Attachment J-5 - Revised Past Performance Questionnaire 11-5-2026 (2 Pages).docx
DOCX document 44 KB Posted
- Attached to
- Creative Exhibit Design Services
- Solicitation number
- 030ADV27R0010
- Issued by
-
Library of Congress
About this file
This is a Past Performance Questionnaire template designed by the Library of Congress to evaluate contractor suitability for the Creative Exhibit Design Services solicitation (030ADV27R0010). The questionnaire requests references or previous clients to provide honest assessments of a contractor's performance across ten evaluation criteria, including overall contract management, quality of products and services, project phase management, schedule compliance, report timeliness, subcontractor management, key personnel competency and communication, cost performance, and contract terminations or reschedules. Respondents rate performance using a five-point scale (Outstanding, Good, Satisfactory, Marginal, Unsatisfactory) with definitions provided, and must provide narrative explanations for any Marginal, Unsatisfactory, or Not Applicable ratings. The completed questionnaire must be returned via email to three Library of Congress points of contact—Olexiy Levchuk, Moji Adejuwon, and Ramon Samuel—no later than November 16, 2026, at 12:00 PM Eastern.
The questionnaire gathers general information about the respondent's company and their prior contract with the contractor, including contract number, type, period of performance, approximate dollar value, and contract description. This form serves as a critical component of the Library's proposal evaluation process for the Comics exhibit design project, which requires an experienced museum exhibit design firm to provide full-service creative design for a changing exhibit in the Library's Southwest Gallery (approximately 3,700 square feet), including a rotational package and promotional graphics, with AV integration and media production excluded from scope.
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Text version
Attachment J-5 -- 030ADV27R0010
REVISED PAST PERFORMANCE QUESTIONNAIRE
11-5-26 (2 Pages)
The purpose of this questionnaire is to gather information on the contractor named below to determine their suitability to provide services for the Library of Congress (Library). Your prompt completion of this questionnaire is sincerely appreciated as it is critical to the completion of the proposal evaluation process.
Contractor: (Provide Contractor’s Name)
1. Please complete this questionnaire based on the following guidance:
a) Handwritten responses are acceptable.
b) Indicate, using the ratings below, the contractor’s performance on the project identified in the email. Assessments should reflect only performance for which contractor is/was responsible. The following is a definition of the rating levels:
| RATING |
| DEFINITION |
| Outstanding |
| Performance meets contractual requirements and exceeds many to the Government's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Good |
| Performance meets contractual requirements and exceeds some to the Government's benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. |
| Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective. |
2. Please provide narrative explanations for any Marginal, Unsatisfactory or No ratings and supplement your knowledge of the contractor’s performance with judgement of others in your organization.
3. The contractor submitted a proposal to the Library for the provision of exhibit design services. Past performance is of considerable importance to this acquisition. Therefore, input from current or previous customers of the contractor is very important.
We greatly appreciate you taking the time to complete this form. Please provide an honest assessment and return via email to Olexiy Levchuk at olevchuk@loc.gov with a copy to Moji Adejuwon at moad@loc.gov and Ramon Samuel at rsamuel@loc.gov, no later than Noon (12:00 PM – Eastern) November 16, 2026.
GENERAL INFORMATION
Please provide the following information for your company:
Name:
Point of Contact Name and Title:
Telephone Number.
Contract Number if applicable:
Contract Type:
Period of Performance:
Approximate dollar value for the contract:
Contract Description:
QUESTIONS
The following correspond with the following descriptive values provided on the questionnaire cover page:
| O |
| G |
| S |
| M |
| U |
| N/A |
| Outstanding |
| Good |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Not Applicable |
| O |
| G |
| S |
| M |
| U |
| NA |
1. How would you rate the overall management of the contract?
2. How would you rate the quality of the products and services provided by the contractor?
3. How effective was the contractor in managing all phases the project?
4. How would you rate the Contractor’s timeliness and compliance with the project schedule?
5. How timely was the contractor in submitting required reports?
6. How would you rate the Quality/effectiveness of sub-contracted efforts? If applicable
7. How competent were key personnel and personnel provided for the project?
8. How well did key personnel communicate with Government/company personnel?
9. How would you rate the contractor’s ability to perform the services within contract costs?
10. Were any major contract requirements been terminated or rescheduled as a result of the contractor’s inability to perform? If yes please provide an explanation
Comments:
4/14/17 09/12/2022 1
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