Att_6_-_Past_Performance_Questionnaire.docx

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Wargame Support Services
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M67854-17-R-7401
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Att 6 - Past Perf Questionaire

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Attachment 6 M67854-17-R-7401

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE INFORMATION

(This section should be completed by the offeror prior to mailing to reference.)

Name of Offeror:

CONTRACT INFORMATION

Name of Organization (Client):
Contract Number:
Contract Title:
Contract Value:
Type of Contract:
Period of Performance:

The ratings below are supplied by the organization identified above, NOT the offeror, and should be returned to Marine Corps Systems Command, joseph.butkus@usmc.mil.

Performance Elements
Totally

Deficient

Poor

Inadequate

Adequate

Good

Superior

1. Quality of Product or Service

2. Timeliness of Performance

3. Effectiveness of Management(including subcontractors)

4. Initiative in Meeting Requirements

5. Response to Technical Direction

6. Responsiveness to Performance Problems

7. Compliance with Cost Estimates

8. Customer Satisfaction

9. Overall Performance

10. Remarks on outstanding performance: (Provide data supporting this observation; you may continue on a separate sheet if needed.)

11. Remarks on deficient performance: (Provide data supporting this observation; you may continue on separate sheet if needed.)

12. Please identify any corporate affiliations with the offeror.

13. Would you do business with this firm again?

14. Information provided by:

Name:

Title:

Mailing Address:

Telephone number:

Fax number:

Date Information provided:

15. Questionnaire completed/verified by:

Name of Employee:

Signature of Employee:

Title:

Date Questionnaire Completed:

Source Selection Information – See FAR 2.101 and 3.104

File details come from the government source that posted it. Updated .