Attachment D - Past Performance.pdf
PDF 130 KB Posted
- Attached to
- HCHV Males NIHCS Federal contract opportunity
- Solicitation number
- 36C25022Q0712
View the file
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Text version
PAST PERFORMANCE SURVEY
Offeror’s Name: ___________________________________________________
Contract Number: __________________________________________________
Contract Type and Dollar Value: _______________________________________
Brief Description of Work: _____________________________________________________________________
“O” =Outstanding = Performance greatly exceeded the contract requirements “A” =Above Average = Performance exceeded the contract requirements “S” = Satisfactory = Performance met the contract requirements “M” = Marginal = Performance met the minimum contract requirements, but some material aspects of the contractor’s performance were less than satisfactory “U” = Unacceptable = Performance was poor and/or did not satisfy contract requirements Please rate and provide information and detailed comments for the following:
Circle one
1. To what extent did the contractor comply with contract requirements? O A S M U
2. If reports were required, were they accurate in meeting contract requirements?
O A S M U
3. To what extent did the contractor use appropriate personnel for contract requirements?
O A S M U
4. To what extent did the contractor display technical expertise? O A S M U
5. To what extent was contractor able to meet the performance schedule? O A S M U
6. To what extent was contractor flexible in responding to changing needs? O A S M U
7. To what extent was the contractor reliable? O A S M U
8. To what extent was the contractor responsive to technical directions? O A S M U
9. To what extent did contractor notify you of problems or potential problems?
O A S M U
Additional Comments:
Name of Evaluator: ____________________________
Signature of Evaluator: _________________________
Title: _______________________________________
Company: ___________________________________
Telephone No.: _______________________________
Date: ________________
10. Have any cure notices, show cause letters, suspension of payment, or termination been issued? If yes, please explain.
O A S M U
11. Would you award another contract to the party being evaluated? If no, please explain:
O A S M U
12. Was the customer satisfied with the end product? If no, please explain: O A S M U
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