Attachment 0036 - Past Performance Questionnaire.docx
DOCX document 40 KB Posted
- Solicitation number
- W519TC-26-R-00003
About this file
This is a Past Performance Questionnaire template used by the U.S. Army to evaluate offerors' historical performance on same or similar federal, state, local government, or commercial contracts during competitive source selection. Respondents identified as points of contact must complete and return the questionnaire within 15 days of receipt to the designated Contracting Officer/Specialist email address. The questionnaire requests candid, factual, and accurate information critical to federal contract award decisions.
The evaluation section requires respondents to rate contractor performance across six categories using a four-tier rating scale: Substantial Confidence, Satisfactory Confidence, Limited Confidence, and No Confidence. These categories assess compliance with specifications and workmanship standards, project management effectiveness (including subcontractor control), timeliness of service and product deliverables, cost forecasting and control on cost-reimbursement contracts, commitment to customer satisfaction, and general performance comments. Each rating must include detailed rationale. The questionnaire also requests identification of other relevant past performance contacts and requires respondent organizational information for verification purposes. This is a template document designed for use across multiple solicitations with fields for command letterhead, solicitation numbers, NAICS codes, and contracting office details to be customized for specific procurement actions.
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Text version
Past Performance Questionnaire – Cover Letter
(Insert Command Letterhead)
(Insert Date)
SUBJECT: Offeror Past Performance Questionnaire in Support of Request for Proposal (RFP) (Insert Solicitation Number)
Dear Sir/Ma’am, The US Army (insert command) is currently conducting a competitive source selection to evaluate offerors on the subject RFP. As part of this evaluation, we have requested that the offerors provide information about their past performance on same or similar federal, state, or local government or commercial contracts as compared to the North American Industry Classification System [NAICS] (insert NAICS). You have been identified as the point of contact cited on the enclosure.
Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosure and return to the (insert Contracting Office and address), no later than 15 days after receipt of request or (insert date), whichever occurs first. Submit your completed questionnaire to (insert Contracting Officer/Specialist’s email address).
Your cooperation is greatly appreciated. Questions may be directed to the undersigned at (insert telephone number and/or email address).
Sincerely, (Insert name) Contracting Officer
Past Performance Questionnaire
Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does (and/or) notify the Contracting Officer. Please return the completed Questionnaire to the Contracting Officer identified in the cover letter within the stated timeframe.
Rating Definitions:
Substantial Confidence: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective. The offeror has been highly successfully in performing the required effort.
Satisfactory Confidence: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective. The offeror has successfully performed the required effort.
Limited Confidence: Performance does not meet some contractual requirements. Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions or the corrective actions taken appear only marginally effective. The offeror has had little success performing the required effort.
No Confidence: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective. The offeror has not successfully performed the required effort.
PART I. (To be completed by the Offeror)
A. CONTRACT IDENTIFICATION
Contractor/Company Name/Division:
Address:
Program Identification/Title:
Contract Number:
Contract Type:
Prime Contractor Name (if different from the contractor name cited above):
Contract Award Date:
Forecasted or Actual Contract Completion Date:
Nature of the Contractual Effort or Items Purchased:
Total Contract Value:
B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE
Name:
Title:
Date:
Telephone Number:
E-mail Address:
PART II. EVALUATION (To be completed by Point of Contact – Respondent) *Note: rationale is required for each response.
A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship
· Substantial Confidence
· Satisfactory Confidence
· Limited Confidence
· No Confidence
Rationale: _________________________________________________________
B. Effectiveness of Project Management (to include use and control of subcontractors).
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
C. Timeliness of Performance for Services and Product Deliverables.
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only).
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest
· Limited Confidence
· No Confidence
Rationale: __________________________________________________________
F. General Comments. Provide any other relevant performance information.
Comments: _________________________________________________________
G. Other Information Sources. Please provide the following information:
Are you aware of other relevant past efforts by this company?
If yes, please provide the name and telephone number of a point of contact:
Point of Contact (Name): __________________________________________ Telephone Number: ______________________________________________
H. Respondent Identification. Please provide the following information:
Organization:
Name:
Title:
Date:
Telephone Number
E-mail Address:
PART III. RETURN INFORMATION
Please return this completed Questionnaire to the Contracting Officer identified in the cover letter.
Thank you for your assistance.
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