RFP ATT 002-PAST PERFORMANCE INTERVIEW FORM.doc

N68335-12-R-0112 Attachment 002

SOURCE SELECTION INFORMATION-SEE FAR 2.101 and 3.104

PAST PERFORMANCE INTERVIEW FORM

1.Contractor:

2.Customer:

3.Contract Number:

Period of Performance:

4.Contract Type:

Negotiated

FORMCHECKBOX

Sealed Bid

FORMCHECKBOX

Fixed Price

Cost Reimbursement

IDIQ

Other

5.Complexity of Work:

Difficult:

FORMCHECKBOX

Routine:

FORMCHECKBOX

Ratings: Summarize contractor performance and circle the appropriate rating for each category.

Customer Satisfaction: Rating:

Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Satisfaction of customer with contractor’s responsiveness to inquiries and services and/or products provided and actions taken to resolve problems)

Quality of Product and Processes: Rating:

Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Compliance with contract requirements, accuracy of reports, appropriateness of personnel, and technical excellence)

Comments:

Timeliness of Performance: Rating: Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Met interim milestones, reliable, responsive to technical direction, and completed on time) Comments:

Quality Of Awards Rating: Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Quality Awards or certtifications that indicate the offeror possesses a high quality process for developing and producing the product) Comments:

Small Business Representation: Rating:

Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(what extent offeror plans to subcontract to Small Business (SB), Small Disadvantaged Business (SDB), Veteran Owned Business, Small Businesses and successes in meeting these goals in the past. ) Comments:

Ability to Manage Cost/Control Costs Rating: Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

Comments:

Would you select this firm again? Please explain.

Interviewee Name:

FORMTEXT

FORMTEXT

FORMTEXT

Signature:

FORMTEXT

FORMTEXT

Phone Number:

FORMTEXT

FORMTEXT

FORMTEXT

Fax Number: Date:

Interviewer Name:

FORMTEXT

FORMTEXT

Signature:

Phone Number:

FORMTEXT

FORMTEXT

FORMTEXT

Fax Number:

Date:

SOURCE SELECTION INFORMATION-SEE FAR 2.101 and 3.104