Attachment_4_-Past_Performance_Questionnaire.doc
DOC document 51 KB Posted
- Solicitation number
- HR0011-18-R-0002
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Attachment 4 - Past Performance Questionnaire
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Text version
Attachment #4: PAST PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a vendor evaluation for solicitation:
HR0011-18-R-0002, DARPA Audit Readiness
Please complete this Questionnaire and email to: HR0011-18-R-0002@DARPA.mil
Email Subject Line: Audit Readiness PPQ-- [Company Name]
Desired Response Date: May 31, 2018 at 1:00PM ETD
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
| 1. CONTRACTOR NAME & ADDRESS: |
| 2. CONTRACT NO.: |
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:
(e.g., FFP, CPFF, T&M,)
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. Small Business Participation Goals – Please provide extent that the contractor attained small business participation goals on this contract if applicable.
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