HQ0028-16-R-0005_Atch_B-Organizations_Performance_Questionnaire.docx

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SOW ATCH B - ORGANIZATIONS PERFORMANCE QUESTIONNAIRE ATTACHED HERETO.

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ATTACHMENT B

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection

Please complete this questionnaire and email to:

Susan Madrid, Contract Specialist susan.m.madrid.civ@mail.mil
Defense Media ActivityResponse Date: 03 Dec 2015

23755 Z. Street Riverside, CA 92518

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY CONTRACTOR

1. CONTRACTOR’S NAME AND ADDRESS

4. CONTRACT NO.:

5. CONTRACT INITIATION DATE:

6. COMPLETION DATE:

7. CONTRACT VALUE $

1. PROJECT NAME:
8. TYPE OF CONTRACT:
9. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:

Please add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

10. EVALUATION

1. EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other) AND ORGANIZATION

1. EVALUATOR’S PHONE NUMBER

c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please check the response code for each topic that best reflects your experience with this contractor:
EX = Exceptional VG = Very GoodS = SatisfactoryMG = Marginal US = Unsatisfactory N/O = Not Observed
1. Quality of Products and Services- Assess the contractor’s conformance to contract requirements.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Overall Performance- Assess the contractor’s overall performance for the project.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Schedule- Assess the timeliness of the contractor against the schedule of activities (as appropriate).
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Technical Requirements- Assess the contractor’s ability and capacity to fulfill the technical requirements of the contract.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Cost Control- Assess the contractor’s willingness and ability to manage the contract budget and control costs.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Subcontracting- Assess the contractor’s success at complying with subcontracting goals.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Customer Satisfaction- Assess the contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Customer Satisfaction- Assess the contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
1. Repeat Business- Assess the likelihood that you would want this contractor to perform another contract for you in the near future.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O

1. List Contractor’s Weak Points:

K. List Contractor’s Strong Points:

L. List any other projects this contractor has completed for you:

File details come from the government source that posted it. Updated .