ATTACHMENT_010.docx

ATTACHMENT 010

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 and mail, or scan and email it to the following:

Marine Corps Systems Command/Code CT2.5 Attn: Ms. Patricia M. Smart 2200 Lester Street Quantico, VA 22134 Ph. 703-432-3764 E-mail: patricia.smart@usmc.mil

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

Requirement Description:This effort is for the procurement and delivery of the United States Marine Corps (USMC) and the United States Army (USA) Laser Leveling System (LLS) which includes survey equipment and grade control equipment. This procurement requires the OEM to include provisioning data, illustrations, Technical Manuals (TMs), training aids, operator and maintainer training, logistics and support.

Contract Award Date:

Completion Date:

Contract Value:

Type of Contract:

Evaluator Name/Title/Phone:

Description of Contract Requirements:

|_| YES |_| NO A cure notice was issued under this contract.

|_| YES |_| NO A show cause was issued under this contract.

Evaluation: (Please provide comments to support your evaluation.)

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

|_| OUTSTANDING

|_| EXCEEDS EXPECTATIONS

|_| MEETS EXPECTATIONS

|_| UNSATISFACTORY

B1. Effectiveness of Business Organization and Management.

|_| N/A Comments:

|_| OUTSTANDING

|_| EXCEEDS EXPECTATIONS

|_| MEETS EXPECTATIONS

|_| UNSATISFACTORY

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

|_| OUTSTANDING

|_| EXCEEDS EXPECTATIONS

|_| MEETS EXPECTATIONS

|_| UNSATISFACTORY

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

|_| OUTSTANDING

|_| EXCEEDS EXPECTATIONS

|_| MEETS EXPECTATIONS

|_| UNSATISFACTORY

C1. Customer Satisfaction - Business/Management Relations.

|_| N/A Comments:

|_| OUTSTANDING

|_| EXCEEDS EXPECTATIONS

|_| MEETS EXPECTATIONS

|_| UNSATISFACTORY

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

|_| OUTSTANDING

|_| EXCEEDS EXPECTATIONS

|_| MEETS EXPECTATIONS

|_| UNSATISFACTORY

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. Patricia M. Smart at patricia.smart@usmc.mil .