(5)_Past_Performance_Questionnaire.doc

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M40 MODULAR STOCK PROGRAM
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M6785413R1024
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Past Performance

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M67854-13-R-1024

PAST PERFORMANCE QUESTIONNAIRE

Your assistance is requested by the Marine Corps Systems Command/CT 021 to assist with establishing the performance history for the contractor named below. Please complete this questionnaire email it to the following:

Marine Corps Systems Command

Attn: Marian Beeman 2200 Lester Street

Quantico, VA 22134-5010

Phone: (703) 432-5043; Fax: (703) 432-5713 Email: marian.beeman@usmc.mil

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

(OFFEROR TO COMPLETE THIS SECTION)

(PAST PERFORMANCE PARTICIPANT TO COMPLETE THIS SECTION)

Evaluation:

1. Quality of Products.

· N/A

Comments:

· MEETS EXPECTATIONS

· DOES NOT MEET EXPECTATIONS

2. Conformance/Responsiveness to Contract Requirements.

· DOES NOT MEET EXPECTATIONS _______________________________________________________________

3. Responsiveness and Adherence to Schedules.

· DOES NOT MEET EXPECTATIONS ________________________________________________________________

4. Demonstrated Corrective Actions.

· DOES NOT MEET EXPECTATIONS ________________________________________________________________

5. Customer Satisfaction

· DOES NOT MEET EXPECTATIONS ________________________________________________________________

General Comments:

The information provided has been previously shared with the Contractor -

· YES

· NO

Please address questions regarding the use of this form to Marian Beeman at (703) 432-5043.

_1433327369.xls Sheet1

Contractor Name & Address Contract No.:

Contract Award Date:

Completion Date:

Contract Value $

Type of Contract

Evaluator Name/Title/Phone/Fax

Description of Contract Requirements

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