36C25219Q0065-004.doc

Past Performance Questionnaire

COMPANY: __________________________________

REFERENCE: ______________________________________

TYPE OF WORK: ___________________________________________

CONTRACT PERIOD: __________________________________________________

LENGTH OF SERVICES PERFORMED: ______________________________________________

ESTIMATED CONTRACT AWARD AMOUNT: _________________________________________

For the following questions, please choose the number on the scale from 1 to 5, which most accurately describes the Contractor’s performance on the contract referenced above.

Unacceptable performance

Marginally acceptable

Fully acceptable or Good

Very Good, with very few incidents

Superior performance.

1 Evaluate the company’s compliance with contractual

N/A terms and conditions and the technical requirements of the contract.

Comments:

2 Has the company demonstrated reasonable and cooperative N/A behavior in resolving customer requests and or complaints?

Comments:

3 Is the offeror flexible in satisfying the requirements of the N/A customer?

Comments:

4 To what extend did the company meet the response times N/A in the contract?

Comments:

5 Are invoices easily understood and do they accurately reflect N/A charges?

Comments:

6 Rate the company’s overall performance:

N/A

Comments:

7. Would you award to this company again?

N/A

Comments:

Please provide any other comments you wish to let us know: