Attachment 5 Past Performance Questionnaire.docx
DOCX document 35 KB Posted
- Attached to
- BEP SCADA System Maintenance Service
- Solicitation number
- 2031ZA26Q00009
About this file
This is a Past Performance Questionnaire template required by the Bureau of Engraving and Printing (BEP) for solicitation number 2031ZA26Q00009 (BEP SCADA System Maintenance Service). Offerors must submit the questionnaire to three assessors/references who provided similar services within the past five years, where relevance is determined by size, scope, and complexity comparable to BEP's Supervisory Control and Data Acquisition (SCADA) System Maintenance Service requirement. The offeror completes Section II with contract information before submitting to assessors, who then validate the information and complete Sections III and V independently. Completed questionnaires must be submitted by the assessor directly to kaiti.williams@bep.gov no later than 10:00 AM Eastern Time on April 16, 2026.
The questionnaire requires assessors to evaluate contractor performance across five key areas: Business Relations (responsiveness and personnel qualification), Timeliness (task completion and milestone adherence), Quality (overall performance assessment and conformance to requirements), Cost (estimation accuracy and invoicing timeliness), and an overall contract award recommendation. Assessors rate performance using a five-point scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable) and must identify their role in contract administration (such as Contracting Officer, ACO, COR, or Project Manager). The questionnaire template includes fields for contract details (contract number, type, value, period of performance) and contracting role designation (prime or subcontractor), along with termination history documentation.
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PAST PERFORMANCE QUESTIONNAIRE
Instructions:
· The Bureau of Engraving and Printing (BEP) requests recent past performance. Recent is defined as within the last 5 years.
· Offeror shall send the questionnaire to three (3) Assessors/References for which services were provided. Services must be relevant to BEP’s requirement. Relevant is defined as similar in size, scope, and complexity to the BEP’s requirement identified in the Performance Work Statement.
· Offeror shall complete Section II prior to submitting the questionnaire to Assessor(s).
· The Assessor(s) shall validate/confirm Section II information and complete Sections III and V.
· The Assessor(s), NOT THE OFFEROR, shall email the completed questionnaire to the contracting office point of contact no later than the date and time indicated below.
Message to the Assessor: Your assistance is requested by the BEP to assist with establishing the performance history for the Contractor named below. Please validate/confirm Section II information, complete Sections III and V, and sign the questionnaire. Completed questionnaire shall be emailed to kaiti.williams@bep.gov no later than 10:00 AM Eastern Time (ET), April 16, 2026.
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| 2031ZA26Q00009 |
| Project/Requirement |
| BEP Supervisory Control and Data Acquisition System Maintenance Service (SCADA) |
II. Current or Historical Contract Information Assessor: The performance data submitted by the Offeror is |_| correct or |_| incorrect.
Name of Company Reference is for: _____________________________________________________
CONTRACTOR NAME & ADDRESS:
Contract No
Type of Contract
| Initial |
| Final |
Contract Value
Period of Performance/Delivery Schedule
Project/Requirement Description
Please select from the following as it applies to this contract:
| Contracting Role |
| |_| PRIME |
| |_| SUBCONTRACTOR |
| Termination History |
| |_| Convenience |
| |_| Default |
| |_| N/A |
III. Assessor Information
Assessor Name
Organization
Title
Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement.
| Role |
| Period of Involvement |
Procuring Contracting Officer (PCO)
Administrative Contracting Officer (ACO)
Contract Specialist
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Manager
Quality Assurance Specialist
Defense Contract Audit Agency (DCAA) Auditor
Other:
IV. Evaluation Definitions
The following definitions should be used in your assessment of Contractor performance.
| EXCEPTIONAL |
| Contractor’s performance significantly exceeded most or all contract requirements. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective. |
| VERY GOOD |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-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 contractual performance of the element or sub-element 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 contractual performance of the element or sub-element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| UNSATISFACTORY |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problems(s) for which the Contractor’s corrective actions appear or were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
V. Performance Evaluation
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unacceptable |
| N/A |
BUSINESS RELATIONS
The referenced contractor was responsive to the customer’s needs.
The contractor’s personnel were qualified to meet the requirements.
TIMELINESS
The contractor’s ability to ensure, to the extent of its responsibility, that all tasks were completed within the requested time frame.
Time required for vendor to respond to emergencies and service requests.
Timeliness in Meeting Milestones and deliverables (if applicable)
QUALITY
What is your OVERALL assessment of the quality of the contractor’s performance? Were your specifications and expectations met by the contractor?
Quality of the finished product; please note any specific issues.
Conformance to Contract Requirements
Standards of Good Workmanship (technical, professional, environmental, safety, etc.)
COST
The contractor’s ability to accurately estimate cost.
COST/PRICE ESTIMATES—(ability to meet proposed costs and whether actual costs/rates realized reflect negotiated costs/rates)
INVOICING—accuracy and timeliness of submission
Based on this Contractor’s overall performance, would you award this Contractor another contract?
Yes________ No___________ If no, please explain:
General Comments:
| _________________________________ | ____________________ | |
| Assessor’s Signature | Date |
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