PP Questionaire.doc

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Ceramic Shop Concessionaire
Solicitation number
FA3020-09-R-0019
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Past Performance Questionaire

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Instructions to Offerors.pdf PDF
Solicitation 09-R-0019.doc DOC document

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CONTRACTOR PERFORMANCE ASSESSMENT QUESTIONNAIRE

The purpose of this questionnaire is for you to provide Sheppard Air Force Base with information concerning the performance of the offeror/contractor in question. Sheppard AFB understands that this offeror/contractor has performed similar services for you/your office and requests your comment.

* Please FAX/SCAN this questionnaire to the past performance reference(s) for completion. The reference(s) should send the completed questionnaire directly to Ms. Mary Merritt through email (mary.merritt@sheppard.af.mil ) or by fax (940) 676-2178.

Name of Offeror/Contractor:______________________________________________________________

Contract Name and Number:
Contract Value:

Contract Type:

Brief Description of Contract Item or Service:

Name of Person Completing this Questionnaire:

Phone Number:
Position:

Name of Government Agency:

Criteria. Request supporting narrative be provided for all ratings except for Satisfactory (S). For any Marginal (M) or Unsatisfactory (U) rating, please explain details. Also, please explain corrective actions instituted and whether or not the problem was corrected, etc. Please enter your comments in the space provided with each question.

EXCEPTIONAL

(E)

VERY GOOD

(V)

SATISFACTORY

(S)

MARGINAL

(M)

UNSATISFACTORY

(U)

Performance met all contract requirements and exceeded many to the Government’s benefit. Problems, if any, were negligible and were resolved in a timely, highly effective manner
Performance met all contract requirements and exceeded some to the Government’s benefit. There were a few minor problems which the contractor resolved in a timely and effective manner
Performance met all contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory
Performance met all contract requirements. There were some major problems and corrective actions taken by the contractor were not always satisfactory
Performance did not meet contractual requirements. There were serious problems, and the contractor’s corrective actions were ineffective

Not Applicable – (N/A) – No performance record identifiable

Response

1. How would you rate the quality of service provided to include customer satisfaction?

Supporting narrative: (See above criteria)

E
V
S
M
U
N/A

2. How would you rate the abilities/quality of service provider’s professional qualifications?

E
V
S
M
U
N/A

3. How would you rate service provider’s response time?

E
V
S
M
U
N/A

4. How would you rate overall customer satisfaction with the service provider’s performance?

Supporting narrative: (see above criteria)

E
V
S
M
U
N/A

5. How would you rate the service provider’s cooperativeness and receptiveness to government concerns affecting performance requirements?

E
V
S
M
U
N/A

6. Were any discrepancy reports submitted to the service provider due to quality deficiencies?

E
V
S
M
U
N/A

7. Any other constructive comments on service provider.

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