Attachment 4 - Past Performance Questionnaire.pdf
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- Solicitation number
- 70Z03827QL0000005
About this file
This is a Past Performance Questionnaire template used by the U.S. Coast Guard to evaluate contractor performance on relevant previous contracts. The form is designated as Attachment 4 to solicitation 70Z03827QL0000005 and serves as Appendix C to the solicitation documents.
The questionnaire requires offerors to provide comprehensive information about past contract performance with specific customers. Offerors must supply their company name, CAGE code, and detailed customer information including the customer's business name and a point of contact (with name, email address, and phone number) who can be contacted by USCG past performance evaluators. For the contract itself, offerors must document the contract number, value, start date, and completion date. The form requires a detailed narrative description of work performed, including specific information about equipment overhauled, quantities delivered, required delivery schedules, on-time delivery performance, and reasons for any late deliveries. Additionally, offerors must describe any quality issues that occurred during contract performance and provide a narrative explanation of how those issues were identified, handled, and resolved. This template is designed to enable the Coast Guard to assess contractor reliability, quality management, and schedule adherence based on documented past performance history.
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Text version
Attachment 4
70Z03827QL0000005
Past Performance Questionnaire (Appendix C)
Name of Offeror: __________________________________ Cage Code: ____________
Provide a Customer Business Name: __________________________________________
Provide the Customer Point of Contact (POC) Name and Information so that they can be contacted by the USCG past performance evaluator(s).
Name: __________________________________________________________________
Customer POC Email Address: ______________________________________________
Customer POC Phone Number: ______________________________________________
Contract Information (tell us about the contract between you and your customer):
Contract Number: ________________________ Contract Value $_________________
Contract Duration: Start Date ______________ Completion Date _________________
Describe the work performed for your customer under the above contract and include what equipment was overhauled, quantities, required delivery schedules and if Deliveries were made on time. Provide reason for Late Deliveries.
QUALITY ISSUES AND RESOLUTIONS
Describe any quality issues on the contract and how they were handled and resolved (provide a narrative):
Past Performance Questionnaire (Appendix C)
File details come from the government source that posted it. Updated .