13R1017_Attachment_J5_Past_Performance_Questionnaire.pdf

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TW and HW RAT Boots
Solicitation number
M67854-13-R-1017
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M67854-13-R-1017

Attachment J.5

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested by the Marine Corps Systems Command/CTQ to assist with establishing the performance history for the contractor named below. Please complete this questionnaire email it to the following, prior to the closing of the solicitation:

Marine Corps Systems Command

Attn Peggy Smith CT02.1

2200 Lester Street

Quantico, VA 22134-5010

Email: Peggy.L.Smith1@usmc.mil

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

SAFEGUARD.

Section A: To be completed by the Offeror

Participating Organization:

Contract Number:

Contract Award Date:

Total Contract Value:

Contract Type:

Description of Contract Requirements:

Section B: To be completed by the Past Performance Participant

Quality of Products

N/A Comments:

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

Schedule

Exceptional

Very Good

Satisfactory

Cost Controls mailto:Peggy.L.Smith1@usmc.mil

M67854-13-R-1017

Attachment J.5

N/A Comments:

Exceptional

Very Good

Satisfactory

Business Relations

Exceptional

Very Good

Satisfactory

Management

Exceptional

Very Good

Satisfactory

Small Business Involvement

Exceptional

Very Good

Satisfactory

Other/General

Exceptional

Very Good

Satisfactory

Has the information provided has been previously shared with the Contractor?

YES

NO

Please address questions regarding the use of this form to Ms. Peggy Smith at

Peggy.L.Smith1@usmc.mil.

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