Past Performance Questionnaire - Enclosure 2.doc

DOC document 67 KB Posted

Attached to
Ballistic Protection Systems Federal contract opportunity
Solicitation number
HSCG23-10-R-DOG624
Issued by
Department of Homeland Security US Coast Guard

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ATTACHMENT C - Past Performance Questionnaire

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Text version

Commandant

United States Coast Guard

2100 Second Street, S.W. Stop 7112 Washington, DC 20593-7112 Staff Symbol: CG-9122-A Phone: (202) 475-3255 Fax: (202) 475-3905

Email: Stephanie.L.Gallahan@uscg.mil

To: Past Performance References

Subject:

RELEVANT PAST PERFORMANCE

HSCG23-10-R-DOG624 – Enclosure C Past Performance Questionnaire

The Government’s intent is to determine whether the Offeror consistently delivers quality products and services stated in a timely manner. Offerors shall provide past performance information for services relevant to those to be performed under the resultant Task Order. To be considered relevant, the services must have been performed within the past three years, have relevance to the enclosed Requirements Contract, and the total dollar value must exceed $500,000.00 during the Period of Performance (POP).

The references shall return the completed questionnaire directly to Stephanie.L.Gallahan@uscg.mil no later than the 4pm eastern time on May 4, 2010. The Offeror is solely responsible for ensuring this Questionnaire is completed and returned by the respective references to the email address above on or before the deadline.

Contractor’s Name:
Customer’s Name:
Contract Number:
Contract Type:
Period of Performance:
Contract Value:

Prime or Subcontractor:

Description of Requirement:

1) 2)

3)

4) 5)

Quality of Product or Service: FORMDROPDOWN

Remarks:

Cost Control: FORMDROPDOWN

Timeliness of Performance: FORMDROPDOWN

Business Relations: FORMDROPDOWN

If subcontracts were involved, rate Contractor’s performance in managing them: FORMDROPDOWN

Was the contractor committed to customer satisfaction?: Check One: FORMCHECKBOX Yes FORMCHECKBOX No

Remarks:

Would you recommend the selection of this firm?: Check One: FORMCHECKBOX Yes FORMCHECKBOX No

Overall rating of this Contractor: FORMDROPDOWN

The United States Coast Guard would like to thank you for your time and consideration in filling out this Past Performance Questionnaire.

HSCG23-10-R-DOG624

Past Performance Questionnaire 2

_1106610537.doc

File details come from the government source that posted it. Updated .