47QFAA24R0004_T10_08d_Attachment 7_Past Performance Questionnaire and Reference Sheet_2024-06-10.docx

ATTACHMENT 7

PAST PERFORMANCE QUESTIONNAIRE

A. GENERAL INFORMATION: One questionnaire should be completed for each past performance reference.

Contractor’s Name: _______________________________ Address: _______________________________ Point of Contact: ____________________________________________ Contract Number/Project Title: ____________________________________________ Contract Type: __________________________________________________ Dollar Value: _____________________ Period of Performance: ___________________________

Did Contractor perform as the Prime Contractor or Sub-Contractor:

Brief narrative describing the nature and complexity of the work performed:

B. PERFORMANCE INFORMATION: Choose from the rating below the number on the scale of 1 to 5 that most accurately describes the contractor’s performance or situation.

C. RESPONDENT INFORMATION: To be completed by the customer performing the evaluation.

Name of Respondent: ___________________________ Title: ________________________________________ Address: _______________________ Telephone Number: ___________________

Comments:

Comments:

Comments:

Comments:

Comments:

Comments:

Comments:

* Not applicable to Operations Support

Given what I know today about the Contractor's ability to execute what they promised in their proposal, I (pick the following: definitely would not, probably would not, might or might not, probably would , definitely would) award to them today given that I had a choice.

PAST PERFORMANCE REFERENCE INFORMATION SHEET

to be returned by 7/17/2024 3:00pm CST to Mary Traylor

Provide information related to past performance references for which like/similar to the PWS requirements that have been performed by the offeror, per the instructions in the solicitation. If there is a completed Contractor Performance Assessment Rating (CPAR) for the contractual action in the Past Performance Information Retrieval System (PPIRS), the Government will pull the finalized CPARS from PPIRS to utilize in the review in support of the vendor’s past performance, as past performance is an official factor in the award decision, per the solicitation guidelines.

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes.)

B. Program Title: _______________________________________________________

C. Contract Specifics:

1. Contracting Agency or Customer ___________________________________________

2. Contract Number_________________________________________________________

3. Contract Type____________________________________________________________

4. Period of Performance ____________________________________________________

5. Total Contract $ Value ____________________(Total cost to include all options)

6. Current Contract $ Value ____________________ (Do not include unexercised options)

7. PP Assessment Report is ____ IN ___ IS NOT IN CPARS.

8. COMPLETED CPARS ____IS or ____ IS NOT in PPIRS.

9. Date CPARS was Completed: _______________________________________________

D. Brief Description of Effort as __Prime or __Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)

E. Milestones:

F. Primary Customer Points of Contact: (For Government contracts provide current information on both individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

Office

Address

Telephone

E-Mail