Attachment 9- Past Performance Questionnaire.pdf

Past Performance Questionnaire

DLA Troop Support Past Performance Questionnaire – Solicitation SPE300-20-R-0035

Your willingness to complete the following questionnaire is appreciated. The information that you provide will be used in the awarding of federal contracts. 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. No questionnaires should be received directly from the offeror. Request that the completed questionnaire is returned via e-mail to Olivia.Reitano@dla.mil and Patricia.Griffith@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. Quality of products and service 5 4 3 2 1 N/A

2. Schedule (e.g., fill rates/timeliness of delivery) 5 4 3 2 1 N/A

3. Cost Control 5 4 3 2 1 N/A

4. Management (e.g., communication/responsiveness) 5 4 3 2 1 N/A

Overall Performance 5 4 3 2 1 N/A

REMARKS (instances of problems or instances of exceptional performance):

Note: N/A means Not Applicable.