4.12 Attachment (1) - Past Performance Questionnaire.docx

N00244-26-Q-0056 SOTP

Past Performance Data Questionnaire

PURPOSE:

This questionnaire is a key part of the Government's evaluation process for the solicitation referenced above. The information you provide will be used to evaluate the past performance of the contractor listed in Section I below. Your candid and timely feedback is greatly appreciated.

Offerors shall complete one (1) Past Performance Questionnaire per contract/order. The Government reserves the right to verify information provided and to contact references.

INSTRUCTIONS

To the Contractor (i.e., the company quoting on the new contract):

1. Completely fill out Section I of this form for a recent and relevant contract you have performed. A separate form is required for each past performance reference submitted.

a. Recent means the contract is currently active or was completed within five (5) years prior to the issuance date of this solicitation.

b. Relevant means the contract demonstrates similarity in the areas of product complexity, manufacturing scope, and contract magnitude.

2. Send this entire form (with Section I completed) to your point of contact (POC) at the client organization for that contract.

3. Instruct your client POC to complete Section II and Section III and submit the form directly to the U.S. Government Contracting Team listed below. To ensure the integrity and confidentiality of the past performance information, the contractor is strictly prohibited from receiving the completed PPQ from their client. Under no circumstances shall the completed questionnaire be returned to the contractor. A violation of this direct submission requirement may compromise the integrity of the evaluation process and may result in the contractor’s quotation being deemed ineligible for award.

To the Respondent (i.e., the Contractor’s previous client):

1. Please complete Section II and Section III of this questionnaire.

2. Your assessment should reflect the performance of the contractor identified in Section I on the referenced contract.

3. Completed questionnaires shall be submitted via email directly to both Government Points of Contact (POCs) identified below. Receipt of the completed questionnaire by the Government POCs is required no later than 4:00 PM Pacific Daylight Time (PDT) on April 30, 2026. Questionnaires received after this date and time are considered late and may not be evaluated. The information you provide will be treated as Source Selection Sensitive information and will not be disclosed outside of the evaluation team.

Name: Queen Idele Title: Contract Specialist Email: queen.e.idele.civ@us.navy.mil Name: Kyle Westover Title: Contracting Officer Email: kyle.d.westover.civ@us.navy.mil

SECTION I: CONTRACT IDENTIFICATION

(to be completed by the Contractor)

A. Contractor's Name:

B. CAGE Code of Contractor:

C. Contract Number:

D. Contract Title:

E. Provide a concise description of work performed. Include the following:

· Type of flight suits manufactured (e.g., CWU-27/P, custom aviation suits, flame-resistant garments)

· Materials used (e.g., Nomex®, flame-resistant blends)

· Quantity delivered

· Measurement and fitting requirements (on-site or remote) F. Period of Performance (mm/yyyy - mm/yyyy):

G. Total Contract Value:

H. Client Point of Contact:

a. Name:

b. Title:

c. Email:

d. Phone:

SECTION II: PERFORMANCE EVALUATION

(to be completed by the Respondent)

Please rate the contractor’s performance in each Evaluation Area below using the following scale:

A. Quality of Product

1. Conformance to technical specifications (Form)

2. Accuracy of tailoring to provided measurements (Fit)

3. Overall quality of workmanship and durability (Function)

4. Quality and authenticity of materials used (e.g., Nomex)

B. Schedule & Delivery

1. Timeliness of initial and subsequent deliveries

2. Adherence to turnaround times for alterations/repairs

3. Proactive management of schedule and deadlines

C. Contract & Business Management

1. Responsiveness and quality of communication

2. Effectiveness in problem resolution

3. Flexibility and ability to adapt to changes

4. Accuracy and timeliness of invoicing

D. Overall Performance

1. Overall assessment of this contractor’s performance:

NARRATIVE ASSESSMENT:

1. What were the contractor's primary strengths on this contract?

2. What were the contractor's primary weaknesses? Were corrective actions required, and were they effective?

3. Would you award another contract to this company for a similar requirement? Please explain why or why not.

SECTION III: RESPONDENT INFORMATION

(to be completed by the Respondent)

A. Name:

B. Title:

C. Organization:

D. Email:

E. Phone:

F. May the Government contact you? ☐ Yes ☐ No

This document is Source Selection Sensitive Information – See FAR 2.101 and 3.104-4