A.4.a.Past Performance Questionnaire CPARS.doc

DOC document 101 KB Posted

Attached to
Great Lakes National Program Office Mission Support Services Federal contract opportunity
Solicitation number
SOL-R5-10-00005
Issued by
Environmental Protection Agency Region 5

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Attachment 4a

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Text version

Past Performance Questionnaire

Name of Offeror:

FILLIN \* MERGEFORMAT

CONTRACT INFORMATION

Name of Reference:

Contract Number:

Contract Title:

Contract Value:

Type of Contract:

Period of Performance:

The ratings (as applicable) below are supplied by the reference identified above, NOT the offeror.

Performance Elements

Unsatisfactory Red Marginal

Yellow Satisfactory Green Very Good Purple Exceptional Dark Blue Not Applicable N/A

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(+/- Signs may be used to indicate improving or worsening trends.)

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

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

Please identify any corporate affiliations with the offeror:

Would you do business with the offeror again?

Information provided by:

Name:

Title:

Mailing Address (Street and P.O. Box):

City, State and Zip Code:

Telephone Number:

Fax Number:

E-mail address:

Time of Call (if a phone interview is conducted):

Date Information provided:

Questionnaire completed by:

Name of EPA Employee:

Signature of EPA Employee:

Title:

Date Questionnaire Completed:

For definitions of the rating colors above refer to the matrix attached.

Body of Text for the Past Performance Questionnaire Request Letter

“Client Authorization Letter”

[Addressee]

Dear [Client]:

We are currently responding to the Environmental Protection Agency RFP No. SOL-R5-10-00005 for the procurement of Mission Support Services for the Great Lakes National Program Office. The EPA is placing increased emphasis in their acquisitions on past performance as a source selection evaluation factor. EPA requires offerors to inform references identified in proposals that EPA may contact them about past performance information.

If you are contacted by EPA for information on work we have performed under contract for your company/agency/state or local government, you are hereby authorized to respond to EPA inquiries.

Your cooperation is appreciated. Please direct any questions to: [offeror's point-of-contact]

Sincerely, [Name]

Source Selection Information- See FAR 2.101 and 3.104

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