Attachment B - HDEC05-09-T-0070 - Past Performance Survey.doc

DOC document 76 KB Posted

Attached to
COATED AND LAMINATED PAPER MANUFACTURING Federal contract opportunity
Solicitation number
HDEC05-09-T-0070
Issued by
Defense Commissary Agency

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ATTACHMENT B - PAST PERFORMANCE SURVEY

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Attachment B - HDEC05-09-T-0070 - Past Performance Survey —
Addendum 1 to Combined Syn-Sol RFQ HDEC05-09-T-0070 for Thermal Labels —
Attachment A - HDEC05-09-T-0070 - Quote Sheet.xls XLS spreadsheet

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Attachment B

Solicitation HDEC05-09-T-0070

PAST PERFORMANCE QUESTIONNAIRE

RFQ HDEC05-09-T-0070

**Please be sure to fill out all portions and sign/date the bottom of the form** NOTE: Completed form must be received by the Contracting Office

NO LATER THAN Monday, August 24, 2009, 2:00 PM EDST

Scan and Email to: jason.reedy@deca.mil -or-

Fax direct to Email: 804-734-8009 (pause)(pause) x79815

If you should have any questions regarding this form, please contact Jason M. Reedy, Contract Specialist, at 804-734-8000, ext 49815.

PAST PERFORMANCE SURVEY

RFQ HDEC05-09-T-0070

Contractor Evaluated:

Date of Evaluation:

Reference Company:

Name:

Title:

Telephone:

Email:

KEY: 5=EXCEPTIONAL; 4=VERY GOOD; 3=SATISFACTORY; 2=MARGINAL; 1=UNSATISFACTORY

Quality of Products

1. How would you rate the overall quality of the relevant supplies you received from this company?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

2. How satisfied are you with the overall condition of the supplies delivered?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

1 FORMCHECKBOX

n/a

Timeliness of Deliveries

1. How would rate the overall timeliness of supply deliveries after placement of order?How
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

2. How would you rate the timeliness of deliveries of replacements for damaged items?How
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

Order Process

1. How would you rate the overall ordering process provided by the contractor?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

2. How would you rate the company’s service in regards to assisting your personnel with processing orders?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

3. If a web-based ordering system was available, how would you rate the company’s technical or online support regarding online ordering problems?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

1 FORMCHECKBOX

n/a

Customer Satisfaction & Business Relations

1. How would you rate the effectiveness of the Contractor in establishing and maintaining a positive and productive working relationship with your company (Customer service)?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

2. To what extent did the Contractor respond to any concerns or issues that appeared during performance of their work? (Problem resolution efforts)?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

1 FORMCHECKBOX

n/a

3. How would you rate your overall satisfaction with the products this company provided?
FORMCHECKBOX

5 FORMCHECKBOX

4 FORMCHECKBOX

3 FORMCHECKBOX

2 FORMCHECKBOX

Similarity of Experience

1. What is the nature of your business? (example: Grocery, Deli, Retail, etc.)

2. What specific types of thermal labels did the company provide for your firm? (printed and/or unprinted, and for use on what equipment types?)

3. How many separate stores or locations did this company supply with custom printed and/or unprinted thermal labels?

4. What is your approximate total yearly cost for custom printed and/or unprinted thermal labels from this company?

Other Comments

Please provide any additional comments you feel would be pertinent regarding the past performance of this company:

Individual Completing Survey:

Signature:

Date Completed:

Thank you very much for taking the time to complete this questionnaire.

PAGE

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