Solic_Attach_3_-_Past_Performance_Questionnaire.doc

Attachment #3: PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a vendor evaluation for solicitation: HQ0034-14-R-0074 (ATSS)

Please complete this Questionnaire and email to:

mary.e.brown462.civ@mail.mil and warren.g.arthur.civ@mail.mil Email Subject Line: PPQ [Company Name] HQ0034-14-R-0074

Desired Response Date: 04 August 2014 at 11:00 AM EDT

When complete, the information on this form is SOURCE SELECTION INFORMATION (FAR 2.101 & 3.104) and shall be protected accordingly.

TO BE COMPLETED BY OFFEROR

3. CONTRACT INITIATION DATE (Month/Year):

4. COMPLETION DATE (Month/Year):

5. CONTRACT VALUE (with options): $

1a: Name of Prime Contractor

6. TYPE OF CONTRACT:

(FFP, CPFF, T&M, etc.)

7. BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS:

Please add a continuation page if additional space necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR'S NAME, POSITION ( Project Manager/ COR/ Other) AND ORGANIZATION:

b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

A. Quality of Products and Services – Please provide a statement regarding the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

B. Performance – Please provide a statement regarding the contractor’s performance for the project.

C. Schedule – Please provide a statement regarding the timeliness of contractor against the schedule of deliverables.

D. Customer Satisfaction – Please provide a statement regarding the contractor’s responsiveness to customer needs.

E. Area for Improvement – If you had to describe one area for improvement, what would it be? Please state the significance.

F. Small Business Participation Goals – Please provide extent that the contractor attained small business participation goals on this contract if applicable.