VA770-17-R-0409-023.pdf

OFFEROR PERFORMANCE QUESTIONNAIRE

The below-named offeror is being considered for award of a contract for Solicitation No. VA770-17-R- 0409, “Automated Prescription Fulfillment System (APFS)”. The statement of requirements includes, but is not limited a new system which shall consist of an on-line production system, an off-line replenishment system, and the ancillary support equipment. These systems will share the same database but process independently of each other. A primary consideration in our selection process is the offeror’s history of performance of similar efforts. Please make every effort to be as thorough as possible in your answers/comments. When completed, please return the completed questionnaire no later than 3:00 pm CT, April 16, 2018 to leah.thurman@va.gov. You may also print and mail the completed questionnaire in Microsoft Word to Department of Veterans Affairs, CMOP, Attn: Leah Thurman, 3450 S 4th Street, Leavenworth, KS 66048.

A. GENERAL INFORMATION

Offeror’s Name: ____________________________________________________________

Address: ____________________________________________________________________

Telephone Number: _____________________ Point of Contact: _______________________

B. RESPONDENT INFORMATION

Name: ________________________________ Title: ______________________________

Organization & Address: ________________________________________________________

Telephone:________________ Fax:__________________ Email:_______________________

C. CONTRACT INFORMATION

Contract Number/Title: ________________________________________________________

Period of Performance: ________________________________________________________

Dollar Amount of Contract: _________________ Type of Contract: ____________________

Services Performed: ___________________________________________________________ mailto:leah.thurman@va.gov

D: PERFORMANCE INFORMATION

Choose the category on the below scale that most accurately describes the offeror’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY RATINGS OF HIGHLY

ACCEPTABLE, MARGINAL OR UNACCEPTABLE.

1 - OUTSTANDING: Based on the offeror’s performance record, the offeror consistently met or often exceeded specified contract performance or capability.

2 - GOOD: Based on the offeror’s performance record, the offeror’s specified contract performance or capability was good. Any complaints were found negligible or unfounded.

3 - ACCEPTABLE: Based on the offeror’s performance record, the offeror’s specified contract performance or capability was acceptable. Any complaints or problems were minor and were adequately addressed.

4 - MARGINAL: Based on the offeror’s performance record, the offeror failed to meet the specified contract performance. Complaints/problems were numerous and significant.

5 - UNACCEPTABLE: Based on the offeror’s performance record, the offeror consistently failed to meet the specified contract requirements. Any complaints were many, significant, and left uncorrected.

6 - NEUTRAL: Offeror has no record of relevant past performance, or information on past performance is not available.

Please use the above ratings to describe the offeror’s performance in the following areas:

1. MANAGEMENT EFFECTIVENESS

a. Offeror provided experienced personnel with technical and administrative abilities to meet contract requirements.

1 2 3 4 5 6

b. Offeror provided appropriate system documentation 1 2 3 4 5 6

c. Offeror’s overall management effectiveness 1 2 3 4 5 6

COMMENTS/REMARKS:______________________________________________________________

2. QUALITY OF SERVICE AND WORKMANSHIP

a. Offeror provided professional services 1 2 3 4 5 6

b. Offeror maintained the quality of products/service 1 2 3 4 5 6

c. Offeror achieved throughput specifications 1 2 3 4 5 6

d. Offeror achieved accuracy specifications 1 2 3 4 5 6

e. Offeror achieved integration specifications (if applicable) 1 2 3 4 5 6

c. Offeror’s overall quality of products/service 1 2 3 4 5 6

COMMENTS/REMARKS:______________________________________________________________

3. TIMELINESS/ADHERENCE TO SCHEDULES

a. Offeror delivered items timely as identified in your contract 1 2 3 4 5 6

b. Offeror was proactive in keeping you informed of schedule conflicts if they were going to occur

1 2 3 4 5 6

c. Offeror responded to emergency requirements in a timely manner.

(Please indicate your response time requirement in the below comments/remarks area.)

1 2 3 4 5 6

d. Overall offeror timeliness 1 2 3 4 5 6

COMMENTS/REMARKS:______________________________________________________________

4. TRAINING/TECHNICAL SUPPORT

a. Offeror provided useful quality training 1 2 3 4 5 6

b. Offeror provided prompt technical support after delivery 1 2 3 4 5 6

c. Offeror’s overall quality training/technical support 1 2 3 4 5 6

COMMENTS/REMARKS:______________________________________________________________

5. CUSTOMER SATISFACTION

a. Offeror maintained a professional working relationship 1 2 3 4 5 6

b. Offeror was reasonable and cooperative in resolving customer complaints

1 2 3 4 5 6

c. Offeror was flexible in responding to urgent requirements 1 2 3 4 5 6

d. Overall customer satisfaction 1 2 3 4 5 6

COMMENTS/REMARKS:______________________________________________________________

7. If a government contract, did the offeror receive any Contract Discrepancy Reports, Letters of Concern, or Cure Notices? __________ If yes, please describe:

8. If given the opportunity, would you award another contract to this offeror? Please explain response below.

9. OVERALL RATING (Please Circle One):

Outstanding Good Acceptable Marginal Unacceptable Neutral

OFFEROR PERFORMANCE QUESTIONNAIRE