Attachment_13_Past_Performance_Questionnaire_(Revised)_.doc

DOC document 48 KB Posted Apr 11, 2017

Attached to: ILEA Maintenance, Management and Logistics Support
Solicitation number: SAQMMA17R0042A
Issued by: Department of State Office of Acquisition Management

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Revised Past Performance Questionaire.

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U.S. DEPARTMENT OF STATE

PAST PERFORMANCE QUESTIONNAIRE

Name of Offeror: ________________________________________________________________ Name of Client/Agency: __________________________________________________________ Contract/Order Number: _______________________ Dollar Value: ______________________ Performance-Based Contract/Order _____________Yes ________ No

Brief Description of Work Performed: _______________________________________________ Please mark with an X the appropriate rating:

Outstanding

Excellent

Good

Satisfactory

Unsatisfactory

Technical Ability

Quality

Overall Performance

Customer Satisfaction

Remarks on outstanding performance (provide info. supporting this observation):

Remarks on unsatisfactory performance (provide info. supporting this observation):

Other comments, positive or negative, regarding performance, especially with relation any performance measures/service levels applied, the actual performance results against those measures, and the level of customer satisfaction achieved:

Would you do business with this company again?

Questionnaire completed by:

Name/Title: ___________________________________________________________________ Organization/Office: ____________________________________________________________

Telephone/E-mail: ______________________________________________________________

File details come from the government source that posted it. Updated Nov 14, 2017.