Past Performance Questionnaire TXN.doc

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Private Counsel Debt Collection - Texas Northern District
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DJJB-11-RFP-0705
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Past Performance Questionnaire

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U.S. Department of Justice

Procurement Services Staff

Private Counsel Debt Collection -- Past Performance Questionnaire

Solicitation No. DJJB-11-RFP-0705

Email or Fax Completed Forms to: Melissa.J.Kerns@usdoj.gov or Facsimile (202) 307-1933 U.S. Department of Justice

Procurement Services Staff

Private Counsel Debt Collection -- Past Performance Questionnaire

Solicitation No. DJJB-11-RFP-0705

Email or Fax Completed Forms to: Melissa.J.Kerns@usdoj.gov or Facsimile (202) 307-1933

Section 1: Identification of Law Practice Being Rated (Ratee)

Name:

Address:

POC Name, Title, Phone and Email:

Section 2: Identification of Client Reference (Rater)

Name:

Address:

POC Name, Title, Phone and Email:

Signature:

Date:

Section 3: Description of Service(s)

What Type of Legal Services Did Ratee Provide Your Business?

When and How Long Have You Done Business with Ratee?

Section 4: Performance Ratings
Rating (Circle One)

Quality of Service(s) -- Comments:

Poor Average

Good

Very Good

Excellent

Timeliness of Performance--Comments:

Poor

Average

Good

Very Good

Excellent

Business Relations--Comments:

Poor

Average

Good

Very Good

Excellent

Competitiveness of Prices--Comments:

Poor

Average

Good

Very Good

Excellent

Adjectival Rating Scheme:

Poor = failed to complete the work and/or work did not satisfy expectations.

Average = met some expectations but not in all areas.

Good = met all expectations in all areas.

Very good = met all expectations and exceeded in one or more areas.

Excellent = exceeded expectations in all areas

PAGE

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