Attachment_8_Past_Performance_Questionnaire.docx

ATTACHMENT X

PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS

REFERENCE NUMBER: XX

1. Please complete this questionnaire. Handwritten responses are sufficient.

Explanation of codes:

PERFORMANCE LEVEL

2. Circle the appropriate letter for each item on the questionnaire and provide narrative justification.

3. Please scan and e-mail or fax Questionnaire to:

Ms. Eliana C. York Science & Technology Acquisition Unit Engineering Research Facility Building 27958A, Room 226 ecyork@fbi.gov 703-985-6118 (p) 703-985-6103 (f)

PRESENT/PAST PERFORMANCE EVALUATION

REFERENCE NUMBER: 12-P-LDQ005664

Please compete the following:

E. Contract type __________________________ F. |_| Federal |_| Non Federal

G. Describe product/service acquired: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

[Note: Remarks are requested for any rating other than "satisfactory"]

EVALUATION AREAS

1. Contractor’s record of recruitment and retention of qualified skilled personnel:

2. Contractor’s record of meeting deliverable and performance schedules:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Contractor’s ability to maintain staffing levels to achieve performance objectives:

E S U N _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Contractor’s ability to achieve high levels of customer satisfaction:

E S U N ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Contractor’s management of Key Personnel:

E S U N _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Contractor’s ability to provide responsive solutions to issues and opportunities:

E S U N _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If more comment space needed, write on back, or attach pages and identify numbered item.

Name/Title _____________________________________________________ Role regarding contract (e.g. Contracting Officer, COR, PM, etc.):_______________________ Phone: _______________________________________

FAX: ________________________________________