RFP 22R0050 Past Performance Questionnaire.docx

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HQ003422R0050 Safety Glasses
Solicitation number
HQ003422R0050
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HQ003422R0050 Amendment 0001.pdf PDF
HQ003422R0050-0001 Conform.pdf PDF
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Instructions:

The company that has provided this form to you is proposing to submit an offer to a Washington Headquarters Services/Acquisition Directorate (WHS/AD) solicitation to provide Safety Glasses.

Past Performance is an extremely important part of the evaluation criteria for this acquisition; therefore, your input is extremely important. Please fill in the questionnaire and emailed to the following contracting personnel: Lynette Thibodeaux and Stephenie Charlot before April 8, 2022:

LYNETTE.M.THIBODEAUX.CIV@MAIL.MIL

STEPHENIE.W.CHARLOT.CIV@MAIL.MIL

This information will not be disclosed to the offeror. However, a portion may be used for clarifications.

If you have any questions, please contact Lynette Thibodeaux at 202-913-5752.

Contractor Name:
CAGE:
Contract Number:
Period of Performance:
Contract Value:
Complexity:

Contract Role (Prime, Subktr, Team Mmbr):

Program Name:

Description of the Work Performed Under the Contract (Please be specific about tasks performed.)

DEPARTMENT OF DEFENSE

WASHINGTON HEADQUARTERS SERVICES

1155 DEFENSE PENTAGON WASHINGTON, DC 20301-1155

SAFETY GLASSES HQ003422R0050

PAST PERFORMANCE REFERENCE QUESTIONNAIRE

Page | 4

Performance Survey:

No.
Performance Questions
Response Definitions

E=Excellent G=Good S=Satisfactory M=Marginal U=Unacceptable N/A= Not Applicable

Ratings (Type an “X” in the appropriate section for each response)
E
G
S
M
U
N/A
1.
To what extent did the contractor adhere to contract delivery schedules?
2.
To what extent were the contractor's reports and documentation accurate and complete?
3.
To what extent was the contractor able to solve contract performance problems without extensive guidance from the government counterparts?
4.a.
To what extent did the contractor display initiative in meeting requirements?
4.b.
Contractor’s ownership of problems and actively working to resolve them?
5.
Did contractor commit adequate resources, in a timely fashion, to the contract to meet the requirements and to solve problems successfully?
6.
NA
7.
Communicating schedules, delays, and expectations and interfacing with Government employees?
8.
Overall Responsiveness to Government requests?
9.
Overall Contract Performance Rating?

Additional Rater Comments about Contract Performance

Please list any other areas of concern or issues with the contractor.

Definitions:

Excellent: Performance meets contractual requirements and exceeds many to the Customer's benefit. The element assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Good: Performance meets contractual requirements and exceeds some to the customer's benefit. The element assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory: Performance meets contractual requirements. The element assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal: Performance does not meet some contractual requirements. The element assessed reflects a serious problem for which the contractor has not yet identified or taken satisfactory corrective action.

Unsatisfactory: Performance does not meet most contractual requirements and recovery did not occur or is not likely to occur in a timely manner. The element assessed contains a serious problem(s) for which the contractor's corrective action appear or were ineffective.

Not applicable: Does not apply to the acquisition.

Rater Information

Name
Title
Agency/Company
Phone:
Email:

Signature (Digital or Ink)

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