EXHIBIT_C_-_Past_Performance_Questionnaire.doc

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Household Appliances IDIQ
Solicitation number
W564KV-16-R-0004
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EXHIBIT C - Past Performance Questionnaire

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PAST PERFORMANCE EVALUATION QUESTIONNAIRE FOR SOLICITATION

United States Army Europe Appliances

(W564KV-16-R-0004)

This past performance evaluation is solicited in anticipation of a US government contract for United States Army Europe Appliances. Your input is critical to our efforts; it should take no more than 10 minutes of your time. Please be as detailed as possible.

Evaluated Firm:

Respondent Firm:

Name of Point of Contact:

Phone Number:

Email address:

Contract Number:

Period of Performance:

(Must be within the last three (3) years)

Brief Description of Effort:

Question
Satisfactory

Unsatisfactory

1. Rate the firm’s conformance to contract terms and conditions. Have there been any contract disputes/subsequent defaults? Did contractor perform contract objective?

Comments:

2. How would you rate the quality of the overall delivery service provided?? If not, please elaborate what steps were taken (if any) to rectify situation(s).

3. Would you contract with the contractor again? Yes, maybe, No (If no or maybe, please briefly state the primary reason)

RESPONSE PROVIDED BY:

(Organization, Individual Name, Title and Telephone #)

SIGNATURE

DATE

(End of Past Performance Questionnaire)

Meets All Some Miery Good, Above Average) Exceeds Some –

EVALUATION RATINGS DEFINITIONS

RATING
DEFINITION
NOTE
Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified.

Unsatisfactory
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).

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