A07_Attachment_V_Past_Performance_questionnaire.pdf

Past Performance on: (Name of Contractor)_______

Date:

Reference: Solicitation W25G1V-18-R-0019

Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Telephone Number Address:

E-mail Address:

The Army Contracting Command (ACC) - Aberdeen Proving Ground (APG), Division E, Tobyhanna Branch is conducting a competitive acquisition. The offeror has identified you as a reference to validate the offeror’s past performance. Please complete the following questionnaire to assist in the evaluation of the Contractor’s past performance and return no later than 4:00 PM, Apr. 25, 2018 to Maureen Myrthel, via e-mail:

Maureen.Myrthel.civ@mail.mil , phone 570-615-9535.

1) Please provide a general scope of the services/product provided?

2) What was the period of performance?

3) What was the overall dollar value of the contract?

4) Was the work/services provided by the prime and subcontractors used adequate:

5) How was the Quality of services and product provided?

____ Exceptional, Quality of services provided exceeded many requirements of the specifications

____ Very Good, Quality of services provided met the requirements and exceed some of the requirements of the specifications

W25G1V-18-R-0019 Attachment V mailto:Maureen.Myrthel.civ@mail.mil

____ Satisfactory, Quality of services provided met the requirements of the specification

____ Marginal, Quality of services provided failed to meet some of the specifications but was accepted with consideration granted by the contractor.

____ Unacceptable, Services were rejected, contract was terminated

*Please provide brief comments for the Quality rating given above:

6) Was the service performed per contract specifications and on time?

____ Exceptional, Performance of Services was completed by the contractor consistently within the schedule requirements of the contract with no disruption to customer operations.

____Very Good, Performance of Services was completed by the contractor within the schedule requirements of the contract with no disruption to customer operations.

____Satisfactory, Services were completed by the contractor within the schedule requirements of the contract with minor disruption to customer.

____Marginal, the contractor required rescheduling of Services, which resulted in measurable disruption to customer.

____Unacceptable, the contractor was unable to complete required schedule of services.

*Please provide brief comments for the schedule of Service rating given above:

7) Overall Satisfaction of the contractor’s performance:

____Exceptional, Customer was overall extremely satisfied with the contractor’s performance and results achieved.

____Very Good, Customer users, were overall very satisfied with the contractor’s performance.

____Satisfactory, Customers users, were satisfied with the contractor’s performance.

____Marginal, Users were somewhat satisfied with the contractor’s performance provided but feel that improvement could be made.

____Unacceptable, Users were in general, not satisfied with the contractor’s performance.

8) Any issues? If so, what was the issue and was the contractor responsive to resolving the issue?

9) Would you contract with this company in the future?

10) General Comments. Please provide any other relevant performance information.

Return Information. Please return this questionnaire via e-mail to Maureen.Myrthel.civ@mail.mil by 4:00 P.M. on Apr. 25, 2018.

Thank You for your assistance.

Date: Signature:

mailto:Maureen.Myrthel.civ@mail.mil