Attachment 3 - Past Performance Questionnaire.pdf

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Attached to
Janitorial Services at NIEHS Research Triangle Park, NC
Solicitation number
75N99020R00030
Issued by

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This document contains a past performance questionnaire for a janitorial services solicitation. The solicitation is for janitorial services at the National Institute of Environmental Health Sciences in Research Triangle Park, North Carolina, issued by the Department of Health and Human Services National Institutes of Health. The contractor shall provide janitorial services in accordance with the attached performance work statement. The past performance questionnaire requests information about the offeror and references to assess the offeror's past conformance to requirements, adherence to schedules, cost control record, customer satisfaction record, and competency of key personnel on previous contracts. Respondents are asked to provide ratings in these areas as well as any additional comments.

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Other files

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Attachment 6 - Conformed Collective Bargaining Agreement and Supplemental Agreements.pdf PDF
75N99020R00030 - Amendment 0004.pdf PDF
75N99020R00030 - Amendment 0003.pdf PDF
Attachment 5 - Collective Bargainning Agreement.pdf PDF
75N99020R00030 - Amendment 2.pdf PDF
75N99020R00030 - Amendment 1.pdf PDF
Attachment 1 - Janitorial Performance Work Statement_Revision 1.pdf PDF
75N99020R00030 - Amendment 1_Revised Schedule B.pdf PDF
Attachment 4 - Janitorial Services Site Visit Photos.pdf PDF
NIH Solicitation 75N99020R00030.pdf PDF
Attachment 1 - Janitorial Performance Work Statement.pdf PDF
Attachment 2 - Wage Determination.pdf PDF
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SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

75N99020R00030 Attachment 3

NIH Past Performance Questionnaire

For

Solicitation # 75N99020R00030 Janitorial Services for the National Institutes of Health

Research Triangle Park, North Carolina

A. OFFEROR IDENTIFICATION

Offeror:

Contract No.:

B. CONTRACTURAL INFORMATION. Please provide the following information regarding contractor and contract number identification in 1. A above:

Contract Type: ________________TIN#_______________________________

Contract Purpose (e.g., support service, R&D, etc.)?________________________

Contract Award Date: _________ Period of Performance: __________________

Total Contract Value: __________

B. RESPONDENT INFORMATION:

Name (printed)_______________________________________________

Phone, Commercial: _________________FAX:_____________________

Office Designation:___________________________________________

Position/Title:_________________________________________________

Relationship to Program:_______________________________________

Length of Involvement in Program_______________________________

Past Performance Assessment: (Circle the rating that applies. Answer only 1-5 and additional comments.)

1. Conformance to contract requirements and to standards of good workmanship:

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

75N99020R00030 Attachment 3

Exceptional Acceptable Neutral Unacceptable

2. The contractor's adherence to contract schedules, including administrative aspects of performance (Timely submittal of reports or other documents):

3. Record of forecasting and controlling costs (How well did contractor avoid cost overrun?):

4. The contractor's history of reasonable and cooperative behavior and commitment to customer satisfaction & the business-like concern for the interest of the customer:

5. Competency of Key Personnel (Project Mgr. Asst. Project Mgr. & Quality Control):

Additional Comments:

For administrative use only!

Overall Rating:

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