16-R-3503_ATTACHMENT_I_-_Past_Performance_Questionnaire.docx

PAST PERFORMANCE QUESTIONNAIRE

FROM: FACSIMILE:

TO: PHONE:

INFORMATION REQUEST

Military Sealift Command (MSC) is currently in the process of soliciting offers for a contract. ____________________ has provided your name and organization as a reference regarding their record of past performance under Contract No. ___________________. Specifically, we are looking for performance information in the following areas:

a.) Quality of Product or Service b.) Schedule c.) Business Relations d.) Management of Key Personnel (Including Subcontractors) e.) Utilization of Small Business

In order for our team to compile its evaluation, we request that you complete the attached questionnaire and email it, and any other pertinent information, by BEFORE THE CLOSING DATE OF THIS SOLICITATION, to MS. CATHLENE JO STANGLER at cathy.stangler@navy.mil and Vivette Moore at Vivette.moore@navy.mil . Any relevant information you have would be vital in our assessment of the aforementioned Contractor.

CONTRACTOR PERFORMANCE QUESTIONNAIRE

CONTRACTOR NAME: CONTRACT NUMBER:

EVALUATION PERIOD: DELIVERY ORDER NO.:

1. Please describe the service/supply provided by the Contractor for your organization.

2. Please provide ratings and comments regarding the Contractor’s performance in each area below using the following ratings: Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory. See next page for definition of ratings. For ratings of “Exceptional” or “Unsatisfactory,” please provide a brief explanation.

OVERALL PERFORMANCE RATING

Please provide an overall rating of the Contractor’s performance for the referenced contract/delivery order.

a.) Quality of Product or Service: Conformance to contract requirements, appropriateness of personnel, accuracy of reports, and technical excellence b.)Schedule: Timeliness of performance, met interim milestones, reliable, responsive to technical and contractual direction as to scheduling.

c.) Business Relations: Effective management, prompt notification of problems, reasonable/cooperative behavior, proactive, timely award and management of subcontracts, effective small business/small disadvantaged business subcontracting program and satisfaction with Contractor’s service.

d.) Management of Key Personnel (Including Subcontractors): Qualified personnel, effective performance and conduct.

e) Utilization of Small Business: Provides for maximum participation of small businesses in the award of subcontracts consistent with efficient contract performance.

3. Would you hire this Contractor to provide supplies/services for your organization in the future? Yes |_| No |_| Please provide comments using additional pages if desired.

Signed:__________________________________

DEFINITION OF RATINGS FOR PAST PERFORMANCE