09 Attachment 3 - Past Performance Questionaire.pdf
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- Attached to
- Grounds Maintenance Services - Fort Hood, Texas
- Solicitation number
- W9115125RA004
About this file
This document is a Past Performance Questionnaire template designed for evaluating a contractor's performance across multiple assessment categories. The form allows an assessing official to rate a firm's performance in nine key areas: quality of product or service, schedule, cost control, business relations, management of key personnel, reliability, customer support, overall performance, and two additional areas. The rating scale ranges from Unsatisfactory to Exceptional, with a N/A option also available. The template includes fields to capture detailed contract information such as the firm/agency name, project name, contract award and completion dates, contract type, awarded and current contract dollar values, and contact information for the assessing official. Section 4 provides space for additional comments to provide context or elaborate on the performance ratings.
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Text version
Past Performance Questionnaire
I. NAM£ OF FIRM/AGENCY PROVIDING FEEDBACK:
PROJECT NAME:
PERIOD OF PERFORMANCE: CONTRACT TYPE (if applicable):
CONTRACT AWARD DATE: CONTRACT COMPLETION DATE:
AWARDED VALUE: CURRENT CONTRACT DOLLAR VALUE:
2. NAME OF ASSESSING OFFICIAL:
EMAIL: PHONE NUMBER:
ASSOCIATION WITH FIRM BEING RATED {including role):
CONTRACT OR ORDER NUMBER (if applicable):
3. ASSESS THE FOLLOWING AREAS: {Check the appro_priatc box for each assessment category)
Assessment Caregories Unsatisfactory Marginal Satis-r.actory Very Good Excepti<mal NIA
a. QUALITY OF PRODUCT OR SERVICE b.SCHEDULE
<. COST CONTROL
d. BUSINESS RELATIONS
e. MANAGEMENT OF KEV PERSONNEL
f. RELIABILllY
g. CUSTOMER SUPPORT
h. OVERALL PERFORMANCE
i. OTHER AREAS:
(I)
(2)
4 ADDITIONAL COMMENTS:
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