Attachment_11_-_Past_Performance_Questionnaire.docx

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Characterization of Improvised Explosives
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DJF-16-1200-R-0000062
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Past Performance Questionnaire

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ATTACHMENT 1

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS

REFERENCE NUMBER: DJF-16-1200-R-0000062

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 or fax Questionnaire to:

Ms. Eliana C. York FBI Laboratory 2501 Investigation Parkway Quantico, VA 22135 eliana.york@ic.fbi.gov 703-632-8067 (p) 703-632-8480 (f)

PRESENT/PAST PERFORMANCE EVALUATION

REFERENCE NUMBER: DJF-16-1200-R-0000062

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: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

[Note: Remarks are requested for any rating other than "satisfactory"]

EVALUATION AREAS

1. Contractor’s record of success at recruiting and retaining qualified, skilled personnel:

ESUN
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Contractor’s record of success meeting deliverable and performance schedules:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Contractor’s record of success maintaining staffing levels to achieve performance objectives:

E S U N _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Contractor’s record of success at achieving high levels of customer satisfaction:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Contractor’s record of success managing Key Personnel:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Contractor’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: ________________________________________

File details come from the government source that posted it. Updated .