Attachment_J-L2_PAST_PERFORMANCE_QUESTIONNAIRE_HQ0034-13-R-0123.docx

Attachment J-L2 HQ0034-13-R-0123

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE

See FAR 2.101 and 3.104

TO: FACSIMILE:

PHONE: EMAIL:_________________________

Information Request

Washington Headquarters Services is currently in the process of soliciting offers for a contract for the provision of Custodial Services. [CONTRACTOR NAME] provided your name and organization as a reference regarding [CONTRACT DESCRIPTION past performance under (CONTRACT NO.]. Specifically, we are looking for past performance information in the following areas:

a.) Quality of Service b.) Timeliness or Scheduling of Service c.) Business Relations/Customer Satisfaction d.) Key Personnel and Staffing (Including Subcontractors)

In order for our team to compile its evaluation, we request that you complete the attached survey form and email it, and any other pertinent information by 13 September 2013 to Earl Anderson at Earl.E.Anderson51.civ@mail.mil. I can also be reached by phone at 703-545-1953 if you have any questions.

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE

See FAR 2.101 and 3.104

CONTRACTOR PERFORMANCE EVALUATION SURVEY

CONTRACTOR NAME: CONTRACT NUMBER:

EVALUATION PERIOD: CONTRACT VALUE: $

1. Please describe the service/supply provided by the Contractor for your firm.

2. Please provide comments regarding the Contractor’s performance in each area below:

Describe the contractor’s conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence:

Describe the contractor’s timeliness of performance, meeting of milestones, reliability, responsiveness to technical and contractual direction:

How would you describe the business relations and satifaction of the customers?

Describe the quality of key personnel and how well the personnel managed their portion of the contract:

Would you hire this contractor again in the future?

Please provide any additional comments here, if desired:

Signed:__________________________________

Print Name: ______________________________

Created 10/31/2012