Attachment_C._Past_Performance_Survey.docx
DOCX document 19 KB Posted
- Solicitation number
- HDEC05-17-R-0003
- Issued by
-
Defense Commissary Agency
About this file
Attachment C. Past Performance Survey
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Attachment C Solicitation: HDEC05-17-R-0003 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 .