Past Performance Report.doc

DOC document 47 KB Posted

Attached to
Amendment 3 - Award Notice
Solicitation number
HSCG23-11-R-MNQ147
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About this file

Attachment C Past Performance Questionnaire

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Other files

File Type Posted
Attachment A1- Contract Line Item Excel Spreadsheet.xlsx XLSX spreadsheet
11RMNQ147 Government Answers.pdf PDF
11RMNQ147 Requirements Draft —
11MNQ147 Attachment A.xls XLS spreadsheet
ATTACHMENT B c11010 2 - 406MHz PLB Amend 1.pdf PDF
11MNQ147 Requirements Draft.docx DOCX document

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Text version

Contractor Performance Report

1. Reviewing Agency - Component
Contractor Name:______________________________

2. Contract Number:____________________________

3. Contract Value:______________________________

4. Contract Award Date:_________________________

Contract Completion Date:_________________

5. Type of Contract (Check All that apply): FORMCHECKBOX

FP FORMCHECKBOX

FPI FORMCHECKBOX

FP-EPA FORMCHECKBOX

Award Fee FORMCHECKBOX CPFF-Completion FORMCHECKBOX CPFF-Term FORMCHECKBOX

CPIF FORMCHECKBOX

CPAF FORMCHECKBOX

ID/IQ FORMCHECKBOX

BOA FORMCHECKBOX

Requirements FORMCHECKBOX Labor Hour FORMCHECKBOX

T&M FORMCHECKBOX

SBA 8(a) FORMCHECKBOX

SBIR FORMCHECKBOX

Negotiated FORMCHECKBOX Competitive FORMCHECKBOX Non-Competitive

6. Description of Requirement:

7. Ratings. Summarize contractor Performance and circle in the column on the right the number which corresponds to the performance rating for each rating category.

Quality:

FORMCHECKBOX

Neutral

FORMCHECKBOX

Superior

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Unsatisfactory Comments:

Cost Control:

FORMCHECKBOX

Neutral

FORMCHECKBOX

Superior

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Unsatisfactory Comments:

Timeliness of Performance:

FORMCHECKBOX

Neutral

FORMCHECKBOX

Superior

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Unsatisfactory Comments:

Business Relations:

FORMCHECKBOX

Neutral

FORMCHECKBOX

Superior

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Unsatisfactory Comments:

Customer Satisfaction: (End Users)

FORMCHECKBOX

Neutral

FORMCHECKBOX

Superior

FORMCHECKBOX

Satisfactory

FORMCHECKBOX

Unsatisfactory Comments:

8. Key Personnel:

Project Name:____________________________ Period of Performance:___________________________

Name:__________________________________ Comments:_____________________________________ Name:__________________________________ Comments:_____________________________________

Name:__________________________________ Comments:_____________________________________

Name:__________________________________ Comments:_____________________________________

9. Would you select this firm again? Please explain.

10. Name (printed)

Signature

Date

Phone

Address eMail Address:

HSCG23-11-R-MNQ147

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