Attachment_13_Past_Performance_Questionnaire.doc

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Title: Operation of the Clean Air Status and Trend
Solicitation number
SOL-DC-15-00079
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Attachment 13 Past Performance Questionnaire

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Past Performance Questionnaire

Solicitation Number: ___________________________________________________ Offeror Name: _________________________________________________________ Name of person providing reference:

Contact information: email: __________________ phone:

Agency/Company Name:

Contract Number and Value: ___________________________________________

Description of services provided:

Evaluation Rating:

Acceptable: Provides performance expected of a qualified contractor

Unacceptable: Below the acceptable standards of a qualified contractor

Neutral: No current and/or relevant performance record

Performance Elements
Acceptable
Unacceptable
Neutral

1. Quality of Service

2. Timeliness of Performance

3. Initiative in meeting requirements

4. Customer Satisfaction

5. Overall Performance

Remarks on exceptional performance:

Remarks on unacceptable performance:

Would you recommend the contractor? Why/Why not?

(please use additional sheets as required)

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