A23 Att3 - Past Performance Questionnaire - Blank.docx
DOCX document 17 KB Posted
- Attached to
- Support to DASD Energy Federal contract opportunity
- Solicitation number
- HQ003420R0230
- Issued by
- DOD Washington Headquarters Service
About this file
This document contains a past performance questionnaire template to be completed by offerors and evaluating organizations for a source selection. The questionnaire requests information on previous contracts including contract number, dates, value, type, description, and performance ratings in categories such as quality, schedule, requirements, resources, customer satisfaction, and overall performance. Evaluators are asked to provide their name, position, organization, and months of performance monitored. Offerors must submit completed questionnaires to two acquisition officials by July 1, 2020.
A related federal contract opportunity seeks support services for the DASD Energy. Interested parties can submit questions by June 25, 2020 regarding solicitation HQ003420R0230 for this work supporting the DOD Washington Headquarters Service. Relevant details include the requirement for energy support services, response dates, and the involved federal agency.
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| A23 - HQ003420R0230 - Amendment Seven - Final.pdf | ||
| A23 - HQ003420R0230 - Amendment Six - Final.pdf | ||
| A23 - HQ003420R0230 - Amendment Four.pdf | ||
| A23 - HQ003420R0230 - Amendment Three.pdf | ||
| A23 - HQ003420R0230 - Amendment Five - Final.pdf | ||
| A23 Att1 Price Template - Revised 20200627.xlsx | XLSX spreadsheet | |
| A23 - HQ003420R0230 - Amendment Two.pdf | ||
| A23 - Att4 - Small Business Commitment Document.docx | DOCX document | |
| A23 - HQ003420R0230 - Amendment One.pdf | ||
| A23 HQ0034-20-R-0230 - Final.pdf | ||
| A23 Att1 Price Template - Revised 20200625.xlsx | XLSX spreadsheet | |
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Text version
Past Performance Questionnaire
PAST PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection.
Please complete this Questionnaire and email to:
Acquisition Directorate Attn: Douglas J. Boorstein (douglas.j.boorstein.civ@mail.mil) and Monique S. Waddell (monique.s.waddell.civ@mail.mil) Desired Response Date:
3:00 p.m. on 1 July 2020
When complete, the information on this form is SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY OFFEROR
| 1. A. CONTRACTOR NAME & ADDRESS: |
| 2. CONTRACT/SUBCONTRACT NO.: |
3. CONTRACT/SUBCONTRACT INITIATION DATE:
4. COMPLETION DATE:
1.B. NAME OF PRIME OFFEROR, if this questionnaire is for a team member:
5. CONTRACT/SUBCONTRACT VALUE (with options):
6. TYPE OF CONTRACT (Fixed Price, GMP, FPI, etc.):
7. PROJECT TITLE, LOCATION, AND DESCRIPTION (INCLUDING TOTAL CONSTRUCTION VALUE):
Please add a continuation page if additional space is 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:
9. Please circle the response code for each topic (A – F) that best reflects your experience with this contractor.
O = Outstanding E = Excellent A = Acceptable M = Marginal U = Unacceptable N/O = Not Observed
A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship.
O E A M U N/O
B. Schedule – Assess the timeliness of contractor against the schedule of activities.
O E A M U N/O
C. Performance Requirements – Assess the contractor’s ability to fulfill the performance requirements of the contract.
O E A M U N/O
D. Resource Management – Assess the contractor’s ability to provide and maintain personnel and other resources for the contract.
O E A M U N/O
E. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.
O E A M U N/O
F. Overall Performance Assessment
O E A M U N/O
10. If this was an award fee contract, what was the average award fee % earned?
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