Attachment_9_-_Past_Performance.doc

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ESG WIND TURBINE MAINTENANCE FOR MASSACHUSETTS MILITARY RESERVATION (MMR)
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FA8903-13-R-0115
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Past Performance requirement.

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FA8903-13-R-0115

Attachment 9 Page 1of 2

ATTACHMENT 9

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this Questionnaire. Submit in accordance with RFP instructions. Send completed questionnaires to: Contracting Officer’s Point of Contact:

Neosenys Carpio neosenys.carpio.1@us.af.mil

When complete, the information on this form is SOURCE SELECTION INFORMATION (FAR 2.101 & 3.104) and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

1. CONTRACTOR NAME & ADDRESS:
2. CONTRACT NO.:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options): $

1a: NAME OF PRIME CONTRACTOR (if this questionnaire is for a team member):

6. TYPE OF CONTRACT:

(Fixed Price, CPFF, CPAF, etc.)

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

Please add a continuation page if additional space necessary.

EVALUATION

8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:

b. EVALUATOR'S PHONE NUMBER:
c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please circle the response code for each topic (A – E) that best reflects your experience with this contractor.

E = Exceptional

V = Very Good S = Satisfactory

M = Marginal U = Unsatisfactory

N/A = Not Applicable

A. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.

E
V
S
M
U
N/A

B. Quality/Timeliness of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

E
V
S
M
U
N/A

C. Compliance with local laws – Assess the contractor’s ability to comply with local building codes and laws to meet technical requirements of the contract

E
V
S
M
U
N/A

D. Price/Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.

E
V
S
M
U
N/A

E. Overall Assessment.

E
V
S
M
U
N/A

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