PASTPERFQUEST-08R20018.doc
DOC document 35 KB Posted
- Attached to
- Requirements Type Contract for Swivels base plus four option years, 100 % Small Business Set Aside
- Solicitation number
- HSCG40-08-R-20018
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Past Performance Questionnaire Swivels
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HSCG40-08-R-20018
Attachment (B)
Past Performance Questionnaire
Purpose: The U.S. Coast Guard has a requirement for various Marine Signal Lamps to be manufactured in accordance with Coast Guard Specifications P-422-0432 dated March 2008 and related Coast Guard drawings which form a part of the solicitation requirements. This questionnaire is to be used by the Contract Specialist to obtain past performance information from a reference listed in an Offeror’s proposal. The results of the questionnaire will be afforded to each member of the Technical Evaluation Team for consideration in the evaluation of the past performance sub-factor.
Your company name
Product Description
Point of Contact
Contract No.
Delivery Order No.
Contracting Officer/Buyer
Contractor Name
Your E-Mail Address Phone/fax number
Date:
Questions
1. To what extent did the contractor adhere to the contract/delivery order schedule?
Considerably surpassed/exceeded delivery schedules [ ] Met delivery schedule (no excusable delays) [ ] Minimal delay (did not impact achievement of contract requirements) [ ] Extensive unexcused delays [ ]
Comments:
Past Performance Questionnaire
2. To what extent was the contractor able to solve contract performance problems without extensive guidance from your company?
Completely successful [ ] Generally successful [ ] Little success [ ] No success [ ]
3. To what extend did the contractor display initiative in meeting requirements?
Displayed considerable initiative [ ] Displayed some initiative [ ] Displayed little initiative [ ] Displayed no initiative [ ]
4. Has the contract been partially or completely terminated for default?
[ ] YES
] ] NO
If yes, briefly explain (i.e. inability to meet performance or delivery schedules)
5. Provide an overall rating of the contractor’s quality of the product supplied.
Excellent – conformed to contract/specification requirements [ ] Satisfactory – slight nonformance did not effect product [ ] Unsatisfactory – nonconformance inhibited product usefulness [ ] Poor – extensive nonconformance [ ]
If the contractor experienced extensive nonconformance, please explain below the circumstances surrounding nonconformance (i.e. inability to meet specification requirements).
Past Performance Questionnaire
6. Would you contract with the contractor again and would you refer this contractor to other potential sources?
YES [ ]
NO [ ]
7. Did the contractor manufacture the product?
YES [ ]
NO [ ]
If NO, please explain:
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