Questionaire 2026 01 09 IRS Memphis TN Roofs Fire Alarm and Electrical Breakers Past Performance Reference.pdf

PAST PERFORMANCE REFERENCE QUESTIONNAIRE

The (Contractor Name) is currently in the process of preparing a proposal for the General Services Administration, Public Building Service, Solicitation Number (47PE0325R0007). As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.

Please complete this Questionnaire and e-mail to Contract Specialist, e-mail: dellice.mcelroy@gsa.gov or the Contracting Officer, email: joseph.ardoin@gsa.gov. This Questionnaire is due to Dellice McElroy or Joseph Ardoin III no later than February 2, 2026, 4:00 PM EST

If you will not be available for the verification of this past performance evaluation, please indicate another POC for the Contacting Officer/ Contract Specialist to contact.

Alternate POC name:

Alternate POC phone number:

Alternate POC e-mail address:

NAME OF OFFEROR:

Phone: Fax:

E-Mail:

I. Current or Historical Contract

Information CONTRACT REFERENCED:

1. Contract or Identifying Number:

2. Contract Value:

3. Period of Performance:

4. Brief description of services provided:

5. Name of Person Completing Questionnaire:

Agency/Company:

Title: Phone:

E-mail:

II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Evaluation Definitions – The following definitions should be used in the assessment of Contractor performance.

EXCEPTIONAL Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

SATISFACTORY Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

MARGINAL Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.

UNSATISFACTORY Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

NOT APPLICABLE (N/A) Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Past Performance Evaluation

Question 1. Performance

What is your assessment of the Contractor’s ability to meet your requirements?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Performance

Comments, if any.

Questions 2 and 3. Timeliness

What is your assessment of the Contractor’s ability to provide products in a timely manner?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Timeliness

Ability to Resolve Timeliness Problems

Question 4. Quality of Workmanship

What is your assessment of the Contractor’s ability to meet requirements of workmanship (including quality of work and overall quality of the delivery of services)?

Exceptional Very Good Satisfactory Marginal Unsatisfactory N/A

Quality of Work

Question 5. Overall Rating of Contractor’s performance

What is your overall rating of the Contractor's performance (requirements, schedule, and price) on the contract being assessed?

Exceptional Very Good Satisfactory Marginal Unsatisfactory

General Comments: