A03-Exhibit_A-Past_Performance.docx
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- Brand Name Only Illumina Brand Reagents, Test Kits, Consumable Supplies, and Instrumentation
- Solicitation number
- W81XWH-18-R-0059
- Issued by
-
Department of the Army Medical Command
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Exhibit A-Past Performance
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| A03-2_-_Attachment_A_-_Items_List.rtf | RTF text file | |
| JA-18-115_Brand_Name_Illumina_6.8.2018.pdf | ||
| W81XWH-18-R-0059.docx | DOCX document |
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EXHIBIT A - PAST PERFORMANCE
PAST PERFORMANCE QUESTIONNAIRE INSTRUCTIONS
U.S. ARMY MEDICAL RESEARCH ACQUISITION ACTIVITY
Fort Detrick, MD
The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to the RFP W81XWH-18-R-0059. The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).
| a. | Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number. |
| b. | Include the contractor’s name and address, the title and/or description of the type of work performed the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation. |
| c. | Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element. |
| d. | Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient. |
| e. | Please e-mail your response to the Contract Specialist whose number and address is shown at the bottom right corner of the questionnaire. |
Thank you for your time and participation.
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
USAMRAA Form 74-R-E (FEB 2007)
PAST PERFORMANCE QUESTIONNAIRE
YOUR NAME & TITLE
YOUR ORGANIZATIONAL ADDRESS
TEL NO.
FAX :
E-MAIL:
CONTRACTOR’S NAME & ADDRESS
TITLE OR DESCRIPTION OF REQUIREMENT:
CONTRACT NUMBER:
CONTRACT VALUE (INCLUDING OPTIONS):
| CONTRACT TYPE: | |
| |_| FIXED PRICE | |_| COST + FEE |
| |_| COMPETITIVE | |_| NON-COMPETITIVE |
|_| SET-ASIDE
|_| SEALED BID |_| NEGOTIATED
|_| SEALED BID |_| NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
| PAST PERFORMANCE ELEMENT |
| RATING |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
| 1. | Contractor demonstrated a thorough understanding of technical requirements of the contract/task. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 2. | Contractor anticipated/identified and resolved problems effectively. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 3. | Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 4. | Contractor provided the necessary skilled personnel to perform the required work. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 5. | Contractor retained the necessary skilled personnel and maintained a low turnover rate. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
PAST PERFORMANCE QUESTIONNAIRE
| 6. | Contractor met scheduled contract delivery dates. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 7. | Contractor provided accurate, complete and high quality deliverables. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 8. | Contractor complied with the terms of the contract. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 9. | Contractor was diligent in forecasting and controlling contract cost. |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| | |
| |_| |
Comments:
| 10. I would recommend award to this contractor again. |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
| |_| |
Comments:
| 1 |
| 0 – 25% of the time |
| Strongly Disagree |
| PLEASE RETURN COMPLETED RESPONSE TO: Kimberly Hannan |
U.S. Army Medical Research Acquisition Activity
ATTN: MCMR-AAA-MB2
820 Chandler Street Fort Detrick, MD 21702-5014 E-MAIL: kimberly.s.hannan.civ@mail.mil
| 2 |
| 26 – 40% of the time |
| Disagree |
| 3 |
| 41 – 55% of the time |
| Somewhat Disagree |
| 4 |
| 56 – 70% of the time |
| Somewhat Agree |
| 5 |
| 71 – 85% of the time |
| Agree |
| 6 |
| 86 – 100% of the time |
| Strongly Agree |
NA
No Knowledge of This Element
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