L5 Past Performance Questionnaire_Amend 01.docx

L5 – HQ003426RE123 Past Performance Questionnaire

The company who has provided you with this form is proposing to submit a quotation to the Washington Headquarters Services (WHS) solicitation for Exam Delivery & Proctoring for: DoW Acquisition and Financial Management Functional Area Certification Exams. Vendor reputation is an extremely important part of the evaluation criteria for this acquisition; therefore, your input is extremely important. WHS requests that you thoroughly fill out this questionnaire and email it to roberto.saenz2.ctr@mail.mil and Earl.E.Anderson51.civ@mail.mil . This information will not be disclosed to the Quoter. If you have any questions, please contact both POCs.

The prime contractor competing under solicitation HQ003426RE123 is _____________________ Company Name & Address (Name of entity who performed the service):

Contract Value[footnoteRef:1]: [1: For IDIQs or BPAs only list the amount of the task orders awarded to date.]

Description of the Work Performed Under the Contract (To be completed by the Quoter)

Performance Survey: Please indicate how the company performed in each area assessed.

E=Exceptional VG= Very Good S= Satisfactory M=Marginal U-Unsatisfactory N/A= Not Applicable

Additional Rater Comments About Contract Performance

Definitions:

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

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

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

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

v. 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 being assessed contains a serious problem(s) for which the contractor's corrective action appear or were ineffective.

vi. Not applicable: Does not apply to the acquisition.

Rater Information

Signature (Digital)