Attachment_2_Past_Performance_Questionnaire.docx

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Attachment 2 Past Performance Questionnaire

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Attachment II

PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

Solicitation EA-133W-17-RQ-0476

Complete and return NLT 1:00 PM EST July 10, 2017 to:

NOAA’s Eastern Acquisition Division Attn: Christen Call Phone: (757) 441-6311 Email: christen.call@noaa.gov and jennifer.hildebrandt@noaa.gov

On behalf of (Requester Information):

Company's Name:_________________________________
POC/Title/Position:_________________________________
Email Address:_________________________________
Contract/Purchase Order No.:_________________________________
Contract Amount:_________________________________
Contract Type:_________________________________
Period of Performance:_________________________________
Business Address:_________________________________
_________________________________
_________________________________
Phone Number:_________________________________

NOTE: DO NOT RETURN TO THE CONTRACTOR WHO ORIGINATED THIS REQUEST

The completion of this questionnaire is requested from your agency/company in order for the National Oceanic and Atmospheric Administration’s Eastern Acquisition Division to evaluate the aforementioned contractor’s past performance on previous contracts and efforts as it relates to the probability of successful accomplishment of the work required by the Government, relative to the award of a contract.

Completed by :

Command/Company’s Name:_________________________________
POC/Title/Position:_________________________________
Email Address:_________________________________
Address:_________________________________
_________________________________
_________________________________
Phone Number:_________________________________

Please provide a narrative rating describing the Contractor’s performance for each of the following Past Performance elements:

1. Quality of Products or Services.

2. Schedule.

3. Management.

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