ATTACHMENT_003_Past_Performance_Questionnaire.docx

ATTACHMENT 003

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. Kimberly M. Barnes 2200 Lester Street Quantico, VA 22134 Ph. 703-432-5249 E-mail: kimberly.m.barnes@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) the Lube Unit, Power Operated (LUPO) Diesel Powered Air Compressor (DPAC), which is an updated mobile servicing unit equipped with single stage, rotary screw or vane type DPAC’s powered by a liquid-cooled diesel engine operable on both JP-8 and diesel fuel, providing for simultaneous supply of compressed air and electricity, operable without an air tank, not exceeding 870 lbs., generating sound of no more than 70 dB, and operating at least 8 hrs. without refueling.

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. Kimberly M. Barnes kimberly.m.barnes@usmc.mil

SOURCE SELECTION INFORMATION - SEE FAR 2.101 and 3.104

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