Past Performance Questionaire 40211.doc

Solicitation HDEC05-11-T-0025

Past Performance Questionnaire – Cold Environment Clothing

PAST PERFORMANCE QUESTIONAIRE

QUOTE HDEC05-11-T-0025

Cold Environment Clothing Contractor Evaluated:

Date of Evaluation:

Reference Company:

Name of Evaluator:

Title of Evaluator:

Telephone:

Email:

Circle one response to each question.

The contractor is either acceptable or unacceptable in the following areas:

1. How would you rate the overall quality of the delivered products?

ACCEPTABLE

UNACCEPTABLE

COMMENTS

2. How would you rate the timeliness of the company's deliveries?

ACCEPTABLE

UNACCEPTABLE

COMMENTS:

3. How would you rate the accuracy and completeness of the company's deliveries in regards to getting the specific items that were ordered?

ACCEPTABLE

UNACCEPTABLE

COMMENTS:

4. How would you rate the company's overall commitment to customer satisfaction?

ACCEPTABLE

UNACCEPTABLE

COMMENTS:

5. How would you rate the company’s corrective action for problems with delivery/nonconformance?

ACCEPTABLE

UNACCEPTABLE

COMMENTS

6a. How many individual store locations receive the supplies provided by the rated company on a yearly basis (whether shipped direct or through a distribution center)?

Under 75

75 or More 6b. What is the yearly total of orders you place with this company?

____ $00.00 to $1,000

___ $1,001 to $2,000

___ $2,001 to $5,000

____ Greater than $50,000

Please submit this completed Past Performance Survey to:

Defense Commissary Agency, AMDR

Attn: Michael Barnes By Fax: 804-734-8669 or

Email:

Michael.Barnes@deca.mil

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