08_AUG_2018_PPQ_W912J7-18-T-0011.pdf

DEPARTMENT OF THE ARMY

Idaho Army National Guard Purchasing and Contracting Division 3489 Harvard St, Boise, ID 83705 95655

NGID-PFO-PC

MEMORANDUM FOR ALL INTERESTED PARTIES

SUBJECT: Past Performance Questionnaires, W912J7-18-T-0011

1. The Idaho Army National Guard, Boise, Idaho is in the process of selecting a contractor to support medical readiness of service members by providing behavioral health, non-clinical case management, and administrative support services.

2. One of the considerations in proposal evaluation is the verification of the offerors' past performance on contracts, which reflect the offeror's ability to perform on the proposed effort.

We depend on information received from Government agencies and companies such as yours, which have had firsthand experience with an offeror, for the evaluation of the offeror's performance on those contracts.

3. Our areas of interest in the offeror are summarized in the enclosed questionnaire. We request your written response no later than 5 calendar days after your receipt of this letter. This schedule will allow us sufficient time to evaluate the data before the start of negotiations.

4. Please return completed questionnaires to the offeror/contractor. Your completed questionnaire will become a part of the official Source Selection records and needs to be handled accordingly.

5. Your help is greatly appreciated and your prompt response will be one of the keys to the successful and timely completion of this important source selection.

THOMAS R. GUYER

Contracting Officer

NGID-PC

Subject: Past and Present Performance Questionnaires

PAST PERFORMANCE QUESTIONNAIRE

W912J7-18-T-0011

We appreciate your assistance in providing the evaluation information below. This questionnaire will be used to evaluate the past performance for the contractor identified below. You may be contacted to clarify or verify any information provided. Points of contact are christopher.r.rasmussen2.mil@mail.mil and thomas.r.guyer.civ@mail.mil.

Your candid response to the questions is important to our evaluation effort and may affect the award outcome. The names of individuals supplying past performance information will remain confidential.

PART I (Contract Information)

(This section (PART I) shall be completed by the Offeror (as identified in Block 1 below))

1. Company Name Point of Contact Title of Individual

2. Company Address 3. Contract Number

4. Period of Performance 5. Total Value of Contract 6. Description of Contract/ Contract Type

7. How contract relates to medical support services.

8. Reference - Name of Procuring

Agency

9. Name and Address of Procuring

Agency Reference (COR and/or Contracting Officer (KO))

10. Phone Numbers and Email Addresses of COR and/or KO mailto:christopher.r.rasmussen2.mil@mail.mil mailto:thomas.r.guyer.civ@mail.mil

NGID-PC

Subject: Past and Present Performance Questionnaires

PART II

Subject: W912J7-18-T-0011 PPQ.

QUESTION 1: Did the contractor experience any schedule and/or performance problems?

If yes, did the contractor rectify the problem in a timely manner?

ANSWER 1:

QUESTION 2: Did contractor have any difficulties associated with cost control? If so, what was impact?

ANSWER 2:

QUESTION 3: Did the contractor appear to use personnel with appropriate skills and expertise?

ANSWER 3:

QUESTION 4: Was the contractor cooperative in resolving issues, or in providing innovative solutions that resolved the problems in a timely manner?

ANSWER 4:

QUESTION 5: Were there any show-cause notices, issued; any default action or any other action related to completion?

ANSWER 5:

QUESTION 6: Was the contractor responsible for planning, organizing, managing, and controlling resources necessary to ensure contract requirements accomplishment in one or more of the following areas: (a) material procurement, (b) Government-provided resources or equipment, (c) quality assurance/quality control program implementation, and (d) workforce outside of the continental U.S.?

ANSWER 6:

QUESTION 7: Would you award another contract action to this contractor?

ANSWER 7: