2.2.1 APPENDIX A - Past Performance Questionnaire.docx
DOCX document 19 KB Posted
- Solicitation number
- 70FBR725Q00000003
- Issued by
-
Federal Emergency Management Agency
About this file
The document is a Past Performance Questionnaire template designed to capture contractor performance details for federal contract evaluations. The template includes fields for company information, contract specifics, contract value, performance period, complexity of work, and evaluation factors such as quality of service, timeliness of delivery, and overall customer satisfaction. The form allows the reference agency to provide ratings and comments on a contractor's performance, with space to indicate whether they would recommend the contractor for future work.
The related federal contract opportunity is a FEMA solicitation (70FBR725Q00000003) for Armed Security Guards within Missouri for disaster declaration DR-4867 MO. The procurement is a 100% Small Business set-aside specifically targeting businesses in 18 Missouri counties, with a NAICS code of 561612 and a small business size standard of $29,000,000. The contract will be a labor hour contract with a base 90-day period and three 90-day option periods. Quotes are due by June 3, 2025, at 4:00 pm CT, with contractors required to submit fully burdened fixed labor hour rates based on Department of Labor category 27102 Guard II, and must have an active SAM registration to be considered for award.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
| 1. Company/Contractor Being Referenced: |
| 2. Solicitation/Contract Number: |
| 3. Address: | |
| 4. Contract Type: | |
| |_| | Firm Fixed Price |
| |_| | Cost Reimbursement |
| |_| | Other (Please Specify) |
| 5. Agency/Company Completing Reference: |
| 6. Agency/Company POC, Phone & Fax: |
7. Period of Performance:
8. Overall Contract Value: $
9. Title of Contract:
10. Description of Contract Service:
11. Complexity of Work: Difficult: |_| Routine: |_|
NOTE: Please use adjectival ratings from attached sheet.
| 12. Evaluation Factor |
| 13. Rating |
| 13. Comments (Attach additional sheets, if necessary.) |
a. Quality of Service
b. Timeliness of Delivery
c. Overall Customer Satisfaction
15. Would you select this company/contractor again? Please explain. (Attach additional sheet if necessary.)
16. Name & Date:
17. Title:
File details come from the government source that posted it. Updated .