Attachment_D._Past_Performance_Survey.docx

DOCX document 19 KB Posted

Attached to
Manual Price Shopping Services Federal contract opportunity
Solicitation number
HDEC05-16-R-0005
Issued by
Defense Commissary Agency

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Attachment D. Past Performance Survey

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Attachment D Solicitation: HDEC05-16-R-0005 Past Performance Survey

The Government requests that references complete this survey and submit the completed form directly to Michael Barnes via email at michael.barnes@deca.mil or facsimile at (804) 734-8009 Pause Pause 76180. When completing this questionnaire, please use the below rating key:

RATING KEY: 5=OUTSTANDING; 4=GOOD; 3=ACCEPTABLE; 2=MARGINAL; 1=UNACCEPTABLE

Company Being Evaluated:

Timeliness of Performance

1. How would you rate the contractor’s overall timeliness in completing deliverables?
|_| 5|_| 4 |_| 3 |_| 2 |_| 1
2. How effective was the contractor in adhering to performance and/or delivery schedules (timely performance and delivery)?
|_| 5|_| 4 |_| 3 |_| 2 |_| 1

Customer Satisfaction/Quality of Service

1. What is the overall quality of the work being provided?

|_| 5|_| 4 |_| 3 |_| 2 |_| 1

Business Relations

1. How effective was the contractor in establishing and maintaining a positive working relationship (customer service)?
|_| 5|_| 4 |_| 3 |_| 2 |_| 1
2. To what extent did the contractor respond to and correct any concerns, issues, or problems (problem resolution efforts)?
|_| 5|_| 4 |_| 3 |_| 2 |_| 1
3. How effective was the contractor in gaining an understanding of the work required by your organization (understood the customer’s needs)?
|_| 5|_| 4 |_| 3 |_| 2 |_| 1

Compliance with Contract Specifications

1. How would you rate the contractor’s overall compliance with the terms and conditions of your agreement/contract?
|_| 5|_| 4 |_| 3 |_| 2 |_| 1

Similarity of Tasks/Experience Please provide a description of the services and supplies the Contractor provided for your company.

Description of deliverables provided:

Degree of sub-contracting/teaming arrangements (if any):

Time period the services were provided:

Value of contract:

Closing Comments

1. Would you award a similar contract/agreement to this contractor again?
|_| YES |_|NO
2. How would you with rate the overall performance of the Contractor?
|_| 5|_| 4 |_| 3 |_| 2 |_| 1

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

REFERENCE INFORMATION (PERSON THAT COMPLETED THE SURVEY)

COMPANY NAME: ____________________________________________________________

COMPANY ADDRESS :_________________________________________________________

EVALUATOR NAME:___________________________TITLE:__________________________

TELEPHONE # :_______________________EMAIL ADDRESS :_____________________

Thank you for taking the time to complete this questionnaire. If you have any questions regarding this form, please contact Michael Barnes at (804) 734-8000 ext 86180 or via email at michael.barnes@deca.mil .

File details come from the government source that posted it. Updated .