VA770-17-R-0417-011.docx
DOCX document 53 KB Posted
- Attached to
- PHARMACEUTICAL REPACKER Federal contract opportunity
- Solicitation number
- VA77017R0417
About this file
This document provides details on a forthcoming federal contract solicitation for pharmaceutical repackaging services. The Department of Veterans Affairs Consolidated Mail Outpatient Pharmacy program intends to issue request for proposal VA770-17-R-0417 seeking a contractor to repackage approximately seventeen million bottles per year of various oral solid pharmaceuticals into unit-of-use packages for dispensing to CMOP facilities. The contractor will be responsible for repackaging and labeling drugs according to VA specifications, submitting monthly invoices and reports to VA, and operating its repackaging facility in compliance with FDA standards. The base period of performance will be one year with four one-year option periods. The solicitation is scheduled for release on November 15th 2017 with a proposal due date of December 15th 2017. The NAICS code is 561910 and interested offerors should monitor the federal business opportunities website for any changes to the solicitation.
VA770-17-R-0417 ATTACHMENT 3 - Past Performance Questionnaire.docx
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| VA770-17-R-0417-00001000.docx | DOCX document | |
| VA770-17-R-0417-012.pdf | ||
| VA770-17-R-0417-013.docx | DOCX document | |
| VA770-17-R-0417-009.pdf | ||
| VA770-17-R-0417-014.pdf | ||
| VA770-17-R-0417-010.pdf | ||
| VA770-17-R-0417-008.docx | DOCX document |
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Text version
Department of Veterans Affairs Network Contracting Office (NCO 15) CMOP Acquisitions 3450 S. 4th Street Trafficway Leavenworth, KS 66048
Past Performance Questionnaire
INSTRUCTIONS TO CONTRACTOR
Complete the CONTRACTOR INFORMATION section, below (type answers into light blue shaded boxes). Save the document. Send an electronic or hard copy print of the form to each of your reference contacts, asking them to please complete the form and submit it according to the instructions, below.
Company Name
Street Address
Point of Contact
City
Point of Contact Phone Number
State
Reference Project Title
Zip Code
Contract Period of Performance (start to finish):
Contract Number
Contract Dollar Value
Description of Work
Role of Contractor on This Project (check appropriate box) ☐ Prime Contractor ☐ Sub-contractor ☐ Key Personnel
INSTRUCTIONS TO REFERENCE CONTACT
The contractor named above is submitting a proposal for a United States Department of Veterans Affairs contract, and has sent this form to you as a past performance reference contact. Please complete the following pages in full (all areas shaded in light yellow, below). Once completed, please send the form to the Contracting Officer via postal mail or email, directly to:
Department of Veterans Affairs Network Contracting Office 15 ATTN: Evelyn Halliburton-Shannon, Contracting Officer REF: VA770-17-R-417, Repacker Services 2962 S. Longhorn Drive Lancaster, TX 75134 Email Address: evelyn.halliburton-shannon@va.gov
Please return the completed form no later than noon Central Time, Friday, September 30, 2017. If you have any questions, please contact the Contracting Officer, Evelyn Halliburton-Shannon, via email. Thank you for your assistance in this matter.
RESPONDENT INFORMATION [completed by Reference Contact]
Company Name (company rating contractor)
Street Address
POC Name
City
Phone Number
State
Fax Number
Zip Code
PERFORMANCE INFORMATION: Choose the number on the scale of 0 (Neutral) to 5 (Exceptional) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE AN EXPLANATION FOR THE OVERALL RATING in the Remarks section, below (text box will expand to whatever extent is necessary).
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| NEUTRAL |
| UNSATISFACTORY |
| MARGINAL |
| SATISFACTORY |
| GOOD |
| EXCEPTIONAL |
| No record of past performance or the record is incon-clusive. |
| Performance did not meet most contractual require-ments. There were serious problems and the contractor’s corrective actions were ineffective. |
| Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective. |
| Performance met most contractual requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. |
| Performance met all contract requirements and exceeded some to the government’s benefit. There were a few minor problems, which the contractor resolved in a timely, effective manner. |
| Performance exceeded all contract requirements. There were no problems. |
| The Contractor … |
| 0 |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 1. |
| Provided experienced managers and/or supervisors with the technical and administrative abilities needed to meet contract requirements. |
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| 2. |
| Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel throughout the contract period. |
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| 3. |
| Delegated authority to project managers and supervisors commensurate with contract requirements. |
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| 4. |
| Home office participated in solving significant local problems. |
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| 5. |
| Followed approved quality control plan. |
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| 6. |
| Provided effective quality control and/or inspection procedures to meet contract requirements. |
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| 7. |
| Corrected deficiencies in timely manner and pursuant to their quality control procedures. |
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| 8. |
| Provided timely resolution of contract discrepancies |
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| 9. |
| Identified problems as they occurred. |
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| 10. |
| Suggested alternative approaches to problems. |
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| 11. |
| Displayed initiative to solve problems. |
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| 15. |
| Met established project schedules. |
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| 16. |
| Was responsive to contract changes. |
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| 18. |
| Paid subcontractors in a timely manner, if applicable. |
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| 20. |
| Cooperated with Company/Government personnel after award. |
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| 21. |
| Was the contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks.” |
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| YES |
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| NO |
| 22. |
| Would you award another contract to this contractor? If not, please explain in “remarks.” |
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| YES |
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| NO |
| 23. |
| OVERALL PERFORMANCE RATING: |
| |_| 0 |
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REMARKS (Please use as much space as is needed – the box will expand as you type).
I hereby certify that the information that I have reported above is accurate to the best of my knowledge.
Printed Name
E-mail address
Business Title
Signature
Date image1.png
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