Attachment_3_-_Past_Performance_Questionnaire.docx

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Historical Research Services
Solicitation number
D15PS00176
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Attachment 3 - Past performance Questionnaire

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ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS

SOLICITATION NUMBER: RFP No. D15PS00176

1. Please complete this questionnaire. Handwritten responses are sufficient.

Explanation of codes:

PERFORMANCE LEVEL

(E) EXCEPTIONAL
The contractor’s performance met contractual requirements and exceeded expectations. Contractor consistently and proactively addressed problems that arose during contract performance before the problems could compromise achievement of contract objectives.
(S) SATISFACTORY
No problems existed or only minor problems for which solutions were available and corrected with minimal disruption to contract requirements.
(U) UNSATISFACTORY
Problems existed which the contractor was unable to solve. The problems led to disruption in achievement of contract requirements. Actions taken by the contractor to resolve the problems were ineffective.
(N) NOT APPLICABLE
Evaluation area not applicable to this contracted effort

2. Circle the appropriate letter for each item on the questionnaire and provide narrative justification.

3. Please scan and e-mail to:

Cynthia Chick Cynthia_s_chick@ibc.doi.gov

PRESENT/PAST PERFORMANCE EVALUATION

SOLICITATION NUMBER: RFP No. D15PS00176

Please compete the following:

A. Contractor:_____________________________________
B. Contract number:________________________________
C. Estimated contract dollar amount:____________________
D. Period of Performance:___________________________

E. Contract type __________________________ F. |_| Federal |_| Non Federal

G. Describe product/service acquired: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PAST PERFORMANCE EVALUATION CRITERIA:

1. Offeror’s record of success meeting deliverable and performance schedules:

ESUN
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Offeror’s record of success at achieving high levels of customer satisfaction for services and training provided:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Offeror’s record of success at providing customizable training solutions to fit the customer’s need:

E S U N _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Offeror’s record of success at providing responsive solutions to issues and opportunities:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If more comment space needed, write on back, or attach pages and identify numbered item.

Name/Title _____________________________________________________

Role regarding contract (e.g. Contracting Officer, COR, PM, etc.):__________________________________________________________ Phone_______________________________________

FAX________________________________________

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