ATTACHMENT_5.pdf

ATTACHMENT 5

PAST PERFORMANCE QUESTIONNAIRE

Solicitation# SPMLW1-13-R-6601 Please complete this Questionnaire and e-mail or fax e-mail ContractsSupport@dla.mil FAX: 269 961 4521.

We are currently in the process of preparing our proposal for the DOD EMALL Solicitation Number SPMLW1-13-R-6601. As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.

Please complete this Questionnaire and e-mail to ContractsSupport@dla.mil or FAX: 269 961 4521.

Questionnaire is due to DOD Contracting Office no later than 4:00 PM Eastern Daylight Time on __________________. {Before forwarding the questionnaire to the reference, Offeror shall enter a date that is 10 business days from their expected date of proposal submission.} Questionnaire must be submitted directly to the Contracting Office on company letterhead if faxed or emailed from a corporate email account.

If you will not be available for verification of this past performance evaluation, please indicate another POC for the DOD EMALL contacting officer to contact.

Alternate POC name: ________________________________________

Alternate POC phone number: _________________________________

Alternate POC e-mail address: _________________________________

Thank you.

NAME OF OFFEROR:

Phone: Fax:

E-Mail:

I. Current or Historical Contract Information

CONTRACT REFERENCED:

1. Contract or Identifying Number: ________________________________________________

2. Contract Value: _____________________________________________________________

3. Period of Performance:

4. Brief description of items provided:

5. Name of Person Completing Questionnaire: _______________________________________ mailto:ContractsSupport@dla.mil mailto:ContractsSupport@dla.mil

Agency/Company:

Title: __________________________________ Phone: _____________________________

E-mail: _____________________________________________________________________

II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Evaluation Definitions –

The following definitions should be used in the assessment of Contractor performance.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY

Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL

Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY

Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE (N/A) Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Past Performance Evaluation

Question 1. Performance

What is your assessment of the Contractor’s ability to meet your requirements?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Performance

Comments, if any.

Questions 2. Timeliness

What is your assessment of the Contractor’s ability to provide products in a timely manner?

Timeliness

Ability to Resolve Timeliness Problems

Question 3. Quality of Shipments

What is your assessment of the Contractor’s ability to meet requirements of shipping (including packing, marking, etc) and the overall quality of the delivery?

Quality of Shipments

Question 4. Overall Rating of Contractor’s performance

What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

Exceptional Very Good Satisfactory Marginal Unsatisfactory

General Comments: