Tribal Advisory PAST PERFORMANCE QUESTIONNAIRE 05GAOA20G0012 4.28.20.docx

TO: Agency or other organization (i.e., customer) with knowledge of vendor’s performance.

SUBJECT: Vendor Past Performance Evaluation for Tribal Advisory Council Support – Solicitation Number: 05GA0A20Q0012

The U.S. Government Accountability Office (GAO), an independent, nonpartisan agency that provides oversight on behalf of the U.S. Congress, is currently conducting a competitive source selection to evaluate vendors’ proposals to provide logistical support for GAO’s establishment and operation of a Tribal Advisory Council. As part of this evaluation, we have requested that the vendors provide information about their past performance on similar federal, state or local government or commercial contracts with other organizations. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation of the vendor’s bid. Please complete this questionnaire, which concerns the past performance of a contractor or subcontractor who is doing business (or has done business) with you, and is interested in doing business with the U.S. GAO. The contractor who provided GAO with your name as a reference was informed, via a solicitation provision, that by listing you as a reference and requesting your submission of a the questionnaire, they are authorizing you to release information to GAO relative to their past performance, whether it is positive or negative information.

By law, the Government will not disclose the names of individuals providing reference information during discussions with the contractor identified in the following pages.

QUESTIONNAIRE SUBMISSION RETURN INFORMATION

Source Selection Information - See FAR 3.104

Please return this completed Questionnaire via e-mail to the Contract Specialist, Cassandra Porter-Hickman (Porterhickmanc@gao.gov) and Contracting Officer, Theresa Booker (Tbooker@gao.gov) not later than 2:00 p.m. (EDT) on 4 June 2020 also identified in the cover letter). No late submissions will be accepted.

CONTRACTOR INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm Name:

Address:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number: XXX-XXX-XXXX

2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications):

Explain Differences:

4. Project Description:

Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to logistically supporting the formation and operation of a federal Tribal Advisory Council?

CUSTOMER INFORMATION (Customer to complete Blocks 5-8)

5. Customer information (Evaluator) Name:

Title:

Phone Number:

Email Address:

6. Describe the customer’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Customer’s Signature: I hereby certify that the information provided in this questionnaire is accurate and complete to the best of my knowledge.

INSTRUCTIONS

Three evaluation sections of this form are provided to document your opinion: I) Performance Element Evaluation; II) Evaluation Questions; and III) Supplemental Comment. Please fill out each form in accordance with the instructions provided on each. Please use the following standards in arriving at your rating:

Outstanding - The Evaluation Factor response is expected to contribute to the superior achievement of the objectives with minimal or no risk. An OUTSTANDING rating indicates that the submission contains very significant strengths and no weaknesses. Performance meets contractual requirements and exceeds many requirements. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Good - The Evaluation Factor response is expected to introduce minimal risk in achieving the objectives. A GOOD rating indicates that the submission contains considerable strengths and few weaknesses. Performance meets contractual requirements and exceeds some requirements. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Acceptable - Contractor, on balance, met customer expectations and requirements. The Evaluation Factor response is expected to introduce some risk in achieving the objectives. An ACCEPTABLE rating indicates that strengths offset weaknesses. Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which correction actions taken by the contractor appear or were satisfactory.

Unacceptable - Contractor, on balance, was either marginal or did not meet customer expectations and requirements. The Evaluation Factor response is expected to introduce excessive risk making it highly unlikely that performance would meet the objectives. An UNACCEPTABLE rating indicates that the submission contains significant weaknesses and few, if any, strengths. Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Neutral - The element is not applicable, no data has been obtained, or additional comments are provided. No relevant past performance available for evaluation. Unable to provide a score. Performance in this area not applicable to effort assessed.

SECTION I: PERFORMANCE ELEMENT EVALUATION

Please mark the column to the right of each element that most appropriately reflects your experience with this contractor.

1. QUALITY OF SERVICES

Compliance of products, services, documents, and related deliverables to specification requirements and professional standards.

2. EFFECTIVE AND EFFICIENT USE OF RESOURCES

Deployed, in a timely manner, the proper amount and type of personnel, facilities, and other resources to support the project.

3. COMMUNICATION

Worked and communicated well with customer management, staff, and contracting officials as well as with their own staff and subcontractors.

4. TIMELINESS OF PERFORMANCE

Planned and proposed realistic schedules, successfully monitored performance and completed work on time.

5. CUSTOMER SATISFACTION

Exhibited a commitment to customer satisfaction for advisory group members as well as the customer.

6. RESPONSIVENESS AND ATTENTIVENESS

Exhibited reasonable and cooperative behavior in response to customer changes, criticism/rejection of deliverables and in detecting and correcting errors, poor performance, and other problems.

7. TECHNICAL PROFICIENCY

Demonstrated a working knowledge of Native American cultures, traditions, and ways of communicating; positive working relationships with federally-recognized tribes and the ability to reach other U.S. indigenous populations; and the ability to work cooperatively with other tribal organizations.

PAST PERFORMANCE QUESTIONAIRE

SECTION II: EVALUATION QUESTIONS

For the following Evaluation Questions, please answer YES or NO.

1. Given the choice, would you do business with this contractor again?

2. Did either you or the contractor have to resort to litigation to resolve problems?

SECTION III: PERFORMANCE ELEMENT EVALUATION COMMENT FORM

Please provide any additional comments regarding your performance element ratings in the appropriate spaces below. Please add additional pages as necessary.

Performance Element #1: QUALITY OF SERVICES

Performance Element #2: EFFECTIVE AND EFFICIENT USE OF RESOURCES

Performance Element #3: COMMUNICATION

Performance Element #4: TIMELINESS OF PERFORMANCE

Performance Element #5: CUSTOMER SATISFACTION

Performance Element #6: RESPONSIVENESS AND ATTENTIVENESS

Performance Element #7: TECHNICAL PROFICIENCY

Evaluation Question #1: Given the choice, would you do business with this contractor again?

Evaluation Question #2: Did either you or the contractor have to resort to litigation to resolve problems?

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