Attachment_I.doc

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Attached to
Video Systems, Endoscopic Federal contract opportunity
Solicitation number
N62645-16-R-0042
Issued by
Department of the Navy Bureau of Medicine and Surgery

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Attachment I

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Amend_I.pdf PDF
N62645-16-R-0042.pdf PDF

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ATTACHMENT I

PAST PERFORMANCE REFERENCE

QUESTIONNAIRE

Section I Offeror completes only Section I.

Offeror:

Organization/Reference:

Contract #:

POC Name:

POC Email:

POC Phone number:

Total Contract Value:

Period of Performance/Delivery Date:

Were Subcontractors utilized (Yes / No):

Description of Equipment Provided:

Section II To be completed by Reference during the Technical Evaluation.

1.
Can you confirm that the above information completed by the Offeror is accurate?
2.
Are you (or were you) in a position to evaluate the contractor for the contract stated above? What was your capacity?
3.
Does/did the contractor provide the equipment as stated in the contract? If no, please describe the type or duration that was not provided.
4.
Did the contractor meet the required milestones for delivery of equipment and installation? If no, please describe circumstances.
5.
How would you describe the overall quality of the contractor’s performance?
6.
How would you rate the contractor’s ability to successfully comply with the contract requirements? (e.g., outstanding, satisfactory, fair, poor, etc). If rated below satisfactory please describe why?
7.
How would you describe the quality and timeliness of any technical assistance, hardware/software updates or upgrades?
8.
Were there any performance issues that were documented for the purpose of requiring corrective action by the contractor? What was/were the type(s) of issue(s)?
9.
Describe the quality and timeliness of any corrective actions that were required of the contractor?
10.
Would you have this contractor work for you again? Circle one: YES NO MAYBE

If you answered NO or MAYBE, please describe the reason or refer to the applicable answer above.

Additional Comments:

Signature of Reference

Date Completed

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