09 Attachment 3 - Past Performance Questionaire.pdf
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- 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 provides a structured method for assessing a firm's performance by allowing an evaluating official to rate the contractor on 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 custom areas. The rating scale ranges from Unsatisfactory to Exceptional, with an option for Not Applicable (N/A). The template includes sections for documenting basic contract information such as project name, contract award and completion dates, contract type, and contract value, as well as details about the assessing official. A section for additional comments is provided at the bottom of the form, allowing for narrative feedback to supplement the numerical ratings.
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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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