Past Project.Ctr Performance.Quotation Cover.doc

PAST PROJECT FORM

1. Name of Offeror

1a. Solicitation Number

2. Complete Name of Government Agency, Commercial Firm, or other Organization

3. Complete Address

4. Contract Number or Other Reference

5. Date of Contract Award

6. Total Contract Price (to include all options)

7. Period of Performance (to include all options)

8. Clearance Required

(If applicable) Type/Level:

11. N/A

12a. Technical point of contact (name, title, address, telephone no., and email address)

12b. Contracting or purchasing point of contact (name, title, address, telephone no., and email address)

13. Geographic Location of work (Country, State or Province, County, City)

14. Description of contract work. In order to establish the relevance of your project to the instant requirement, please describe the scope, magnitude and complexity of this work, comparing and contrasting it to that required under this solicitation. Additionally, describe any unique or unusual requirements of the contract, and performance problems or issues encountered under the performance of the contract. For problems/issues noted, describe the method of resolution and/or corrective actions taken. Use a continuation sheet, if necessary.

15. Name(s) of subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s).

PAST PERFORMANCE INFORMATION

Please complete the following questionnaire and return it to the attention of the individual named below, no later than July 10, 2012:

This survey pertains to:

Department/Component:

Solicitation Number:

Date of Survey:

Name of Person Completing Survey:

Signature of Person Completing Survey:

Your Company/Agency:

Your Role in this Contract:

Survey Period of Performance:

General description of products/services required under the contract:

CONTRACTOR PERFORMANCE

CUSTOMER SURVEY QUESTIONNAIRE RATING

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible.

Circle the appropriate rating of Highly Acceptable (HA), Acceptable (A), and Unacceptable in making these evaluations. Annotate with N/A if not a rating consideration or inapplicable to the contract effort.

QUALITY OF PRODUCT OR SERVICE:

1. Compliance with contract requirements:

2. Accuracy of reports:

3. Level of knowledge, experience, and training of personnel:

4. Capability of personnel to perform required services:

5. Effectiveness of personnel in performing required services:

6. Overall quality of product/service:

TIMELINESS OF PERFORMANCE:

1. Reliability:

2. Responsive to technical direction:

3. Meets contract delivery schedules and/or task deadlines:

BUSINESS RELATIONS:

1. Effective management, including subcontracts:

2. Reasonable/cooperative behavior:

3. Responsive to contract requirements:

4. Notification of problems:

5. Flexibility:

6. Pro-active vs. reactive:

COST CONTROL:

1. Current, accurate and complete billings:

2.

Relationship of negotiated costs to actuals:

2. Cost efficiencies:

CUSTOMER SATISFACTION:

1. The contractor is committed to customer satisfaction:

a. Contractor Management Personnel

(circle one) Yes No

b. Contractor Onsite Facility Personnel

(circle one) Yes No

ADDITIONAL COMMENTS:

QUOTATION COVER SHEET

All vendors wishing to reply to this solicitation shall respond with a Quotation Cover Sheet. This Cover Sheet shall include the information listed below a through n.

(DUNS) Number

(TIN)

Remaining Options to FSS Contract Prompt Payment Terms (Discount)