RFQN0024418Q0061ATTACHMENT3Past_Performance_Data_Sheets.pdf.docx

PAST PERFORMANCE QUESTIONNAIRE

Solicitation N00244-18-Q-0061 Requisition/Purchase Number: N5702518RC024CG Your assistance is requested by the Fleet Logistics Center San Diego, Regional Contracts Division to assist with establishing the performance history for the contractor named below. Please complete this questionnaire and email it to the following:

Fleet Logistics Center San Diego Regional Contracts Division Attn: Sheri K Bunn-Markryd, Code 240 3985 Cummings Road San Diego, CA 92136 Phone: (619) 556-7856 Email: sheri.bunnmarkryd@navy.mil

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

(OFFEROR TO COMPLETE THIS SECTION)

Contractor Name:

Address:

Contract No:

Description of Contract Requirement:

Contract Award Date:

Contract Completion Date:

Contract Value:

Type of Contract:

Evaluator Name:

Title:

Phone:

Email:

(PAST PERFORMANCE PARTICIPANT TO COMPLETE THIS SECTION)

Evaluation:

A1. Did the contractor provide quality products at the agreed-to price?

Comments:

· ACCEPTABLE

· UNACCEPTABLE

· NEUTRAL

B1. Did the contractor deliver according to the agreed-to schedule?

If not, what was the cause of any schedule variances?

Comments:

· ACCEPTABLE

· UNACCEPTABLE

· NEUTRAL

B2. Did the product/service meet the mission requirement?

Comments:

· ACCEPTABLE

· UNACCEPTABLE

· NEUTRAL

B3. Did the product/service meet the required level of quality?

Comments:

· ACCEPTABLE

· UNACCEPTABLE

· NEUTRAL

C1. Customer Satisfaction - Business/Contracting Relations.

Comments:

· ACCEPTABLE

· UNACCEPTABLE

· NEUTRAL

D1. Overall Satisfaction.

Comments:

· ACCEPTABLE

· UNACCEPTABLE

· NEUTRAL

General Comments:

The information provided has been previously shared with the Contractor -

· YES

· NO

Please fax or e-mail the completed form to Sheri K Bunn-Markryd at (619) 556-7856, E-mail: sheri.bunnmarkryd@navy.mil