Past_Performance_Reference_Questionnaire.doc
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- N62645-16-T-0017 Surgical Ho:YAG Laser
- Solicitation number
- N62645-16-T-0017
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Past Performance Reference Questionnaire
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| File | Type | Posted |
|---|---|---|
| Comb_SynSol_N62645-16-T-0017_Surgical_Laser_HoYAG_NMCSD_to_FBO_dtd_12_July_2016.doc | DOC document | |
| Past_Performance_Reference_Questionnaire.doc | DOC document | |
| Comb_SynSol_N62645-16-T-0017_Surgical_Laser_HoYAG_NMCSD_to_FBO_dtd_27_May_2016.doc | DOC document |
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PAST PERFORMANCE REFERENCE
QUESTIONNAIRE
Section I
Contractor:
Organization/Location:
Contract #:
POC Title & Name:
Contract Start (Period of Performance) or, POC Phone number:
Contract Delivery Date
POC Email Address:
Value of the Contract (rounding to the nearest $5k is acceptable)
Has POC agreed to be contacted as a reference? YES or NO
Were Subcontractors utilized (Yes / No):
Description of Equipment Provided:
Section II
| 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
File details come from the government source that posted it. Updated .