36C78619Q0404-008.pdf

ATTACHMENT D: PAST PERFORMANCE QUESTIONNAIRE

SOLICIATION NO.: 36C78619Q0404 – Materials Delivery IDIQ for National Memorial Cemetery of the Pacific

NOTE TO EVALUATORS: Upon completion, please email this confidential Questionnaire directly to Ms. Sable Williams, Contracting Officer, National Cemetery Administration at sable.williams1@va.gov.

ALL FIELDS MUST BE COMPLETED:

DATE OF EVALUATION:

NAME OF EVALUATOR:

COMPANY OR AGENCY NAME:

EVALUATOR EMAIL ADDRESS:

WHAT IS THE NAME OF THE COMPANY FOR WHOM YOU ARE PROVIDING A

REFERENCE FOR:

TYPE OF WORK PERFORMED:

CONTRACT PERIOD:

CONTRACT NUMBER: (if applicable):

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.

1 - unacceptable performance

2 - marginally acceptable

3 - fully acceptable or Good

4 - Very Good, with very few incidents

5 - Superior performance.

mailto:tene.becknell@va.gov

1). Evaluate the company’s compliance with contractual terms and conditions and the technical requirements of the contract.

1 2 3 4 5 N/A

Comments:

2). Has the company demonstrated reasonable and cooperative behavior in resolving customer requests and or complaints?

3). Is the Offeror competent in the performance of the contract and in satisfying the requirements of the customer?

4). Did the Offeror meet minimum deadline and response timelines as outlined in the contract?

5). Were invoices submitted in a timely manner, easily understood and accurately reflected charges?

6). Rate this company’s overall performance:

7) . Would you award to this company again? If not, please explain below: