Attachment J6 - Past Performance Questionnaire (3 Pages).doc
DOC document 64 KB Posted
- Attached to
- SI for Machine Router Control
- Solicitation number
- 2025-LGR-0130
- Issued by
-
Library of Congress
About this file
The document is a Past Performance Questionnaire for a System Integration (SI) contract for Machine Router Control (Solicitation Number 030ADV25R0025) for the Library of Congress's National Audio-Visual Conservation Center (NAVCC). The questionnaire is designed to evaluate a contractor's past performance across seven key performance areas: overall satisfaction, quality, schedule, cost/price, personnel, contract management, and communication/problem resolution. Each area is rated on a scale from 1-5, with the goal of providing a comprehensive assessment of the contractor's capabilities and previous contract performance.
The questionnaire requires detailed information about the previous contract, including contractor identification, contract type, period of performance, and cost. It seeks specific feedback from the evaluator about the contractor's strengths, weaknesses, and potential for future work. The completed form should be returned to Contracting Specialist Brenda Kinlay (bkinlay@loc.gov) and Contracting Officer James Robinson (jarobinson@loc.gov), and is considered source selection sensitive information under FAR 3.104. The document serves as a critical tool for the Library of Congress to assess potential contractors' past performance in system integration services for video routing and digitization systems.
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Text version
ATTACHMENT J3 –PAST PERFORMANCE QUESTIONNAIRE
030ADV25R0025 – System Integration (SI) for Machine Router Control
PAST PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
A.
Contractor: _______________________________________ B.
Agency Contract number: ____________________________________
C.
Contract type: ______________________________________ D.
Was this a competitive contract? Yes
No
E.
Period of performance: _________________ F.
Contract cost or price: ___________________________________ G.
Description of work: ____________________________________________________________________ Government Contracts Only: Was this contract partially or fully terminated for default or convenience or are there any pending terminations?
Default______ Convenience______
Pending Termination______ If any applies, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc): ____________________________________________________________________________________________
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
A.
Customer or agency name: _________________________________________________________________________ B.
Geographic description of services under this contract, i.e. local, nationwide, worldwide:
SECTION 3: EVALUATOR IDENTIFICATION
A.
Evaluator's name and title: __________________________________________________________________________.
B.
Evaluator's phone/fax number: _______________________________________________________________________.
C.
Number of years evaluator worked on subject contract: _____________________.
SECTION 4: EVALUATION
Please indicate your satisfaction with the contractor's performance by placing an "X" in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
· 2:
Performance occasionally does not meet minimum contract performance standard or requirement
· 3:
Performance that meets the minimum contract performance standard or requirement
· 4:
Performance that meets and occasionally exceeds the contract performance standard or requirement
· 5:
Performance that almost always exceeds the contract performance standard or requirement
| 1. Overall satisfaction |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Overall satisfaction with performance. Would you (the reference) choose to work with this offeror again?
| 2. Quality |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.
| 3. Schedule |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Schedule includes delivery consistency, on-time performance, and flexibility in responding to emerging issues.
| 4. Cost/Price |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Cost/price refers to the offeror’s ability to manage the work within the agreed upon cost or price.
| 5. Personnel |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the quality of the contractor’s staff in executing the project work scope.
| 6. Contract Management |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes quality and timeliness in sourcing, invoicing, and reporting under the contract.
| 7. Communication and problem resolution |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes the offeror’s ability to communicate and solve problems in a timely and effective manner.
SECTION 5: NARRATIVE SUMMARY
What were the contractor's greatest strengths in the performance of the contract?
What were the contractor's greatest weaknesses in the performance of the contract?
Did the contractor fulfill warranty or non-warranty repairs in performance of this contract? What kind of ongoing support and defect remediation did they provide and with what frequency was it necessary?
Would you hire this contractor in the future to perform one of your critical and demanding programs?
| YES |
| NO |
Evaluator Signature:
Date:
Thank you for your prompt response and assistance!
Please return this completed questionnaire with the Subject: RFP 030ADV25R0025 to the Contracting Specialist, Brenda Kinlay at bkinlay@loc.gov with the following copied:
Contracting Officer: James Robinson, jarobinson@loc.gov Attachment J4
File details come from the government source that posted it. Updated .