RFP-Attachment3PastPerfQuest.rtf

PAST PERFORMANCE QUESTIONNAIRE Attachment 3

HSCG38-08-R-H00006

PSI C-130H SOLICITATION

INSTRUCTIONS FOR OFFEROR:

Fill in Section A.

Forward to Past Performance Reference with instructions to fill in Section B and fax responses to the contract specialist at 252-335-6452, or e-mail responses to william.t.kingsley@uscg.mil not later than the date and time offers are to be submitted. References also have the option to return the questionnaire to the offeror to be submitted with the offer.

SECTION A (To be completed by offeror prior to forwarding to past performance reference)

Offeror’s business name and address: _________________________________________

CAGE Code: __________

Offeror’s Point of Contact name and title: ______________________________________

Telephone number: ______________________________________________________

Email address and/or fax number: ___________________________________________

Past Performance Reference name: __________________________________________

Contract number of Past Performance: _______________________________________

SECTION B (To be completed by Past Performance Reference. Past Performance Reference to FAX or Email completed questionnaire directly to Contract Specialist at one of the numbers listed above.)

Name and Title: __________________________________________________________

Signature: _______________________________________________________________

Date: ___________________________________________________________________

Firm, Company, or Government Agency: ______________________________________

Email address and/or fax number: ____________________________________________

Quality

Quality Product/Services Contractor performed high quality work which met or exceeded the contract requirements (Excellent) Contractor performed good quality work which met most, if not all of the contract requirements (Good) Contractor performed acceptable quality work that met a good portion of the requirements (Acceptable) Contractor performed unsatisfactory quality work which met few of the requirements (Unacceptable)

Contract Schedule

Effective Schedule Management Contractor was proactive and highly effective in management of schedule requirements (Excellent) Contractor was proactive and very effective in management of schedule requirements (Good) Contractor was effective in management of schedule requirements (Acceptable) Contractor was minimally effective in management of schedule requirements (Marginal) Contractor was not effective in management of schedule requirements (Unacceptable)

Personnel Staffing with Engineering Expertise

Adequately provided personnel for tasking Contractor always provided adequate personnel with continuity of workflow (Excellent) Contractor provided adequate personnel most of the time with little or no disruption of workflow (Good) Contractor provided marginally provided personnel with occasional disruption of workflow (Acceptable) Contractor provided improper or untrained personnel with major disruption of workflow (Unacceptable) Not Applicable/Contractor did not provide any services

CONTRACTOR OVERALL RATING

Excellent Good Acceptable Marginal Unacceptable

COMMENTS: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________