Attachment_G_-_Past_Performance_Questionnaires.docx

ATTACHMENT G

PAST PERFORMANCE REFERENCE CHECK FORM

Reference’s name: ________________________________________________________ Reference’s organization: __________________________________________________ Reference’s phone number: ________________________________________________ Reference’s e-mail address: _________________________________________________ Offeror being checked: ____________________________________________________ Contract being checked: ____________________________________________________ Dollar value of contract: ___________________________________________________ Period of performance of contract: ___________________________________________

Reference is requested to rate the offeror in each of the contract performance areas listed below using the following adjectival ratings.

EXCELLENT – Performance met contractual requirements and exceeded many of the customer’s benefit. Performance was accomplished with no to a few minor problems for which any required corrective actions taken were highly effective. (Risk level: Very low) GOOD – Performance met contractual requirements and exceeded some of the customer’s benefit. Peerformance was accomplished with some minor problems for which any required corrective actions taken were effective. (Risk level: Low) ACCEPTABLE –Performance met contractual requirements. Performance was accomplished with some minor problems for which any required corrective actions taken were satisfactory. (Risk level: Moderate) MARGINAL – Performance does not meet some contractual requirements. Performance was accomplished for serious problems for which any required corrective actions were marginally effective or not fully implemented. (Risk level: High) UNACCEPTABLE – Performance did not meet most contractual requirements. Performance was accomplished with serious problems for which any required corrective actions were ineffective or non-existent. (Risk level: Very high)

Comments: _____________________________________________________________ ________________________________________________________________________