Past_Performance_Questionaire_Revised.docx

PAST PERFORMANCE QUESTIONNAIRE

Solicitation# 1605DD-19-Q-00012 Please complete this Questionnaire and e-mail or fax to Contract Specialist, E-mail deceasar.charliel@dol.gov. Also include in the quoted response

We are currently in the process of preparing our request for the Occupational Safety and Health Administration (OSHA), Solicitation Number 1605DD-19-Q-00012. As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.

Please complete this Questionnaire and e-mail Contract Officer, deceasar.charlie@dol.gov:

Questionnaire is due to Charlie DeCeasar no later than 4:00 PM Central Daylight Time on 16 August 2019. Questionnaire must be submitted directly to the Contracting Officer on company letterhead if emailed from a corporate email account.

If you will not be available on 14 August 2019 for verification of this past performance evaluation, please indicate another POC for the contacting officer to contact.

Alternate POC name: ________________________________________

Alternate POC phone number: _________________________________

Alternate POC e-mail address: _________________________________

Thank you.

NAME OF OFFEROR:

Phone: Fax:

E-Mail:

I. Current or Historical Contract Information

CONTRACT REFERENCED:

1. Contract or Identifying Number: ________________________________________________

2. Contract Value: _____________________________________________________________

3. Period of Performance: ______________________________________________________________________________

4. Brief description of items provided:

5. Name of Person Completing Questionnaire: _______________________________________

Agency/Company:

Title: __________________________________ Phone: _____________________________

E-mail: _____________________________________________________________________

II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Evaluation Definitions –

The following definitions should be used in the assessment of Contractor performance.

Past Performance Evaluation

Question 1. Performance

What is your assessment of the Contractor’s ability to meet your requirements?

Performance

Comments, if any.

Questions 2 Timeliness

What is your assessment of the Contractor’s ability to provide products / services in a timely manner?

Timeliness

Ability to Resolve Timeliness Problems

Question 3. Quality of Shipments

What is your assessment of the Contractor’s ability to meet requirements of shipping (including packing, marking, etc) and the overall quality of the delivery?

Quality of Shipments

Question 4. Invoicing / Billing

What is your overall rating of Contractor’s billing practices (complete, accurate and current invoices) on contract being assessed?

General Comments:

Question 5. Overall Rating of Contractor’s performance

What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

General Comments: