SOL-DC-16-00050_Attachment3__PAST_PERFORMANCE_QUESTIONNAIRE.pdf

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE FOR RFP#SOL-DC-16-00050

S O U R C E S E L E C T I O N S E N S I T I V E I N F O R M A T I O N

Name of Offeror:

Name of Past Performance Reference:

Contract Number:

Contract Title:

Contract Value:

Type of Contract: Period of Performance:

The ratings below are supplied by the past performance reference listed above:

Performance Elements

Not

Applicable

Outstanding

Satisfactory

Unsatisfactory

1. Quality of Product or

Service

2. Timeliness of

Performance

3. Effectiveness of

Management(including subcontractors)

4. Initiative in Meeting

Requirements

5. Response to Technical

Direction

6. Responsiveness to

Performance Problems

7. Compliance with Cost

Estimates

8. Customer Satisfaction

9. Overall Performance

10. Remarks on outstanding performance:

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

11. Remarks on unsatisfactory performance:

(Provide data supporting this observation; you may continue on separate sheet if needed.)

12. Please identify any corporate affiliations with the offeror.

13. Would you do business with ______________________________ again?

(insert offeror's name)

14. Information provided by:

Name

Title

Mailing Address (Street and P.O. Box)

City, State and Zip Code

Time of Call

Telephone and Fax Numbers

15. Questionnaire completed by: