PAST_PERFORMANCE_QUESTIONNAIRE.docx

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REACH STACKER RENTAL
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W912GY-17-R-0026
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PAST PERFORMANCE QUESTIONNAIRE

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PAST PERFORMANCE QUESTIONNAIRE

YOUR NAME & TITLE

YOUR ORGANIZATIONAL NAME AND ADDRESS

TEL NO.

FAX :

E-MAIL:

CONTRACTOR’S NAME & ADDRESS

TITLE OR DESCRIPTION OF REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

CONTRACT TYPE:

|_| FIXED PRICE |_| COST + FEE

|_| COMPETITIVE |_| NON-COMPETITIVE

|_| SET-ASIDE

|_| SEALED BID |_| NEGOTIATED

|_| SEALED BID |_| NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT
RATING
1
2
3
4
5
6
NA
1.Contractor demonstrated a thorough understanding of technical requirements of the contract/task.
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Comments:

2.Contractor anticipated/identified and resolved problems effectively.
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Comments:

3.Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.
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Comments:

4. Rate the Contractor’s use of available resources to accomplish tasks identified in the contract.
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Comments:

5. Contractor was responsive to most questions, inquiries and general communication.
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Comments:

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE ELEMENT
RATING
1
2
3
4
5
6
NA
6.Contractor met scheduled contract delivery dates.
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Comments:

7.Contractor provided accurate, complete and high quality deliverables.
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Comments:

8.Contractor complied with the terms of the contract.
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Comments:

9.Contractor was diligent in forecasting and controlling contract cost.
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Comments:

10. I would recommend award to this contractor again.
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Comments:

1
0 – 25% of the time
Strongly Disagree
PLEASE RETURN COMPLETED RESPONSE TO:

Army Contracting Command-Warren Sierra Army Depot Contracting Office ATTN: Rhonda Long 74 Currant Street Building 60 Herlong, CA 96113 E-MAIL: rhonda.a.long.civ@mail.mil

FAX: 530-827-4722

2
26 – 40% of the time
Disagree
3
41 – 55% of the time
Somewhat Disagree
4
56 – 70% of the time
Somewhat Agree
5
71 – 85% of the time
Agree
6
86 – 100% of the time
Strongly Agree

NA

No Knowledge of This Element

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED

W912GY-17-R-0026

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