DRAFT_Attachment 4 - Past Performance Questionnaire.pdf

PAST PERFORMANCE COVER LETTER

To:

Subject: Past Performance Questionnaire for Solicitation № W9128F20R0050

The U.S. Army Corps of Engineers Omaha District is soliciting Janitorial Services for Various Recruiting Services throughout Montana, Colorado, Nebraska, Iowa, South Dakota, North Dakota, Minnesota, and Wisconsin. We have requested offerors interested in submitting proposals for these services to send this letter along with the enclosed questionnaire to a maximum of five (5) references for past and/or present contracts relevant to the services mentioned above.

We request and appreciate your assistance in completing the questionnaire so that we may evaluate the offeror's past performance. Please provide any comments or additional information which you deem relevant or important. You may provide the completed questionnaire directly to the contractor or you may email it directly to david.w.neal@usace.army.mil or melissa.r.harlon@usace.army.mil.

Please complete and submit the questionnaire within three (3) days of receipt.

Thank you in advance for your assistance with this procurement. Should you have any questions, please contact me at (402) 995-2988 or at david.w.neal@usace.army.mil.

Sincerely, David W. Neal Contracting Officer

DRAFT

mailto:dominique.c.howard@usace.army.mil.

mailto:dominique.c.howard@usace.army.mil.

PAST PERFORMANCE QUESTIONNAIRE

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does.

Please return the completed Questionnaire within three (3) days. Thank you.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

Email Address:

DRAFT

PART II. EVALUATION (To be completed by Point of Contact – Respondent)

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Service.

Exceeds Contractual Requirements (Explanation must be provided in the Comments field below)

Meets Contractual Requirements

Failed to Meet Contractual Requirements (Explanation must be provided in the Comments field below)

Comments:

B. Effectiveness of Project Management (to include use and control of multiple locations and subcontractors).

Exceptional (Explanation must be provided in the Comments field below)

Satisfactory

Unsatisfactory (Explanation must be provided in the Comments field below)

Comments:

C. Timeliness of Performance for Services and Product Deliverables, including the Administrative Aspects of Performance.

Exceeds Contractual Requirements (Explanation must be provided in the Comments field below)

Meets Contractual Requirements

Failed to Meet Contractual Requirements (Explanation must be provided in the Comments field below)

Comments:

D. Quality Assurance Effectiveness.

Exceptional (Explanation must be provided in the Comments field below)

Satisfactory

Unsatisfactory (Explanation must be provided in the Comments field below)

Comments:

E. Commitment to Customer Satisfaction and Business-like Concern for its Customer’s Interest.

Exceptional (Explanation must be provided in the Comments field below)

Satisfactory

Unsatisfactory (Explanation must be provided in the Comments field below)

Comments:

F. Overall Satisfaction.

Extremely Satisfactory (Explanation must be provided in the Comments field below)

Satisfactory

Unsatisfactory (Explanation must be provided in the Comments field below)

Comments:

G. General Comments. Provide any other relevant performance information.

H. Other Information Sources. Please provide the following information:

Are you aware of any other relevant past efforts by this company?

If yes, please provide the name and telephone number of a point of contact:

I. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number:

Address:

Fax Number:

E-mail Address:

mailto:Dominique.C.Howard@usace.army.mil