A07_ATTACHMENT_7_-_Past_Performance_Questionnaire_(rev).doc

DOC document 145 KB Posted

Attached to
Clinical Trial Support Services Federal contract opportunity
Solicitation number
W81XWH19R0011
Issued by
Department of the Army Medical Command

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Attachment 7 - Past Performance Questionnaire (rev)

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ATTACHMENT_7_-_Past_Performance_Questionnaire.doc DOC document
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Text version

Department of the Army

US ARMY MEDICAL RESEARCH ACQUISITION ACTIVITY

820 CHANDLER STREET

FORT DETRICK MD 21702-5014

MCMR-AAA-SA 23 Apr 2019

Dear Sir or Madam, The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to: Clinical Trial Support Services Solicitation No. W81XWH19R0011 for Walter Reed Army Institute of Research (WRAIR). The information you provide will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).

Step 1: Please complete all sections of the below past performance questionnaire.

Step 2: Use the rating scale on the left of the questionnaire, please rate each performance element.

Step 3: Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments.

YOUR RESPONSE MUST BE RETURN TO MYSELF ONLY AND RECEIVED BY:

23 May 2019

My contact information is: Julie L. Burns at julia.l.burns3.civ@mail.mil, Contract Specialist for U.S. Army Medical Research Acquisition Activity (USAMRAA), located in Fort Detrick, MD.

THANK YOU!

ATTACHMENT 7 (rev)

PAST PERFORMANCE QUESTIONNAIRE

Your Name & JOB Title yOUR Organizational Address

TEL NO.

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE OR DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (Base + All Options):

CONTRACT TYPE:

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FIXED PRICE

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COST + FEE

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TIME & MATERIAL FORMCHECKBOX

LABOR HOURS

CONTRACT PERIOD OF PERFORMANCE:

EXTENT COMPETED:

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SOLE SOURCE

FULL & OPEN COMPETITION

PAST PERFORMANCE ELEMENT
RATING
1
2
3
4
5
6
NA

1.

Contractor demonstrated a thorough understanding of technical requirements of the contract/task.

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Comments:

2.

Contractor anticipated/identified and resolved problems effectively.

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Comments:

3.

Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.

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Comments:

4.

Contractor provided the necessary skilled personnel to perform the required work.

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Comments:

5.

Contractor retained the necessary skilled personnel and maintained a low turnover rate.

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Comments:

6.

Contractor met scheduled contract delivery dates.

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Comments:

7.

Contractor provided accurate, complete and high quality deliverables.

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Comments:

8.

Contractor complied with the terms of the contract.

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Comments:

9.

Contractor was diligent in forecasting and controlling contract cost.

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Comments:

10. I would recommend award to this contractor again.
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Comments:

1
0 – 25% of the time
Strongly Disagree
PLEASE RETURN COMPLETED RESPONSE BY: Thursday, 23 May 2019.

TO: Julia L. Burns at julia.l.burns3.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

COMMENTS:

PAGE

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