Attachment 4 Past Performance Questionaire.pdf
PDF 122 KB Posted
- Solicitation number
- SPE300-26-R-0011
About this file
This is a Performance Questionnaire template issued by DLA Troop Support for evaluating contractor performance on federal contracts related to Southern Europe/Northern Africa and Western Africa Solicitation SPE30026R0011.
The questionnaire is designed to gather objective performance data from evaluators regarding contractors' execution of awarded contracts. Evaluators are instructed to provide factual, accurate, and complete information to support federal contract award decisions. The form requires basic contract information including evaluator details (name, agency/company, phone, email), contractor identification (name, address, CAGE code), contract specifics (number, award date, annual dollar value, term dates), and a description of supplies or services provided. The questionnaire assesses six performance categories on a five-point scale (5=Excellent to 1=Unacceptable, with N/A option): warehousing operations, quality control and condition of delivered products, customer support and satisfaction, fill rates (product accepted versus product ordered), financial management, and overall contract performance. The form includes a remarks section for documenting specific instances of problems or exceptional performance. Completed questionnaires must be submitted via email to Kellie.Wimsey@dla.mil and Veronica.Faso@dla.mil.
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Text version
DLA Troop Support Performance Questionnaire
Your willingness to complete the following questionnaire is appreciated. The information that you provide will be used in the awarding of federal contract(s). Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. Request that the completed questionnaire is returned via e-mail to Kellie.Wimsey@dla.mil and Veronica.Faso@dla.mil. Thank you.
Contract Information:
Evaluator’s Name & Agency/Company ____________________________________________________
Evaluator’s Phone Number ______________________________________________________________
Evaluator’s E-mail Address ______________________________________________________________
Contract Number ______________________________________________________________________
Contractor’s Name _____________________________________________________________________
Contractor’s Address ___________________________________________________________________
Contractor’s CAGE Code, if applicable _____________________________________________________
Contract Award Date ___________________________________________________________________
Contract Annual Dollar Value ____________________________________________________________
Contract Term (Start date and End date) _____________________________________________________
Description of Supplies/Services Provided ___________________________________________________
Contract Performance
Please circle, underline, or highlight in bold, one of the numbers for each question using the most appropriate scale description:
Excellent Very Good Acceptable Poor Unacceptable N/A No Problems Rare Problems Occasional Problems Frequent Problems Daily Problems N/A 5 4 3 2 1
1. Warehousing operations 5 4 3 2 1 N/A
2. Quality control & condition of delivered products 5 4 3 2 1 N/A
3. Customer support and satisfaction 5 4 3 2 1 N/A
4. Fill Rates (product accepted/product ordered) 5 4 3 2 1 N/A
5. Financial management 5 4 3 2 1 N/A
6. Overall Contract Performance 5 4 3 2 1 N/A
REMARKS (instances of problems or instances of exceptional performance): ________________________
Note: N/A means Not Applicable.
Southern Europe/Northern Africa and Western Africa Solicitation SPE30026R0011
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