Attachement I- Past Performance Questionaire (PPQ).docx

Attachment I: Past Performance Questionnaire:

Part 1:

TO BE FILLED OUT BY QUOTER:

Quoter Company Name: __________________________________ Location (of Delivery): ______________________ Contract Reference Number: _______________________________________ Contract Date: ______________________ Value of the Contract: ______________________ Delivery Date(s):________________________________________ (must be within last 3 years) Customer: _____________________________________________ Customer POC Name: ____________________________________ Customer POC Email/Phone Number: _______________________ Description of Scope: Identify items delivered, number of items delivered and relevance to current requirement:__________________________________________ Has the POC agreed to be contacted as a reference? ______________________

Part 2:

TO BE FILLED OUT BY REFERENCE:

1. Was the product delivered on time?

2. Did the company named above provided all contracted requirements?

3. How would you rate the performance of the company named above?

4. Would you purchase from this company again?

5. Any other comments in regards to the performance of the company named above?

Name of person completing PPQ:____________________________ Signature:_______________________________________________ Title:___________________________________________________ Email:__________________________________________________