PastPerformanceQuest-Rucker_Bus.docx

PAST/PRESENT PERFORMANCE QUESTIONNAIRE

NOTE: Offerors are responsible for requesting that their 3 references complete this past performance questionnaire. References shall return the completed questionnaire directly to the Domestic Dependent Elementary and Secondary Schools (DDESS) Procurement Office, Not Later Than 3:00 p.m. (EST), 17 August 2015. When emailing Questionnaires, the Solicitation Number (HEVAS6-15-T-0034) must be included in the subject line. References shall not return the completed questionnaires to the requestors. References shall send directly to DoDEA/DDESS at email address indicated below.

You have been identified as having been a customer of the following company for providing Ft Rucker Schools Transportation.

Requesting Company Name: __________________________________________________________________________

The Department of Defense Education Activity (DoDEA)/DDESS is conducting an evaluation of this company’s previous/current record of performance as part of a source selection process to award a contract for a similar requirement. We cordially request you complete and forward this questionnaire:

Not Later Than: 3:00 p.m. (EST), 17 August 2015 to Tijuana.Watson@am.dodea.edu or fax to 770-632-8720

For questions related to this form, please contact Tijuana Watson, Contract Specialist, at (678) 364-6423.

1. Company (Customer) Information Name Street Address City State Zip Code

2. Point Of Contact (POC):

Name / Title Phone Number Fax Number Email Address

3. Products Received:

Briefly Describe Products/Services Received: _____________________________________________________________ Approx. Value of Items Purchased: $______________ Date You Began Using This Firm: ______________

4. Rate Services Received Please rate Contractor’s compliance to the contract by entering an “X” in the applicable rating block below :

1. Quality of Services – Services level of meeting the requirement .

2. Timeliness of Services

3. Responsiveness to customer requirements to include installation, customer complaints and commitment to customer satisfaction.

4. Overall satisfaction with services/products.

5. Please Provide Written Comments To Explain Your Ratings (Use Additional Sheets If Necessary):

6. Rated By:

Signature Printed Name & Title Date

Domestic Dependent Elementary and Secondary Schools (DDESS), Procurement Division 700 Westpark Drive, Peachtree City GA 30269-3554