Attachment 4 Past Perf Interview Form.pdf

1 SOURCE SELECTION INFORMATION (SEE FAR 3.104)

Performance Assessment Questionnaire – Telephone Interview

Contractor: Contract No.:

Subcontract No. (if applicable):

POC: Title:

(Name) (E.G. PCO/ACO/TM)

(Agency, Telephone No., E-mail & Facsimile No.)

If conducting a telephone interview:

“Hello, I am . I am calling in reference to Contract with a company called . My questions will pertain to the contractor’s record of past, which is defined as within the past three years, and current performance. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that our information be as factual and accurate as possible. A summary of this discussion may be sent to you for your records.

PART I. EVALUATION (Interviewer to Document the Respondents answers here)

Excellent Satisfactory Marginal Unacceptable

Rationale/Comments:

Excellent Satisfactory Marginal Unacceptable

Rationale/Comments:

A. How would you rate the compliance of services and reporting related to the contract requirements and specifications?

B. How would you rate the effectiveness of their project management and timeliness of completing the services and deliverables?

Solicitation: W912SV-21-R-0009 Attachment 4

SOURCE SELECTION INFORMATION (SEE FAR 3.104)

Excellent Satisfactory Marginal Unacceptable

Rationale/Comments:

Yes No

Organizational Details:

C. How would you rate their commitment to customer satisfaction and business-like concern for its customers’ interest?

D. Did the vendor provide services to your organization that would be relevant to providing a program is comprehensive soldier health and wellness in the National Guard or other military organizations?

E. If Yes to D. above, how would you rate their understanding of and approach to M-Day soldiers and the Unique training constraints of the National Guard?

Yes No

Comments:

Organization:

I. General Comments. Provide any other relevant performance information.

J. Respondent Identification. Please provide the following information:

H. Would you hire them again?

F. How would you rate the quality, ease of use, thoroughness, and availability of their materials, both printed and electronic?

G. How would you rate the availability and responsiveness to their personnel responsible for on-going mentorship, if applicable to the effort?

Name:

Title:

Date:

Telephone Number Address:

E-mail Address:

PART II. RECORD OF INTERVIEW (To be completed by Interviewer)

( ) Discussed recentness and relevance of information ( ) Read summary to person contacted Date:

( ) Sent copy to person contacted Date:

PPT Member Signature Typed or Printed Name

Telephone Fax