Attachment_10_Past_Performance_Questionnaire.docx

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Attached to
Technical and Analytical Support to OTAQ Federal contract opportunity
Solicitation number
SOL-CI-15-00017
Issued by
Environmental Protection Agency Cincinatti Procurement Operations Division

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Past Performance Questionnaire

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SOL-CI-15-00017 Past Performance Questionnaire Attachment 10

Attachment 10

Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

SOURCE SELECTION SENSITIVE INFORMATION

Name of Offeror:

Evaluator’s Organization: Contract Number:

Contract Title: Contract Value:

Type of Contract: Period of Performance:

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

5 =Exceptional
4 =Good
3 =Satisfactory
2 =Marginal
1 =Unsatisfactory
Performance Elements
5
4
3
2
1
N/A

Technical Quality (Quality of product or service, compliance with contract requirements, accuracy of reports, technical excellence)

Schedule (Timeliness of performance, meeting milestones, reliability, responsiveness to technical direction, adherence to schedules)

Cost Control (effectiveness in forecasting, managing, and controlling contract cost, ability to perform within budget, timely billing)

Business Relations (integration and coordination of all activity needed to execute the contract, customer satisfaction, responsiveness to problems, and problem resolution)

Management of Key Personnel (selecting, retaining, supporting key personnel)

Please identify corporate affiliations that you have with the offeror, if any.

Would you do business with the offeror again?

Information provided by:

Name of
Source

Title

Date

Address

Contract Info

Questionnaire received by:

Name of EPA
Employee

Title

Date

Signature

10-3

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