Attachment3_-_Past_Performance_Questionnaire_pdf.pdf
PDF 160 KB Posted
- Attached to
- Washer, Bedding Dispenser & Sterilizer Maintenance Federal contract opportunity
- Solicitation number
- 75N99022R00017
About this file
This document contains a past performance questionnaire for a federal contractor providing washer, bedding dispenser, and sterilizer maintenance and repair services. The contractor is to provide all trained personnel, labor, supervision, materials, equipment, tools, parts, supplies, facilities, transportation, and other items necessary for the services at the National Institutes of Health. The questionnaire evaluates the contractor on conformance to requirements and standards, adherence to schedules, cost control, cooperation and customer satisfaction, and competency of key personnel. The respondent is to provide ratings and comments on these criteria for an assessment of the contractor's performance.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_75N99022R00017_Amd_0001.pdf | ||
| Sol_75N99022R00017.pdf | ||
| Attachment1_-_Invoice_Instructions.pdf | ||
| Attachment2_-_Wage_Determination_-_rev031522.pdf |
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Text version
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
ATTACHMENT 3
PAST PERFORMANCE QUESTIONNAIRE
NIH Past Performance Evaluation Form
For
Solicitation # 75N99022R00017
Washer, Bedding Dispenser & Sterilizer Maintenance and Repair for the National Institutes of Health Research Triangle Park, North Carolina
A. OFFEROR IDENTIFICATION
Offeror:
Contract No.:
B. CONTRACTURAL INFORMATION. Please provide the following information regarding contractor and contract number identification in 1. A above:
Contract Type: ________________TIN#_______________________________
Contract Purpose (e.g., support service, R&D, etc.)?________________________
Contract Award Date: _________ Period of Performance: __________________
Total Contract Value: __________
B. RESPONDENT INFORMATION:
Name (printed)_______________________________________________
Phone, Commercial: _________________FAX:_____________________
Office Designation:___________________________________________
Position/Title:_________________________________________________
Relationship to Program:_______________________________________
Length of Involvement in Program_______________________________
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
Past Performance Assessment: (Circle the rating that applies. Answer only 1-5 and additional comments.)
1. Conformance to contract requirements and to standards of good workmanship:
Exceptional Acceptable Neutral Unacceptable
2. The contractor's adherence to contract schedules, including administrative aspects of performance
(Timely submittal of reports or other documents):
3. Record of forecasting and controlling costs (How well did contractor avoid cost overrun?):
4. The contractor's history of reasonable and cooperative behavior and commitment to customer satisfaction & the business-like concern for the interest of the customer:
5. Competency of Key Personnel (Project Mgr. Asst. Project Mgr. & Quality Control):
Additional Comments:
For administrative use only!
Overall Rating:
File details come from the government source that posted it. Updated .