A17 RFP A05 PPQ.docx

Past Performance Questionnaire

NLRB Office Furniture and Related Support Services // Solicitation #63NLRB21R0003 Please complete this Questionnaire and email to: Julie Yarbrough at Julie.yarbrough@nlrb.gov Response Deadline: 10:00 AM ET on JULY 2, 2021

TO BE COMPLETED BY VENDOR

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. TOTAL PERIOD OF PERFORMANCE:

4. COMPLETION DATE:

1a: NAME OF PRIME CONTRACTOR (IF DIFFERENT FROM ABOVE):

5. CONTRACT/PROJECT VALUE (with options):

6. TYPE OF CONTRACT: (FFP,CPFF, T&M, etc.)

7. BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS: (Describe how the project relates to the PWS)

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR'S NAME, POSITION ( Project Manager/ COR/ Other) AND ORGANIZATION:

b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

A. Overall Contract Performance – Please provide a statement regarding the contractor’s performance for the project.

B. Quality of Products and Services – Please provide a statement regarding the contractor’s quality of products and/or services

C. Customer Satisfaction – Please provide a statement regarding the contractor’s responsiveness to customer needs.

D. Timeliness and adherence to schedules – Please provide a statement regarding the timeliness of contractor against the schedule of deliverables.

E. Area(s) for Improvement – Please provide a statement regarding any areas for improvement.