Attachment_4_-_PAST_PERFORMANCE_QUESTIONNAIRE_FORM.pdf
PDF 110 KB Posted
- Attached to
- Senior Scientific Support Services Federal contract opportunity
- Solicitation number
- W81XWH19R0098
- Issued by
- Department of the Army Medical Command
About this file
This document contains a past performance reference questionnaire form for respondents to a solicitation from the Department of the Army Medical Command. The form requests information on an offeror's compliance with specifications, adherence to schedules, cost control, technical problem resolution, customer satisfaction, subcontractor management, and overall performance on a past contract. Respondents are asked to provide contact information for a reference and authorize the government to contact the reference. Completed questionnaires must be submitted to the government by October 16, 2019 at 10:00 AM Eastern Time for consideration in the proposal evaluation.
Past Performance Questionnaire
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W81XWH19R00980004.pdf | ||
| W81XWH19R00980003.pdf | ||
| Attachment_4_-_PPQ.pdf | ||
| W81XWH19R00980002.pdf | ||
| W81XWH19R00980001.pdf | ||
| W81XWH19R0098.pdf | ||
| Attachment_1_Pricing_Sheet.pdf | ||
| Attachment_3_OCI.pdf | ||
| Attachment_2_NDA.pdf |
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Text version
ATTACHMENT 4
PAST PERFORMANCE REFERENCE QUESTIONNAIRE FORM
PART A: PAST PERFORMANCE REFERENCE QUESTIONNAIRE (to be completed by Respondent)
Name of Offeror or Subcontractor: _______________________________________________
Contract or Order Number: ______________________________________________________
1. Compliance of products, services, documents and related contract deliverables to specification requirements and standards of good workmanship.
__ Exceeds Contractual Requirements (Explanation must be provided in Comments field below) __ Meets Contractual Requirements __ Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)
Comments:
2. Adherence to contract schedules, including timely submittal of documentation required throughout contract performance.
__ Exceeds Contractual Requirements (Explanation must be provided in Comments field below) __ Meets Contractual Requirements __ Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)
3. Effectiveness in forecasting and controlling project cost.
__ Exceptional (Explanation must be provided in Comments field below) __ Satisfactory __ Unsatisfactory (Explanation must be provided in Comments field below)
4. Demonstrated ability to resolve technical problems quickly and effectively.
5. Commitment to customer satisfaction and business-like concern for its customer’s interest.
6. Establishes and maintains adequate management of subcontractors.
7. Overall satisfaction with contractor’s performance.
__ Extremely Satisfied (Explanation must be provided in Comments field below) __ Satisfied __ Unsatisfied (Explanation must be provided in Comments field below)
8. Based on your experience, would you award a new contract to this contractor? Please explain.
__ Yes __ No
9. General Comments. Provide any other relevant performance information.
PART B: RESPONDENT IDENTIFICATION (to be completed by Respondent)
Please provide the following information:
Organization:
Name of Person Completing Information:
Title:
Date:
Telephone:
Email Address:
Relationship to Offeror or Subcontractor (e.g., customer, subcontractor, etc.):
PART C: RETURN INFORMATION
Respondent - Completed past performance questionnaires shall be submitted to usarmy.detrick.medcom-usamraa.mbx.service2@mail.mil with Offeror’s proposal by the submission deadline 16 October 2019 at 10:00AM Eastern Time.
Thank you for your participation.
File details come from the government source that posted it. Updated .