ATTACHMENT_3_-_Past_Performance_Questionnaire.pdf

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Attached to
Meat Grinder Plates and Knives, Meat Saw Blades, Biro and Treif Blade Sharpening
Solicitation number
HDEC05-17-R-0008
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Attachment 3 to HDEC05-17-R-0008, Past Performance Questionnaire

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PAST PERFORMANCE QUESTIONNAIRE

(ATTACHMENT 3)

PART I: Background Information

Name of Contractor/Firm (Subject of the Questionnaire):

Date:

Company Name (Past Performance Reference):

Company Phone Number:

Point Of Contract (POC) & Title (Person providing feedback):

Contract Number:

Contract Value:

Performance Period:

Commodity/Product(s) Provided:

PART II: Past Performance Ratings

Check the appropriate response to each question. Describe the reason for your selection in the comments.

Quality of Products

1. How would you rate the overall quality of the delivered products/services? Acceptable Not Acceptable

2. How was the contractor’s overall compliance with the terms and conditions of your agreement/contract?

Acceptable

Comments:

Timeliness/Schedule

1. How would you rate the overall timeliness of the company’s deliveries? Acceptable

2. Rate the contractor’s effectiveness in adhering to any performance schedules. Acceptable

Business Relations

1. How would you rate the company’s effectiveness in establishing and maintaining a positive working relationship with your company (customer service)?

Acceptable Not Acceptable

2. Rate the contractor’s response in correcting any concerns, issues, or problems that appeared during the performance of the requirement (problem resolution efforts).

Acceptable

Overall Performance

1. Were you satisfied with the overall performance of the Contractor? YES NO

2. If given a choice, would you consider the contractor for this service again? If no, please explain why.

YES NO

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

Thank you for taking the time to complete this questionnaire. Please return the completed questionnaire to Heather Jarratt via email at heather.jarratt@deca.mil. Any questions regarding this form may be directed to Heather Jarratt at (804) 734-8000 ext. 86302.

EVALUATOR NAME:______________________________TITLE:__________________________

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