Attachment 3 - Past Performance Questionaire - 70Z03822RB2000005.pdf

70Z03822RB2000005

Attachment 3: Past Performance Questionnaire

Name of Offeror: __________________________________ Cage Code____________

Provide a Customer Business Name: __________________________________________

Provide the Customer Point of Contact (POC) Name and Information so that they can be contacted by the USCG past performance evaluator(s).

Name: __________________________________________________________________ Customer POC Email Address: ______________________________________________ Customer POC Phone Number: ______________________________________________

Contract Information (tell us about the contract between you and your customer):

Contract Number: ________________________ Contract Value $_________________ Contract Duration: Start Date ______________ Completion Date _________________

Describe the work performed for your customer under the above contract and include what equipment was repaired, quantities, required delivery schedules and if Deliveries were made on time. Provide reason for Late Deliveries.

QUALITY ISSUES AND RESOLUTIONS

Describe any quality issues on the contract and how they were handled and resolved (provide a narrative):