36W79718R0003-007.docx

SPV-5 Attachment F

Attachment F: Past Performance Documentation

Offeror’s Name:

Additional pages may be attached as continuation of this document. Teamed efforts should review instructions for proposal for specific application of these questions.

1. List the percentage of your total annual sales each of these customer types represents:

a) Healthcare Customers:

b) Healthcare Prime Vendor Customers:

c) Prime Vendor Customers:

2. Warehouse Sanitation Inspection Provide the following information for each warehouse designated to service customers of this contract from Offeror’s most recent inspection by an outside, independent organization. Please add as an attachment to this document.

a) Warehouse – Location:

b) Inspection Organization:

c) Date Inspected:

d) Score:

e) Definition of Score:

f) Primary Recommendation:

3. If you are a large business, describe your accomplishments on your most recent Small Business Subcontracting Plan and Goals. Attach most recent approved subcontracting plan, if applicable.

If proposing as a teamed effort, document organizational structure and past experience with teamed efforts; including annual sales from teamed efforts, small business involvement or support.

4. Identify the metrics you use to monitor customer satisfaction with your performance.

a) Metrics and rating scale:

b) Schedule frequency and extent for surveying customers:

c) Survey process, evaluation , and follow-up

d) Summary scores and comments from three customers.

Attachment F – Past Performance Questions Page 1 of 1