Attachment 4 - Past Performance Questionnare.docx
DOCX document 28 KB Posted
- Attached to
- Wiring Harness Support Services Federal contract opportunity
- Solicitation number
- 70Z03826RK0000002
About this file
This is a Past Performance Questionnaire template that offerors must complete for the Wiring Harness Support Services solicitation (70Z03826RK0000002) issued by the U.S. Department of Homeland Security, U.S. Coast Guard. The questionnaire requires offerors to submit one form per relevant contract, with responses limited to three pages maximum per contract. Offerors must provide detailed information about each past performance reference, including the customer agency name and address, primary point of contact with phone number and email, contract type, period of performance, original and current contract values, and estimated completion value with explanations of any cost variances.
The questionnaire is structured into four sections requiring narrative responses: a brief description of effort highlighting relevance to the current acquisition; achievements demonstrating quality processes, awards, certifications, and customer satisfaction evidence through letters, metrics, or surveys; problems encountered and corrective actions taken, including quality deficiencies, discrepancy reports, cure notices, or disputes; and other relevant information. This template serves as Attachment 4 to the solicitation for a labor-hour contract supporting wiring harness services, anticipated to be awarded on or about May 15, 2026, to a qualified 8(a) Small Business.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| MOA - Mech II - Attachment 6.pdf | ||
| Attachment 3 - Statement of Work.pdf | ||
| Attachment 1 - Schedule of Services.xlsx | XLSX spreadsheet | |
| Attachment 4 - Past Performance Questionnare.pdf | ||
| Attachment 2 - Terms and Conditions.pdf | ||
| Attachment 5 - CBA.pdf |
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Text version
Attachment 4
Past Performance Questionnaire
The offeror shall use this sheet to provide recent and relevant Past Performance Information. A separate Past Performance Information Sheet shall be completed for each contract. The Past Performance Information Sheet shall be no more than three (3) pages in length for any contract (reference).
Offeror
Agency or Customer
Include:
(1) Address
(2) Point of Contact (POC)
(3) POC Phone Number
(4) POC Email
(The offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.)
Program Title or Contract Number
Contract Type
(Firm Fixed Price, Time and Material, etc.)
Period of Performance
Original Contract Value
Current Contract Value
Estimated Value at Completion If different from Original Contract Value, explain cost difference
Prime or Subcontractor on this effort?
A. Brief Description of Effort:
As a part of this narrative description, highlight portions considered most relevant to the current acquisition; addressing how and to what extent the proposed effort relates to the program identified above.
B. Achievements:
Use this space to address any aspect about this program considered unique. Describe quality awards or certifications that indicate the offeror possesses a high-quality process for developing and producing the product/service required. Provide any information currently available (letters, metrics, customer surveys, independent surveys, etc.) which demonstrates customer satisfaction with overall job performance and quality of completed product for same or similar type contract.
C. Problems Encountered and Corrective Actions:
The offeror may use this space to summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, cure notices, show cause letters, termination for default or cause, disputes, claims, latent defects; and, corrective actions taken for the contract listed above.
D. Other Information:
The offeror may use this space to provide any additional information relating to the contract.
File details come from the government source that posted it. Updated .