.
O A S U
9. Overall rating for this firm:
O A S U
Signature of Evaluator
Date
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