Past Performance Questionnaire Caterpillar Motor Grader Transmission Repair.docx

Past Performance Questionnaire Your assistance is requested by the Regional Contract Office, NCR to assist with establishing the performance history for the contractor named below. Please complete this questionnaire and email, or FAX, it to the following:

Regional Contract Office, NCR Attn: Ms. Tammy Lopez 2010 Henderson Road Marine Corp Base Quantico, VA 22134-5001 Ph. 703-784-1923

FAX 703-784-5908

When Complete, the information on this form is Source Selection Sensitive (41 USC 423).

Contract Award Date:

Completion Date:

Contract Value:

Type of Contract:

Evaluator Name/Title/Phone:

Description of Contract Requirements: Transmission Repair of Caterpillar 143H Motor Grader Transmission

Evaluation:

A1. Quality of Product, Performance Capabilities, and Vendor Service |_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

B1. Effectiveness of Business Organization and Management.

|_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

B2. Delivery Schedule Compliance for Services and Products |_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

B3. Service, Warranty, and Overall Quality of Product Support |_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

C1. Customer Satisfaction – Product Performance & Quality |_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

C2. Customer Satisfaction - Business/Management Relations.

|_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

C3. Customer Satisfaction – Service and Warranty |_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

D1. Overall Rating for Product Quality and Vendor Performance |_| N/A Comments:

|_| ACCEPTABLE

|_| UNACCEPTABLE

General Comments:

The information provided has been previously shared with the Contractor - |_| YES |_| NO

Please address questions regarding the use of this form to Ms. Tammy Lopez @ 703-784-1923

Source Selection Sensitive – FAR 3.102

Source Selection Sensitive – FAR 3.102