Exhibit H - PAST PERFORMANCE QUESTIONNAIRE.docx
DOCX document 14 KB Posted
- Attached to
- Corrosion Surveillance Program on Guam Federal contract opportunity
- Solicitation number
- N3943020R2240
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment_3 N3943020R2240.pdf | ||
| Amendment_2 N3943020R2240.pdf | ||
| Responses to Final RFIs.pdf | ||
| Responses to RFIs 140820.pdf | ||
| Exhibit G - Corrosion Assessment Checklist.pdf | ||
| Amendment_1 N3943020R2240.pdf |
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PAST PERFORMANCE QUESTIONNAIRE COVER SHEET
(NOTE TO OFFEROR: Offeror’s are to provide the following Past Performance Questionnaires (which includes Past Performance Questionnaire Cover sheet, Past Performance Questionnaire, and Adjective Ratings Definitions) to clients to be used as a reference. Past Performance Questionnaires are to be completed by a client of the Offeror, and submitted to the Government directly by that client. For each performance questionnaire submitted to a client, the Offeror will provide the Government with a copy of this cover sheet with their proposal. It shall identify the client’s point-of-contact information. It is the Offeror’s responsibility to ensure correct phone numbers and email addresses are provided for the client point of contact.)
1. OFFEROR:
2. FIRM PROVIDING EVALUATION:
3. CONTRACT NUMBER:
4. PROJECT DESCRIPTION:
5. CONTRACT/TASK ORDER AMOUNT:
6. PERFORMANCE PERIOD:
7. EVALUATOR’S CONTACT INFO:
a. NAME:
b. TITLE:
b. PHONE NUMBER:
c. FAX NUMBER:
d. EMAIL ADDRESS:
PAST PERFORMANCE QUESTIONNAIRE
PLEASE CIRCLE THE ANSWER OR ADJECTIVE RATING WHICH
BEST REFLECTS YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.
| 1. Was corrosion surveillance services and/or procedures provided during this action? |
| YES NO |
| 1a. If so, was the services provided for equipment, facilities, or both? (circle as appropriate) |
| EQUIPMENT FACILITIES |
| 2. Were corrosion abatement services and/or procedures provided during this action? |
| YES NO |
| 2a. If so, were the services provided for equipment, facilities, or both? (circle as appropriate) |
| EQUIPMENT FACILITIES |
| 3. Were corrosion repair services and/or procedures provided during this action? |
| YES NO |
| 3a. If so, were the services provided for equipment, facilities, or both? (circle as appropriate) |
| EQUIPMENT FACILITIES |
| 4. Satisfaction with the Contractor’s overall compliance to contractual terms and conditions. |
| E G S M P N |
| 5. Satisfaction with the Contractor’s ability to meet the intended performance standards. |
| E G S M P N |
| 5. Satisfaction with the Contractor’s quality and effectiveness of services performed. |
| E G S M P N |
| 6. Satisfaction with the Contractor’s timeliness of services performed. |
| E G S M P N |
| 7. Satisfaction with the Contractor’s problem resolution process |
| E G S M P N |
| 8. Satisfaction with day-to-day interactions with the Contractor. |
| E G S M P N |
COMMENTS: Objective Comments/ concerns relating to this Offeror.
| ______________________ | ___________________________ | ________________ |
| Evaluator’s Name | Evaluator’s Signature | Date |
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