Solicitation Attachment B - D.2 - PPQ.docx
DOCX document 26 KB Posted
- Attached to
- Q403--MDE On-Ramp Regions 1-4
- Solicitation number
- 36C10X21R0070_1
About this file
This solicitation requests proposals for medical disability examination services in Region 4. The Department of Veterans Affairs Strategic Acquisition Center Frederick is seeking a contractor to conduct Medical Disability Examinations for veterans in Regions 1 through 4 as authorized under Public Law 104-275. Proposals are due by the date listed in the solicitation number 36C10X21R0070_1. The contractor will be expected to provide examination services for veterans in Region 4, which covers Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee. The period of performance and pricing terms will be determined upon award.
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Other files
| File | Type | Posted |
|---|---|---|
| S06 36C10X21R0070_1 0002 Qand A.xlsx | XLSX spreadsheet | |
| S06 36C10X21R0070_1 0002.pdf | ||
| S06 36C10X21R0070_1 Amendment 0001.docx | DOCX document | |
| 36C10X21R0070 0001.pdf | ||
| S06 Qand A.xlsx | XLSX spreadsheet | |
| Solicitation Attachment A - D.1 - PAST PERFORMANCE REFERENCES.pdf | ||
| Solicitation Attachment C - Roster of Existing Exam Providers Sample.xlsx | XLSX spreadsheet | |
| Solicitation Attachment F - Professional Compensation Plans.xlsx | XLSX spreadsheet | |
| Solicitation Attachment D - Self-Certifications of Affiliation.docx | DOCX document | |
| 36C10X21R0070_1 FINAL.pdf |
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Text version
D.2 ATTACHMENT B: PAST PERFORMANCE QUESTIONNAIRE (PPQ)
Request for Proposal (RFP) No.: 36C10X21R0070 Title: Medical Disability Examinations (MDE)s
| TO: Corey Mann, Contracting Officer | AGENCY: VA, SAC-F | |
| PHONE: 240-215-1661 | E-MAIL: Corey.Mann@va.gov |
INFORMATION REQUEST: PAST PERFORMANCE
The Department of Veterans Affairs is currently in the process of awarding a competitive service contract. [CONTRACTOR NAME] has provided this Questionnaire to you for a reference regarding [CONTRACTOR NAME]’s record of past performance under Contract No. [CONTRACT #].
Send completed questionnaires to Corey.Mann@va.gov and Jennifer.Benisek@va.gov
NOTE TO OFFERORS: If the Questionnaire is provided for subcontractor’s reference, the offeror’s name below must include both the prime and subcontractor names (e.g., contractor X, who is a subcontractor to offeror Y for this solicitation).
Contractor’s Name:
Name of Person Completing the Evaluation:
Telephone: E-mail:
Title:
Company/Organization:
Please rate the contractor in each of the following areas. Note: there is room for comments where you deem remarks would be helpful to our evaluation.
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
| · 2: | Performance occasionally does not meet minimum contract performance standard or requirement |
| · 3: | Performance that meets the minimum contract performance standard or requirement |
| · 4: | Performance that meets and occasionally exceeds the contract performance standard or requirement |
| · 5: | Performance that almost always exceeds the contract performance standard or requirement |
| 1. Overall quality/satisfaction |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Overall satisfaction with the Contractor’s performance.
| 2. Delivery performance |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Delivery performance includes delivery consistency, on time performance, and flexibility in responding to emerging issues and implementing required solutions.
| 3. Satisfaction with the quality of service delivered |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.
| 4. Satisfaction with problem resolution |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
This includes the contractor’s ability to solve problems, the speed in which they handle problems, and their effective delivery of resolutions.
| 5. Satisfaction with the quality of contractor personnel |
| N/A |_| |
| 1 |_| |
| 2 |_| |
| 3 |_| |
| 4 |_| |
| 5 |_| |
Rate the quality of the contractor’s staff in executing the project work scope.
6. Have you issued a cure notice, show cause notice, suspension of progress payments or other letters directing the correction of a performance problem in the past 3 years?
|_| Yes |_| No If Yes, please explain.
7. Have you terminated this contractor for default within the past 3 years, or are there any pending termination actions? |_| Yes |_| No If Yes, please explain.
8. Based on the contractor’s overall performance, would you award them another contract?
|_| Yes |_| No If No, please explain.
9. Have you discussed any adverse past performance problems with the Contractor and given them an opportunity to comment? |_| Yes |_| No Please explain.
10. Do you file past performance information in a database that the Contracting Officer may search?|_| Yes |_| No Please explain.
11. If the contract had options, were those options exercised? |_| Yes |_| No Please explain.
12. What was the contract period of performance (i.e., when were services provided)?
13. What was the dollar value of the contract performed by the contractor?
14. Provide a brief description of the services provided by the contractor for this contract.
Please attach any past performance database reports or other material you deem appropriate to a full understanding of the Contractor’s past performance by the evaluator. Please provide information on any adverse performance by the contractor and the corrective actions taken.
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