Attachment_5_-_Past_Performance_Questionnaire_-_HSCG23-15-R-MIA047.doc
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ATTACHMENT 5
HSCG23-15-R-MIA047
PAST PERFORMANCE QUESTIONNAIRE
Submit Completed Questionnaires to: Maroulla.P.Dallas@uscg.mil
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:
Remarks:
Business Relations:
Remarks:
If subcontracts were involved, rate Contractor’s performance in managing them:
Remarks:
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
Remarks:
Overall Rating:
_1398677679.doc Enclosure 3
HSCG23-12-Q-MOT001
Submit Completed Questionnaires to: Marlecia Newby
Email: Marlecia.M.Newby@uscg.mil
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
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