ATTACHMENT D - Past Performance Questionnaire - Janitorial Services - Chattanooga National Cemetery.pdf

ATTACHMENT D: PAST PERFORMANCE QUESTIONNAIRE

SOLICITATION NO.: 36C78621Q0125 for Janitorial Services for the Chattanooga National Cemetery.

NOTE TO EVALUATORS: Upon completion, please email this confidential Questionnaire directly to Ms. Tené Becknell, Contracting Officer, National Cemetery Administration ONLY at tene.becknell@va.gov.

**Please be sure to reference the above-mentioned Solicitation Number and Title in the Subject line of your email when submitting.

Thank you for your time and input.

DATE OF EVALUATION: _____________

NAME OF COMPANY YOU ARE PROVIDING THIS PAST PERFORMANCE

EVALUATION FOR: ________________________________

YOUR NAME: __________________________________

YOUR COMPANY OR AGENCY NAME: _____________________________________

TYPE OF SERVICES PROVIDED: ___________________________________________

CONTRACT NUMBER: _______________________________________

CONTRACT PERIOD OR LENGTH OF TIME SERVICES PERFORMED: _______________

CONTRACT AWARD AMOUNT: ____________________________________

For the following questions, please circle the number on the scale from 1 to 5 that most accurately describes the Contractor’s performance on the contract referenced above.

Please provide a written explanation below for scores of 1 or 5.

1 - Unacceptable Performance

2 - Marginally Acceptable

3 - Good

4 - Very Good, with very few incidents

5 - Superior performance.

mailto:tene.becknell@va.gov

1.) On a scale of 1 to 5, score the company’s compliance with contractual terms and conditions and the technical requirements of the contract (please provide a written explanation below for scores of 1 or 5):

1 2 3 4 5 N/A

Comments:

2.) On a scale of 1 to 5, score how well the company demonstrated reasonable and cooperative behavior in resolving customer requests and or complaints (please provide a written explanation below for scores of 1 or 5):

3.) On a scale of 1 to 5, rate how flexible the Contractor was in satisfying the requirements of the customer (please provide a written explanation below for scores of 1 or 5):

4.) On a scale of 1 to 5, score how well this company met response times in accordance with the terms and conditions of the contract (please provide a written explanation below for scores of 1 or 5):

5.) On a scale of 1 to 5, score how the company performed with the proper and timely submission of invoice as well as accuracy of those invoice in reflecting correct charges (please provide a written explanation below for scores of 1 or 5).

6.) Rate the company’s overall performance (please provide a written explanation below for scores of 1 or 5):

7.) Would you award a contract to this company again?

Yes:

No: