Attachment_4_Past_Performance_Part_I_&_II.docx

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Sports Officials for MCAS Iwakuni, Japan
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HE125419R4007
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Attachment 4: Past Performance Part I and II Worksheet

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Past Performance Part I – APUSH

Information To Be Completed by Offeror Provide a Minimum of Three References

Name of Agency/Command/Company Contracting Activity:

Contract number:

Contract type:

Total contract value (Include exercised an unexercised options) At time of award: $ Currently (or at completion): $

Period of performance or delivery schedule (Include exercised an unexercised options) At time of award:

Currently (or at completion):

Brief description or title of contract requirements. Use space as needed, but do not exceed one typewritten page per contract.

Procuring Contracting Officer (PCO) Use current name as point of contact for on-going contracts or the last individual’s name for completed contracts.

Name:

Telephone number:

Facsimile number:

E-mail address:

Contracting Officer’s Representative (COR) Name:

Telephone number:

Facsimile number:

E-mail address:

Administrative Contracting Officer (ACO):

Name:

Telephone number:

Facsimile number:

E-mail address:

Brief description of any problems encountered and corrective actions taken to resolve those problems. Use space as needed, but do not exceed one typewritten page per contract.

Past Performance - Part II (Respondent Information) –APUSH Submit completed information to DoDEA Contract Specialist – Duke Santos at duke.santos@dodea.edu NLT 1 July 2019 by 11:00 AM EST.

REFERENCE INQUIRY

1. Reference is for (Vendor/Contractor):_____________________________________________________________

2. Reference Provided By (Customer):

3. Most recent or relevant Project Title(s): ___________________________________________________________

4. Contract Number (if known):

5. Key Point of Contact for Project:

6. Key Point of Contact Phone No.:

7. Did the Key Contact work directly on the contract referenced? Yes [ ] No [ ]

8. Contract period: From to

9. Brief Description of Work Performed or Service Provided:

10. Quality of Work performed and/or Products Delivered: ________________

11. Degree of Cooperation by Contractor and Your Organization.

(a) How well overall did the Contractor work with your Organization?___________

(b) Were there any issues or problems with the service or products provided?

Yes__________ No____________

(c) If yes, were these issues resolved to your satisfaction?

Yes__________ No____________

(d) Were there any issues or problems with the Products Delivered?

Yes__________ No____________

(e) If yes, were these issues with the products delivery resolved to your satisfaction?

Yes__________ No____________

12. Timeliness of Delivery.

(a) Was products delivered on time? Yes__________ No____________

13. Did you have any products shipped overseas? Yes________ No_______

14. If yes, what locations were the products shipped to? ________________________________________

15. What was the average delivery time per location? ____________________________________________

16. If any products were delivered damaged, what was the replacement policy?______________

17. Were there any unresolved problems during performance or afterwards? _______

18. Overall satisfaction with Contractor? ________________________________

19. Would you recommend the Contractor? Yes No If no explain why

Rating_________ (Rate the past performance as Excellent, Acceptable or Unacceptable)

Comments:

Common DoD Assessment Rating System

Excellent (E) - Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Acceptable (A) - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Uacceptable (U) - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

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