Attachment 6 - Past Performance Questionnaire.pdf
PDF 36 KB Posted
- Solicitation number
- HQ003420R0079
- Issued by
-
DOD Washington Headquarters Service
About this file
This document contains a past performance questionnaire template and information about a federal contract opportunity for database design, implementation, operation, and sustainment services. The past performance questionnaire is to be completed by an offeror and references on previous contracts to provide feedback on quality, performance, schedule, technical requirements, customer satisfaction, and likelihood of recommending the company for future work. The federal contract opportunity is a pre-solicitation notice from the Washington Headquarters Services Acquisition Directorate for a single-award IDIQ contract in support of the Office of the Secretary of Defense Cost Assessment and Program Evaluation. The contract will provide database design, implementation, operation, and data platform sustainment services. No proposals will be accepted in response to the pre-solicitation notice.
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PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and Email to : See Instructions to Offerors
Contracting Office Address: Desired Response Date:
Attn:
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME & ADDRESS:
Ctrl+Enter for next line
2. CONTRACT NO.:
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. CONTRACT VALUE (with options): $
6. TYPE OF CONTRACT:
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
Contractor performed as Prime on contract listed above Contractor performed as Subcontractor on contract listed above Please add a continuation page if additional space necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please check the response code for each topic (A – F) that best reflects your experience with this contractor.
O = Outstanding A = Adequate P = Poor E = Excellent M = Marginal N/O = Not Observed
A. Quality of Products and Services - Assess the contractor's conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).
O E A M P N/O
B. Performance - Assess the contractor's performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
O E A M P N/O
C. Schedule - Assess the timeliness of contractor against the schedule of activities.
O E A M P N/O
D. Technical Requirements - Assess the contractor's ability to fulfill the technical requirements of the contract.
O E A M P N/O
E. Customer Satisfaction - Assess the contractor's responsiveness to customer concerns and “user friendliness”.
O E A M P N/O
F. Assess Overall extent that you would do business with this company again.
1 2 3 4 5 Highest Lowest
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