Past_Performance_Questionaire.doc
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- Attached to
- Region One Medical Director
- Solicitation number
- AG-0343-S-16-0020
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AG-0343-S-16-0020 R1 Medical Director - Past Performance Questionnaire
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PAST PERFORMANCE QUESTIONNAIRE
Project/Contract: __________________ Name of Offeror: ________________________ Name and Title of Person Completing Questionnaire:______________________________ Company/Organization: __________________________________ Briefly describe the nature and size in dollars of your contract with the Offeror and types xx (If more space is needed, please use the “Additional Comments” block on the second page):
Please return this Past Performance Questionnaire to Jeanne Windle at the following email address: njwindle@fs.fed.us no later than June 30, 2016. For questions call 406-329-3756.
ADJECTIVAL RATING DEFINITIONS
| “E” |
| Excellent: Performance greatly exceeded contract requirements resulting in overall benefits to the customer with no significant weaknesses or complaints. |
| “VG” |
| Very Good: Performance consistently met and often exceeded many of the contract requirements with very few weaknesses or complaints. |
| “G” |
| Good: Performance consistently met contract requirements with noted weaknesses or complaints adequately corrected. |
| “F” |
| Fair: Performance often failed to meet minimum contract requirements with numerous noted weaknesses or complaints usually corrected. |
| “P” |
| Poor: Performance consistently failed to meet contract requirements with numerous significant weaknesses or complaints left uncorrected. |
| Past Performance Question |
| Rating (Circle answer) |
1. Describe the level of quality of work did the contractor meet for the contract requirements?
Comments:
E VG G F P
2. Describe the extent to which the contractor adhered to the schedule?
Comments:
E VG G F P
3. How responsive was the contractor in resolving quality, schedule, or other contract issues? Did not encounter any problems per say.
Comments:
E VG G F P
4. How effective was the contractor in addressing specific customer needs?
Comments:
E VG G F P
5. How satisfied were you with the contractor’s overall performance?
E VG G F P
6. Would you award another contract to this contractor?
Yes No
ADDITIONAL COMMENTS:
PLEASE NOTE: In accordance with Federal Acquisition Regulations, contractors may be advised of adverse remarks and given an opportunity to respond. However, the contracting officer will not provide your name or copies of this questionnaire to the contractor or any other party not directly involved in the evaluation of the contractor’s proposal.
THANK YOU FOR YOUR RESPONSE
If you need further assistance, you may contact Jeanne Windle at the Lolo National Forest, 24 Fort Missoula Road, Missoula, MT 59804 or 406-329-3756.
File details come from the government source that posted it. Updated .