Attachment_3_-_Past_Performance_Questionnaire.doc

Attachment 3 DJF-17-1200-Q-0000051, CJIS Fitness Equipment Maintenance

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The Evaluator shall complete the company/contract specific information on this form and forward to the Department of Justice, Federal Bureau of Investigation Contracting Officer via email to Jennifer.Robinson@ic.fbi.gov. NLT COB May 15th, 2017. Please Contact Kaitlin Casey at (304)625-2757 with any additional questions regarding this form.

Name of client organization:

Project name and contract/task order number:

Brief description of support provided:

Total period of performance, dates, and total cost/price:

Number of contractor personnel assigned to the project, by skill category:

SECTION 1:

Name and Title of Technical Point of Contact (POC):

Address of Technical POC:

Telephone number of Technical POC:

Date the Technical POC was contacted for this PPQ:

Please BOLD the rating your Technical POC indicated he/she would give your project if contacted:

1. Overall Technical Performance

2.

Quality of work

3.

Schedule Performance

4.

Price Performance

5.

Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations? FORMCHECKBOX Yes FORMCHECKBOX No

6.

Would your Technical POC use your company again? FORMCHECKBOX Yes FORMCHECKBOX No