PAST PERFORMANCE QUESTIONNAIRE (1).docx

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North Carolina Partition Contract (Asheville, Charlotte, Raleigh)
Solicitation number
47PE0619R0049
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PAST PERFORMANCE QUESTIONNAIRE

Past performance is submitted in response to GSA RFQ 47PE0619Q0012. Completed questionnaire is due on or before April 26, 2019. Sections I, II, and III are to be completed by the Contractor and provided to the respondent identified in Section III for completion of Section IV Contractor History. Respondent shall submit completed questionnaire via electronic mail to danah.gibson@gsa.gov. The subject line of the email shall read: Solicitation Number: 47PE0619Q0012, O&M Services, Charlotte, Greensboro, and Statesville, NC.

I. CONTRACT IDENTIFICATION

Contractor’s Name:

Contractor Number:

Contract Value:

Contract Type:

Period of Performance:

II. DESCRIPTION OF CONTRACT

Briefly describe all services provided under this contract.

III. RESPONDENT IDENTIFICATION

Name:

Agency/Company:

Address:

Email:

Telephone:

IV. CONTRACTOR HISTORY Please check the level of the Contractor’s overall performance in each of the following areas below and provide comments to support the rating.

Check “N/A” if the factor does not apply to the contract being rated.

EVALUATION FACTOR
EXCELLENT
VERY GOOD
SATISFACTORY
UNSATISFACTORY
N/A

Quality and Accuracy of Deliverables

Comments:

Quality of Services Performed

Comments:

Quality of Problem Solving

Comments:

Quality of Contract/Task Order Management

Comments:

Overall Communication Skills

Comments:

EVALUATION FACTOR
EXCELLENT
VERY GOOD
SATISFACTORY
UNSATISFACTORY
N/A

Change Management in Service Delivery

Comments:

Change Management in Service Delivery

Comments:

Comments:

Overall Performance

Comments:

Customer Satisfaction

Comments:

1. Would you award to this Contractor again? _____Yes _____No

2. Would you recommend this Contractor for a contract award? _____Yes _____No

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