PPQ_-_Supplies.docx
DOCX document 25 KB Posted
- Attached to
- Kids - Young Adult Book Services
- Solicitation number
- HDQMWR-18-R-0006
About this file
Past Performance Questionnaire. Past Performance must provide enough detail for evaluation purposes.
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Other files
| File | Type | Posted |
|---|---|---|
| J.2_Amendment_0001_Response_-_2018_locations.xlsx | XLSX spreadsheet | |
| 18-R-0006_Kids-YA_Book_Services_P0001_cover.pdf | ||
| J.1_Attachment_Publisher_List.pdf | ||
| 18-R-0006_Kid-YA_Book_Services.pdf |
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Text version
Contract Performance Customer Questionnaire
1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back. Responses will be treated as source selection sensitive information and will be sent directly to the Contract Specialist. This information is not to be released to the offeror. Completed questionnaires may be emailed to:
| CNIC Millington, ATTN: XXXXXXX, Contract Specialist |
| 5720 Integrity Drive, Bldg 457 |
| Millington, TN 38055 |
| Phone: (901) 874- XXXX | Email: XXXXXXXXXXXXXX |
2. Please complete:
Company/Contractor Requesting Reference
Agency/Company Name Providing Reference
Company/Contractor Name
Agency/Company Name
Point of Contact Name
Point of Contact Name
Phone #
POC E-mail / Phone #
E-mail address
Period of Performance
Fax Number
Supply/Service Provided
PAST PERFORMANCE RATING GUIDELINES
Summarize Contractor Performance in each of the rating areas. Assign each area a rating of Unsatisfactory, Poor, Fair, Good, or Excellent. Use the following instructions as guidance in making these evaluations. Note: There is no corresponding guidance for “Customer Satisfaction”. Please use the comments area on the preceding form to justify the rating given “Customer Satisfaction.”
N/A - NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.
| Ratings |
| Quality of Supplies |
-Compliance w/contract requirements -Technical excellence -Within budget -Relationship of negotiated costs to actual Quality of Delivery Methods -Supplies received in same condition as sent.
-Current, accurate, complete billings -Cost effective Timeliness of Delivery -Met interim milestones -Reliable -Delivery Schedule achieved Overall Customer Satisfaction -Effective Mgmt -Businesslike correspondence -Responsive to contract reqmnts -Prompt notification of problems -Reasonable/cooperative -Flexible -Pro-active
| Unsatisfactory |
| Nonconformances |
are comprising the achievement of contract reqmnts
| Transportation/ Delivery issues are comprising performance |
| Delays are compromising achievement of contract reqmts |
| Response is not effective |
| Poor |
| Nonconformances |
require major agency resources to ensure achievement of contract reqmnts
| Delivery issues require major agency resources to ensure achievement of contract reqmnts |
| Delays require major agency resources to ensure achievement of contract reqmnts |
| Response is marginally effective |
| Fair |
| Nonconformances require minor agency resources to ensure achievement of contract reqmnts |
| Delivery issues require minor agency resources to ensure |
achievement of contract reqmnts
| Delays require minor agency resources to ensure achievement of contract reqmnts |
| Response is somewhat effective |
| Good |
| Nonconformances |
do not impact achievement of contract reqmnts
| Delivery issues do not impact achievement of contract reqmnts |
| Delays do not impact achievement of contract reqmnts |
| Response is usually effective |
| Excellent |
| There are no quality problems |
| There are no delivery issues |
| There are no delays |
| Response is effective |
PAST PERFORMANCE QUESTIONNAIRE
| 1. Company/Contractor Being Referenced: |
| 2. Solicitation/Contract Number: |
| 3. Address: | |
| 4. Contract Type: | |
| |X| | Firm Fixed Price |
| |_| | Cost Reimbursement |
| |_| | Other (Please Specify) |
| 5. Agency/Company Completing Reference: |
| 6. Agency/Company POC, Phone & Fax: |
7. Period of Performance:
8. Overall Contract Value: $
9. Title of Contract:
10. Description of Contract Service:
11. Complexity of Work: Difficult: |_| Routine: |_|
NOTE: Please use adjectival ratings from attached sheet.
| 12. Evaluation Factor |
| 13. Rating |
| 13. Comments (Attach additional sheets, if necessary.) |
a. Quality of Supplies
b. Quality of Delivery Methods
c. Timeliness of Delivery
d. Overall Customer Satisfaction
15. Would you select this company/contractor again? Please explain. (Attach additional sheet if necessary.)
16. Name & Date:
17. Title:
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