Attachment_3_-_Past_Performance_Questionnaire_.docx

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Attached to
Evaluating Approaches for Quantifying Maritime Emissions Federal contract opportunity
Solicitation number
HSCG2315QMSR067
Issued by
Department of Homeland Security US Coast Guard

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Past Performance Questionnaire

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Enclosure 3

HSCG23-15-Q-MSR067

Submit Completed Questionnaires to: Angie.S.White@uscg.mil By 12:00pm EST August 13, 2015.

PAST PERFORMANCE QUESTIONNAIRE

See the below table for the adjectival ratings and definitions for the past performance evaluation:

Rating
Definition
Exceptional
Three or more examples where performance on the subject contract significantly exceeded requirements to the Government’s benefit.
Very Good
One or two examples where performance on the subject contract met requirements and exceeded some to the Government’s benefit.
Satisfactory
Performance on the subject contract met requirements.
Marginal
Performance on the subject contract did not meet some requirements.
Unsatisfactory
One or more examples where performance on the subject contract significantly failed to meet requirements due to fault of contractor.

Quality of Product or Service:

Remarks:

Timeliness of Performance:

Business Relations:

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

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

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

Overall Rating:

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Microsoft_Office_Word_97_-_2003_Document1.doc Enclosure 3

HSCG23-12-Q-MOT001

Submit Completed Questionnaires to: Marlecia Newby

Email: Marlecia.M.Newby@uscg.mil

PAST PERFORMANCE QUESTIONNAIRE

Contractor’s Name:

Customer’s Name:

Contract Number:

Contract Type:

Period of Performance:

Contract Value: $

Description of Requirement:

Quality of Product or Service:

Cost Control:

Timeliness of Performance:

Business Relations: Rating -

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

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

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

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