W91WFU16T0004Past_Performance_Questionnaire.pdf

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Sample Cover Letter

Company: Date Address:

1. We are contemplating offering a proposal for a solicitation from the 409th Contracting Support Brigade, Regional Contracting Office- Stuttgart. The solicitation is for Janitorial Services at Patch Barracks. This proposal requires that we provide past performance information. Please complete the attached past performance questionnaire and return it via email to:

estella.c.juarez.civ@mail.mil cc: daniel.mengesha.ln@mail.mil

2. In order to ensure this questionnaire is considered, please forward this survey to arrive at the above address or email address, no later than March 6, 2016. Upon completion, please notify my office that the survey has been accomplished.

Name & Title of Individual Name of Company

1 Attachment:

Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION:

Contractor’s Name: __________________ Telephone Number: ____________________ Address: __________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________

Contract Number: ___________________ Overall Contract Value: ________

Contract Period or Dates of Performance: _______________________

Contractor performed as the Prime Contractor Sub-Contractor Key Personnel.

B. POINT OF CONTACT INFORMATION:

Your Name: _____________________ Title: ____________________________

Address: _____________________ Telephone Number: ___________________ _____________________________ Email Address: _____________________

C. RETURN COMPLETED QUESTIONNAIRE VIA EMAIL TO:

E-mail: estella.c.juarez.civ@mail.mil cc: daniel.mengesha.ln@mail.mil

CONTRACTOR PERFORMANCE EVALUATION SURVEY

Please read the statements below, indicating your relative level of agreement in the box provided.

1. Quality of Work Acceptable Unacceptable

The contractor implemented procedures to find and correct performance discrepancies.

The contractor responded appropriately to any complaints and took actions to correct the deficiency in a timely and efficient manner.

The contractor complied with safety standards.

The contractor responded appropriately to any safety deficiencies received and took actions to correct the deficiencies.

2. Technical Performance Acceptable Unacceptable

The contractor provided experienced personnel with the technical and administrative abilities needed to meet contract requirements.

The contractor’s employees were trained for the tasks assigned.

The contractor’s equipment was well maintained, properly stored, and in operational condition sufficient to perform required tasks.

3. Schedule Acceptable Unacceptable

The tasks required under this effort were performed in a timely manner and in accordance with the terms of the contract.

The contractor responded to emergencies in a timely manner.

4. Business Relations/Management Acceptable Unacceptable

The contractor identified problems as they occurred and took initiative to solve problems.

The project manager had the authority to carry out the day-to-day operations.

How would you rate the relationship between the contractor and customer’s team?

5. Summary Acceptable Unacceptable

Overall rating for this firm’s performance:

Would you award another contact to the company being evaluated? If no, please explain.

YES/NO

Have any cure notices, show cause letters, letters of reprimand, suspensions of payment, or terminations been issued? If yes, please explain and detail any corrective actions taken by the contractor:

YES/NO