Attachment J3 - Past Performance Questionnaire - 03022026 - pp. 2.docx

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Attached to
Inspection of Production Lots Program - Library of Congress
Solicitation number
2026-LGD-0045
Issued by

About this file

This is a Past Performance Questionnaire template designed for the Library of Congress Inspection of Production Lots Program (Solicitation #030ADV26R0014). The form serves as an evaluation instrument for assessing contractor performance on past or current contracts and will be used during the proposal evaluation process for solicitation 2026-LGD-0045.

The questionnaire is structured in five sections: (1) Contract Identification, which captures the contractor name, agency contract number, prime/subcontractor status, agency name, contract type, period of performance, total contract value, and description of services; (2) Evaluator Identification, requesting the evaluator's name, title, email, and phone number; (3) Evaluation, a scoring matrix covering Quality of Product or Service, Contract Management and Performance, and Transition/Phase-In & Employee Retention, with ratings of Excellent, Satisfactory, Poor, or N/A; (4) Narrative Summary, requesting written responses regarding contractor strengths, weaknesses, and future hiring likelihood; and (5) Signatures for authentication. The completed form is to be submitted to Jennifer Zwahlen (Contracting Officer) at jzwa@loc.gov and Jacqueline Miller (Contract Specialist) at jacmiller@loc.gov. This template establishes the standardized evaluation criteria that past clients of prospective offerors must complete to support their proposal submissions.

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Attachment J1 – Past Performance Questionnaire Past Performance Questionnaire Solicitation #: 030ADV26R0014

Section 1: Contract Identification:

A. Contractor Name: _________________________________________________________ B. Agency Contract Number: __________________________________________________ C. Were you the Prime or a Subcontractor: _______________________________________ D. Agency Name: ___________________________________________________________ E. Contract Type: ___________________________________________________________ F. Period of Performance: ____________________________________________________ G. Total Contract Value: _____________________________________________________ H. Description of services provided: ____________________________________________

Section 2: Evaluator Identification

A. Evaluator’s Name and Title: ________________________________________________ B. Evaluator’s Email Address: _________________________________________________ C. Evaluator’s Phone Number: _________________________________________________

Section 3: Evaluation

Please indicate your satisfaction level with the Contractor’s performance by placing an “X” in the appropriate block.

Excellent: The Contractor has demonstrated an excellent performance level that was significantly above and beyond the minimum requirements.

Satisfactory: The Contractor has met the minimum requirements Poor: The Contractor has not met the minimum requirements or is only able to meet them with agency assistance, resources, or oversight.

N/A: Unable to provide a score

Quality of Product or Service
E
S
P
N/A

Overall quality in meeting the requirements of the contract

Ability to understand/comply with customer objectives and technical requirements

Effectiveness of assigned personnel in terms of the appropriate mix of education and experiences to accomplish the requirement

Adequacy/effectiveness of quality control program

Quality/effectiveness of sub-contracted efforts

Quality of Product or Service
E
S
P
N/A

Effectiveness of overall contract management

Timeliness of contract performance

Effectiveness of managing subcontractors

Timeliness of problem resolutions

Ability and flexibility to successfully respond to issues

Effectiveness of material management

Effectiveness of quality control measures

Timeliness of deliverables

Quality of deliverables

Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

Transition / Phase-In & Employee Retention / Attraction
E
S
P
N/A

Contractor’s ability to smoothly transition resources and personnel

Ability to hire/apply a qualified workforce to this effort

Ability to retain a qualified workforce to this effort

Section 4: Narrative Summary

What were the contractor’s greatest strengths?

What were the contractor’s greatest weaknesses?

Would you hire this contractor in the future?

Do you have any additional comments concerning this contractor you would you share?

Section 5: Signatures

Evaluator’s Signature Date

Please Email Completed Form to both:

Jennifer ZwahlenJacqueline Miller
Contracting OfficerContract Specialist
jzwa@loc.gov jacmiller@loc.gov

File details come from the government source that posted it. Updated .