Financial _Travel_and_Systems_Services_Support_Past_Performance__Questionnaire.docx

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Financial, Travel, and Systems Services Support
Solicitation number
SAQMMA16R0273
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Past Performance Questionnaire

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PAST PERFORMANCE QUESTIONNAIRE

Solicitation#: SAQMMA-16-R-0273

The Department of State (DOS) is conducting a competitive acquisition for Financial, Travel and Systems Services Support. Past performance and experience is an important part of the evaluation criteria for this acquisition, so your assessment is greatly appreciated.

Contractor’s Name:

Contract Number:

Brief description of work including scope and cost:

OFFEROR PERFORMANCE RATING

In this part, please determine the adjectival rating defined below that most nearly represents your experience with this offeror and indicate your assessment by placing an “X” under the appropriate heading. If assessing an indefinite-delivery contract or blanket purchase agreement, please choose one rating that best describes the overall performance on all the issued orders.

CODEPERFORMANCE LEVEL
HHIGHLY SATISFACTORY (H) – Contractors performance exceeded contract requirements
SSATISFACTORY – Contractors performance met contract requirements.
UUNSATISFACTORY – Contractors performance was less than acceptable and was unable to perform contract requirements. Please explain on a separate page why an unsatisfactory rating is given.
NNEUTRAL – Unable to provide a score. This area may not be applicable or the record is inconclusive.
H
S
U
N

Did the contractor provide qualified personnel required by the contract?

Did the contractor provide timely/quality services in the following areas:

(a) Performance of services?

(b) Delivery of reports or other deliverables?

Did the contractor provide adequate service?

Did the contractor provide qualified personnel required by the contract?

ASSESSOR’S CERTIFICATION

I hereby certify that the information in this form is accurate and complete to the best of my knowledge.

PRINTED NAME OF ASSESSOR COMPANY/AGENCY

SIGNATURE OF ASSESSOR DATE

Thank you for your prompt response and assistance!

Please return this completed questionnaire no later than 1 p.m. Ju1 26, 2016 to: Tracie Hardy, hardytn@state.gov

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