A23 Attachment 6 Past Performance Questionnaire.docx

This is a Past Performance Questionnaire for the U.S. Department of Defense (DoD), Washington Headquarters Services (WHS), Acquisition Directorate (AD) to obtain past performance information on the contractor listed below. Please note that a Client Authorization Letter should have accompanied this PPQ. Your information was provided from the contractor listed in Section 1 – Contract Data.

Information obtained from this questionnaire is solely to evaluate the contractor’s past performance history to assist WHS AD in determining the best value for award of a contract resulting from solicitation HQ003425RE149. Your participation in this questionnaire is greatly appreciated.

Instructions: To complete the past performance questionnaire sheet A. The offeror shall complete the following sections:

1. Section 1 – Contract Data

2. Forward this Past Performance Data Sheet along with a Client Authorization Letter to the evaluator.

B. The evaluator shall complete the following sections:

1. Section 2 – Administrative Information

Section 3 – Description of Services

Section 4 – Evaluation Factors

Use the RATINGS on Page 4 to complete your evaluation of the Offeror.

Evaluate and assign a rating for Quality of Service, Schedule, Cost Control, Business Relations, Management of Key Personnel, Utilization of Small Business, and Customer Satisfaction.

Include a narrative for each rating; if you require additional space, continue your narrative on a blank sheet. To avoid a follow-up request for additional information, please provide as much information as possible.

2. Return the questionnaire to Government organization mailbox as indicated in the Client Authorization Letter by Wednesday, May 20, 2026, 12:00 PM (EST) to whs.pentagon.ad.mbx.fomb@mail.mil.

Questions:

If you have any questions about completing this form, please contact Egzi Tamrat, Contract Specialist, at egziakulu.tamrat.civ@mail.mil.

ATTACHMENT - Solicitation Number # HQ003426RE025 Facility Environmental Compliance, Planning, and Resiliency Technical Support Past Performance Questionnaire Sheet (Note: Offerors must use this form, and are not to change the spatial structure of this form, i.e. borders, block size, etc.)

SECTION 1: CONTRACT DATA

Contract Number:

Contractor Name:

Contract Title:

Contractor Address:

Contract Value:

Contractor UEI:

Contract Type:

Contract Award Date:

Agency/Org. Name:

Reporting Period (Start):

Place of Performance:

Reporting Period (End):

SECTION 2: ADMINISTRATIVE DATA

Evaluator’s Name:

Contracting Officer/Admin.:

Phone:

Phone:

Fax:

Fax:

Email:

Email:

Title:

Evaluator’s Title:

Length of time overseeing the subject contract:

SECTION 3: DESCRIPTION OF SERVICES

Please provide a brief description of the services provided.

RATINGS

The following ratings and definitions apply to the Quality of Product or Service, Schedule, Cost Control, Business Relations, and Management of Key Personnel factors:

identified.

taken by the contractor was effective.

To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.

than Satisfactory solely for not performing beyond the requirements of the contract.

contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).

reports, or letters).

SECTION 4: EVALUATION FACTORS (TO BE COMPLETED BY REFERENCE)

1. Quality of Product or Service. Assess the Contractor's conformance to contract requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards).

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

2. Schedule. Assess the timeliness of the Contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or effect the schedule variance).

This assessment of the Contractor's adherence to the required delivery schedule should include the Contractor's efforts during the assessment period that contributes to or effect the schedule variance. This element applies to contract closeout activities as well as contract performance. Instances of adverse actions such as the assessment of liquidated damages, or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract schedule and should therefore be noted in the evaluation.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

3. Cost Control (Not required for Firm Fixed Price or Firm Fixed Price with Economic Price Adjustment). Assess the Contractor's effectiveness in forecasting, managing, and controlling contract cost.

For example, does the Contractor keep within the total estimated cost (what is the relationship of the negotiated costs and budgeted costs to actuals)? Did the Contractor do anything innovative that resulted in cost savings? Were billings current, accurate and complete? Are the Contractor's budgetary internal controls adequate?

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

4. Business Relations. Assess the integration and coordination of all activity needed to execute the contract, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the contractor's history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

5. Management of Key Personnel (For Services and Information Technology Business Sectors only - Not Applicable to Operations Support). Assess the Contractor's performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

6. Customer Satisfaction

Was the contractor committed to customer satisfaction?

Yes

No

Would you recommend the selection of this firm again?

Yes

No

Provide comments on Customer Satisfaction: