PAST_PERFORMANCE_INTERVIEW_FORM.docx

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Nitrogen Servicing Units
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N68335-16-R-0005
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Past Performance Interview Form

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PAST PERFORMANCE INTERVIEW FORM

1.Contractor:

2.Customer:

3.Contract Number: Period of Performance:

4.Contract Type:Negotiated|_|Sealed Bid|_|
Fixed Price|_|Cost Reimbursement|_|
IDIQ|_|Other|_|

5.Complexity of Work: Difficult: |_| Routine: |_|

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

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)

Customer Satisfaction: Rating: Unsatisfactory Marginal Satisfactory

Highly Satisfactory Outstanding

(Satisfaction of end users with contractor’s service and product)

Would you select this firm again? Please explain.

Interviewee Name:Signature:
Phone Number: Fax Number:
Date:
Interviewer Name:Signature:
Phone Number:Fax Number:
Date:

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