Attachment 3-93310023Q0007-PPQ.pdf

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Attached to
FMCS-EQUAL EMPLOYMENT OPPORTUNITY (EEO)/ DIVERSITY, EQUITY, INCLUSION AND ACCESSIBILITY (DEIA) SUPPORT
Solicitation number
93310023Q0007
Issued by

About this file

This document contains a past performance questionnaire template and details of a federal contract opportunity for EEO/DEIA support services. The past performance questionnaire is to be completed by a contractor being evaluated and includes prompts for a client name, contact information, contract details, and ratings for quality, timeliness, and other performance factors.

The related federal contract opportunity is solicitation number 93310023Q0007 being issued by the Federal Mediation and Conciliation Service to obtain EEO/DEIA support services. The services will include managing and executing initiatives in the FMCS DEIA and Equity strategic plans, providing guidance and training to employees, and executive administrative support to the EEO Director. The contract is for non-personal services whereby the government will evaluate service quality but retains no control over the contractor's employees or agents.

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Text version

PAST PERFORMANCE QUESTIONNAIRE

CONTRACT/PROJECT INFORMATION (To Be Completed by Contractor)

1. Contractor Being Rated:

2. Client Name:

Point of Contact:

Phone Number:

Email:

3. Contract/Project Name:

Contract Number (if applicable):

Period of Performance:

Brief Description:

PLEASE SELECT THE ADJECTIVE RATING WHICH BEST REFLECTS YOUR

EVALUATION OF THE CONTRACTOR’S PERFORMANCE

1. Quality of work

2. Timeliness of work

3. Resourcefulness

4. Interpersonal skills

5. Job knowledge

6. Dependability

7. Flexibility

8. Overall Rating

9. Would you select this contractor again?

Any additional comments related to the contractor’s performance:

Name/Title of Person Completing the Form Signature Date

Release of Information: This Contractor Performance Report may be used to support future award decisions, and will be treated as source selection information in accordance with FAR 3.104-4(k)(1)(x) and 42.1503(b). The completed report shall not be released to other than Government personnel and the contractor whose performance is being evaluated during the period the information is being used to provide source selection information.

Date:
Contractor Being Rated:
Additional Comments:
Person Completing the Form:
Client Name:
Point of Contact:
Phone Number:
Email:
Brief Description:
Period of Performance:
Contract Number:
Contract Name:
Dropdown1: [Select Rating]
Dropdown2: [Select Rating]
Dropdown3: [Select Rating]
Dropdown4: [Select Rating]
Dropdown5: [Select Rating]
Dropdown6: [Select Rating]
Dropdown7: [Select Rating]
Dropdown8: [Select Rating]
Dropdown9: [Select One]

File details come from the government source that posted it. Updated .