Attachment_E_-_Past_Performance_Questionnaire.doc

DOC document 105 KB Posted Jan 11, 2017

Attached to: Back-Up Nursing Services Federal contract opportunity
Solicitation number: TFSAAFRG17CI0002
Issued by: Department of the Treasury Bureau of the Fiscal Service

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Attachment E - Past Performance Questionnaire

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Other files for this federal contract opportunity

Other files attached to Back-Up Nursing Services, newest first.
File	Type	Posted
TFSAAFRG17CI0002-signed.pdf	PDF	Jan 11, 2017
Attachment_C_-_IPP_Wavier.pdf	PDF	Jan 11, 2017
Attachment_A_-_Labor_Categories_&_Rates.xlsx	XLSX spreadsheet	Jan 11, 2017
SF_1019A_-_Subcontracting_Plan.docx	DOCX document	Jan 11, 2017

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Memorandum

Department of the Treasury, Bureau of the Fiscal Service Division of Procurement

Attachment E

TO:

PROSPECTIVE REFERENCES

FROM:

Morrey Gardner, Contracting Officer

DATE:

January 11, 2016

SUBJECT:

Solicitation TFSAAFRG17CI0002, Backup Nursing Services: Past Performance Questionnaire

The Bureau of the Fiscal Service is conducting a proposal evaluation for the subject solicitation. The point of contact listed in the attached questionnaire has identified your office as a source to evaluate the contractor’s past performance and it also authorizes release of this information to our office.

The individual most knowledgeable of the Contractor’s day-to-day operations and overall condition of performance rendered should complete the survey.

Please complete the questionnaire as thoroughly as possible by indicating your ratings and providing comments wherever applicable. For any rating of Unsatisfactory (U), we request you provide an explanation.

Your time and effort in providing this information is greatly appreciated. The requested information is critical to our evaluation. Please complete and return the completed Past Performance Questionnaire as a separate attachment with the proposal package.

Any questions should be sent to purchasing@fiscal.treasury.gov with “TFSAAFRG17CI0002, ATTN: TA/MH” in the subject line. Thank you for your cooperation and quick response to this request.

Quality of Product or Service Rating Guideline

When responding to the descriptive statements, select the letter, which most accurately describes the contractor’s performance or situation.

Excellent

The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

Acceptable

Overall compliance requires minor Agency resources to ensure achievement of contract requirements.

Unacceptable

Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements.

Not Applicable

The contractor was not required to perform or this was not covered under this contract.

Contractor Name:

REFERENCE: POINT OF CONTACT INFORMATION

Company Name:

Name:

Office:

Email/Telephone:

QUALITY of PRODUCT OR SERVICE:

N/A

Compliance with contract requirements.

FORMCHECKBOX

Appropriateness of personnel assigned.

FORMCHECKBOX

Technical Excellence

FORMCHECKBOX

Businesslike Contract Administration

FORMCHECKBOX

Accuracy of services provided.

FORMCHECKBOX

II.

COST CONTROL:

N/A

The Contractor remained within budget (over/under target costs).

FORMCHECKBOX

The Contractor submits current, accurate and complete invoices.

FORMCHECKBOX

Unallowable costs not billed.

FORMCHECKBOX

Cost efficiencies

FORMCHECKBOX

III.

TIMELINESS OF PERFORMANCE:

N/A

Contractor met established milestones/schedules to complete the task on time, as scheduled.

FORMCHECKBOX

Contractor performed all work and was reliable.

FORMCHECKBOX

Contractor responded to technical direction.

FORMCHECKBOX

Contractor completed the requirement on time, including follow-up and contract administration.

FORMCHECKBOX

Contractor had no liquidated damages associated with missed deadlines.

FORMCHECKBOX

IV.

PROBLEM RESOLUTION

N/A

Contractor anticipates and avoids or mitigates problems.

FORMCHECKBOX

Contractor notified COR promptly of problems.

FORMCHECKBOX

Contractor provided effective contractor-recommended solutions.

FORMCHECKBOX

BUSINESS RELATIONS:

N/A

Contractor provided effective management.

FORMCHECKBOX

Contractor submitted businesslike correspondence.

FORMCHECKBOX

Contractor ensured responsiveness to contract requirements.

FORMCHECKBOX

Contractor demonstrated reasonableness, cooperativeness, flexibility and pro-activeness.

FORMCHECKBOX

Contractor provided effective customer service skills.

FORMCHECKBOX

VI.

OVERALL PERFORMANCE:

N/A

Rate the overall performance of this contractor. Would you rehire this contractor?

FORMCHECKBOX

Additional Comments:

Solicitation:

TFSAAFRG17CI0002

Solicitation:

TFSAAFRG17CI0002

File details come from the government source that posted it. Updated Nov 14, 2017.