Attachment C - Past Performance Questionnaire.doc

PAST PERFORMANCE QUESTIONNAIRE

Fleet Logistics Center (FLC) Sigonella Site Naples is currently evaluating competitive offers for the services described herein. You have been named as a point of contact for services previously provided by the contractor identified below. Please provide the information requested in the questionnaire. The information you provide will become part of the source selection documentation; however, your name will not be released to any of the parties. Should you have any questions concerning this request, please contact Mrs. Yasmin Restrepo in Naples, Italy at Tel 0039 081-568-3979 or E-mail at yasmin.restrepo@eu.navy.mil Complete and return no later than the closing date of the solicitation to:

FLC Sigonella Contracting Department

Attn: Yasmin Restrepo and Danielle Lafferty

Email: Yasmin.restrepo@eu.navy.mil and Danielle.lafferty@eu.navy.mil NOTE: RETURN TO THE POINTS OF CONTACT DESIGNATED ABOVE. DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST Completed on behalf of:

Contractor:

Address:

(To be completed by person to whom questionnaire is addressed):

1.

Background Information a.

Name of person completing this questionnaire and position.

Name:

Agency:

Tel No.

E-mail Address:

b.

Contract No: ___________________________ c.

Detailed description of services:__________________________________________________ d.

Period of Performance (all years): ____________________________________ e.

Total value of the contract (all years): _________________________________

2.

Contractor's Past Performance

a. In your opinion, is the work performed under your contract similar in scope, magnitude of effort and complexity as the work described below:

The Contractor will be required to provide services for preparation of personal property of Department of Defense (DoD) personnel for shipment and/or storage and related services through the Direct Procurement Method (DPM).

b. Please circle a rating in answer to each of the following questions and provide comments as appropriate.

1.

How would you rate the quality of services received?

Acceptable

Unacceptable

Comments:

2.

How would you rate the timeliness of the services received?

Comments: ________________________________________________________________

3.

How would you rate your customer satisfaction?

4.

To what extent did the contractor’s performance conform to the terms and conditions of the contract/employment?

5.

To what extent was the contractor reasonable and cooperative during performance (including cooperating with a successor contractor, if applicable)?

Comments: _______________________________________________________________

Additional Comments: