Sol_Doc_75F40125R00037_Attachment 12 - Past Performance Questionnaire.docx
DOCX document 23 KB Posted
- Attached to
- Access to Outpatient Longitudinal Data IDIQ Federal contract opportunity
- Solicitation number
- 75F40125R00037
About this file
The document is a Past Performance Questionnaire for the FDA's Access to Outpatient Longitudinal Data Indefinite-Delivery Indefinite-Quantity (IDIQ) contract solicitation (Solicitation Number: 75F40125R00037). The questionnaire is designed to collect detailed performance feedback from previous contractors, evaluating their performance across four key areas: business relations, quality of service, cost control, and timeliness of performance, using a rating scale from 1 (Poor) to 4 (Excellent).
The solicitation is an unrestricted multiple-award IDIQ contract with plans to issue two primary awards, with a minimum of one additional award reserved for a small business. The contract is under NAICS code 541519, with a small business size standard of $34 million or 150 employees. Offerors must have an active SAM.gov registration and complete representations and certifications. The FDA anticipates awarding contracts based on best value, considering technical, price, and other factors, with the potential for additional awards if deemed in the government's best interest. Both the IDIQ and Task Order #1 are being solicited concurrently, and offerors must submit proposals for both by the specified due date.
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ATTACHMENT 12: PAST PERFORMANCE QUESTIONNAIRE
Please complete the following Past Performance Questionnaire and return via email. Please reference “Past Performance Questionnaire, 75F40125R00037 - Access to Outpatient Longitudinal Data IDIQ” in the subject line. Send to the Contract Specialist, Noah Wills at Noah.Wills@fda.hhs.gov, by the proposal due date. Please note: Should the due date for proposals be extended, the due date for Past Performance Questionnaires may also be considered extended to the same extended date and time.
The U.S. Food and Drug Administration intends to issue an IDIQ to obtain services related to Access to Outpatient Longitudinal Data.
Your agency/business has been selected as a past performance reference. Please take a moment to complete this Past Performance Questionnaire using the ratings described below to answer each question. You may provide additional information and comments as necessary. Please provide a justification for the ratings provided.
This survey pertains to Contractor: ________________________
Department/Component:
Contract Number: Date of Survey: ________________
Name of Person Completing Survey: ______________________________________
Your Company/Agency: ________________________________________________
Your Role in this Contract (circle one):
Contracting Officer Contract Specialist Project Officer Other
Contract Value (including options): $_________________________________
Performance Period: _____________________________________________ (Including option periods)
Type of Contract: (select)
| ☐ Firm-Fixed-Price | ☐ Labor-Hour | ☐ Other: (describe) |
| ☐ Cost-Reimbursement | ☐ Time-and-Materials |
Approximate percentage of work being performed (or completed) by subcontractor(s): %
Information on subcontractor(s) (where more than 51% of work was completed by the subcontractor):
| ________________ | |||
| Subcontractor | Program Manager | Phone |
________________ Subcontractor Program Manager Phone
________________ Subcontractor Program Manager Phone
General description of products/services required under the contract:
RATING GUIDELINES
Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Commentary to support rating shall be noted on page 4.
Assign each area a rating of, 1 (Poor), 2 (Fair), 3 (Good),or 4 (Excellent). Use the Rating Guidelines (see end of document) as guidance in making these evaluations. Circle the appropriate rating. If you do not have enough personal knowledge or feedback from internal customers who directly received products and services from the contractor to make a determination on any of the performance criteria below, please circle "N/A" (not applicable/no opinion).
| QUALITY OF PRODUCT OR SERVICE |
| COST CONTROL |
| TIMELINESS OF PERFORMANCE |
| BUSINESS RELATIONS |
| 1-Poor |
| Major problems have been encountered |
| Contractor is having major difficulty managing costs effectively |
| Contractor is having major difficulty meeting milestones and delivery schedule |
| Response to inquiries, technical/ |
service/ administrative issues is marginally effective
| 2-Fair |
| Some problems have been encountered |
| Contractor is having some problems managing costs effectively |
| Contractor is having some problems meeting milestones and delivery schedule |
| Response to |
inquiries, technical/ service/ administrative issues is somewhat effective
| 3-Good |
| Minor inefficiencies/ |
errors have been identified
| Contractor is usually effective in managing costs |
| Contractor is usually effective in meeting milestones and delivery schedule |
| Response to |
inquiries, technical/ service/ administrative issues is usually effective
| 4-Excellent |
| Contractor is in compliance with contract requirements and/or delivers quality products/services |
| Contractor is effective in managing costs and submits current, accurate, and complete billings |
| Contractor is effective in meeting milestones and delivery schedule |
| Response to |
inquiries, technical/ service/ administrative issues is effective
BUSINESS RELATIONS
1. Contractor provides knowledgeable, experienced, trained and qualified personnel.
1 2 3 4 N/A
2. Effective management, including management of subcontracts 1 2 3 4 N/A
3. Reasonable/cooperative behavior 1 2 3 4 N/A
4. Responsive to contract requirements 1 2 3 4 N/A
5. Notification of problems 1 2 3 4 N/A
6. Flexibility 1 2 3 4 N/A
7. Pro-active vs. reactive 1 2 3 4 N/A
QUALITY OF SERVICE
1. Compliance with contract requirements 1 2 3 4 N/A
2. Contractor is responsive to technical direction.
1 2 3 4 N/A
3. Accuracy of reports 1 2 3 4 N/A
4. Effectiveness of personnel 1 2 3 4 N/A
5. Technical Excellence 1 2 3 4 N/A
COST CONTROL
1. Record of forecasting and controlling target costs 1 2 3 4 N/A
2. Current, accurate and complete billings 1 2 3 4 N/A
3. Relationship of negotiated costs to actuals 1 2 3 4 N/A
4. Cost efficiencies 1 2 3 4 N/A
TIMELINESS OF PERFORMANCE
1. Met interim milestones 1 2 3 4 N/A
2. Reliability 1 2 3 4 N/A
3. Responsive to technical direction 1 2 3 4 N/A
4. Completed on time including wrap-up and contract administration 1 2 3 4 N/A
5. Contractor Met contract delivery schedules/deadlines 1 2 3 4 N/A
6. Contractor provided sufficient notification of contract problems to appropriate government personnel.
1 2 3 4 N/A
7. Contractor is pro-active and is reasonable/cooperative 1 2 3 4 N/A
8. Liquidated damages assessed: Yes No (circle one)
CUSTOMER SATISFACTION
1. The contractor is committed to customer satisfaction. Yes No (circle one)
2. Would you recommend this contractor for award (Yes or No)? Yes No (circle one)
Please explain.
3. Are you satisfied with the service you received and would you hire the contractor again (Yes or No)? If not, why not? Please be specific.
4. Do you feel the quality of the services received was worth the cost/price? Please circle one of the statements below.
A). Extremely well worth the cost.
B). Well worth the cost.
C). Worth the cost.
D). Cost was more than the value received.
E). Cost was greatly in excess of value received.
F). Government derived no value from cost spent.
ADDITIONAL COMMENTS:
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