Attachment_C_-_Past_Performance_Questionnaire.docx

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Attached to
Handheld Small Engine Dynamometer and Test Stand Federal contract opportunity
Solicitation number
RFQ-OH-16-00038
Issued by
Environmental Protection Agency Cincinatti Procurement Operations Division

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Attachment C - Past Performance Questionnaire

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ATTACHMENT C

PAST PERFORMANCE QUESTIONNAIRE

U.S. EPA Handheld Engine Dynamometer at the US EPA, National Vehicle Fuel and Emissions Laboratory, Ann Arbor, MI

Offeror shall fill out top portion and send to Reference Organizations:

Name of Offeror Proposing on EPA Requirement: __________________________________________________

Brief Description of this Project and Relevance to the EPA Project: ___________________________________ __________________________________________________________________________________________________________________________________________________________________________________________ Name of Reference’s Organization: ______________________________________________________________ Contract Title: ________________________________________________________________________________ Contract Number: _________________________________ Contract Value: _____________________________

Type of Contract: _______________________________Period of Performance: __________________________

The ratings indicated below are to be supplied by the reference identified above and not the offeror.

Combined Technical/Risk Rating

Rating
Description
Outstanding
Contractor meets requirements with an exceptional approach and understanding of the requirements. Strengths far outweigh any weaknesses. Risk of unsuccessful performance is very low.
Good
Contractor meets requirements with a thorough approach and understanding of the requirements. Strengths outweigh any weaknesses. Risk of unsuccessful performance is low.
Acceptable
Contractor meets requirements with an adequate approach and understanding of the requirements. Strengths and weaknesses do not outweigh one another and have little or no impact on performance. Risk of unsuccessful performance is no worse than moderate.
Marginal
Contractor does not clearly meet requirements and does not demonstrate an adequate approach or understanding of the requirements. One or more weaknesses are not outweighed by strengths. Risk of unsuccessful performance is high.
Unacceptable
Contractor does not meet the requirements and has one or more deficiencies. Contractor performance is unacceptable.
Performance Elements
Outstanding

(See Question 5)

Good
Acceptable
Marginal
Unacceptable

Technical Capability

Schedule

Management*

* Management includes subcontracts; reasonable/cooperative behavior; responsive to contract requirements; notification of problems; flexibility; proactive versus reactive.

5. Remarks on Outstanding Performance:

(Provide data supporting this observation. You may continue on a separate sheet if needed.)

6. Remarks on Unacceptable Performance:

(Provide data supporting this observation. You may continue on a separate sheet if needed.)

7. Other Comments:

(You may continue on a separate sheet if needed.)

8. Please identify any corporate affiliations with the offeror, if any.

9. Questionnaire completed by:

Name of Evaluator__________________________
Title__________________________
Date__________________________
Address__________________________
Phone number__________________________
Email:__________________________

Please submit your completed Past Performance Questionnaire DIRECTLY to the U.S. EPA Contract Specialist, Gerold Young, via email young.gerold@epa.gov not later than 3:00 PM ET on February 17, 2016.

RFQ-OH-16-00038

Attachment C Past Performance Questionnaire

File details come from the government source that posted it. Updated .