Attachment 3 - Past Performance Questionnaire.pdf
PDF 244 KB Posted
- Attached to
- Laurel Fulfillment Services
- Solicitation number
- 040ADV-26-R-0017
- Issued by
-
Government Publishing Office
About this file
This is a Past Performance Questionnaire template issued by the U.S. Government Publishing Office (GPO) Acquisition Services for use in evaluating contractor performance on completed contracts.
The questionnaire is designed to be completed in two sections: the contractor section collects basic contract information including contractor name and address, contract number, contract date, period of performance, place of performance, completion date, contract value, project name, and type of contract, along with a description of the project's key characteristics. The evaluating organization section requires the customer reference to provide the evaluating organization's name and address, the evaluator's name, position during project execution (Project Manager, Contracting Officer's Representative, or other), phone number, and the number of months the evaluator monitored performance. Completed questionnaires must be submitted via email to Contracting Officer Troy White (twhite@gpo.gov) and Contract Specialist Michaela Farmer (mfarmer@gpo.gov). The evaluator must rate the contractor using a standardized response code (EX=Exceptional, VG=Very Good, S=Satisfactory, MG=Marginal, US=Unsatisfactory, N/O=Not Observed) across nine performance categories: quality of products and services, overall performance, schedule adherence, technical requirements fulfillment, cost control, subcontracting compliance, customer satisfaction in routine matters, customer satisfaction in unexpected difficulties, and likelihood of repeat business. The form also includes fields for listing contractor weak points, strong points, other completed projects, and average award fee percentage if applicable. The completed information is classified as source selection sensitive information under 41 U.S.C. 423 and must be protected accordingly.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 3 Past Performance Questionnaire
Past Performance Questionnaire
ORGANIZATION’S PERFORMANCE QUESTIONNAIRE
U.S. Government Publishing Office Acquisition Services 732 North Capitol Street, NW Room A530, Stop: AS Washington, DC 20401
When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.
TO BE COMPLETED BY CONTRACTOR
1. CONTRACTOR’S NAME AND
ADDRESS
3. CONTRACT NO.:
CONTRACT DATE:
4. PERIOD OF PERFORMANCE:
4. PLACE OF PERFORMANCE:
5. COMPLETION DATE:
6. CONTRACT VALUE $
2. PROJECT NAME: 7. TYPE OF CONTRACT:
8. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:
Please add a continuation page if additional space is necessary.
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
9. NAME AND ADDRESS OF EVALUATING ORGANIZATION:
EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other)
Customer references shall submit this completed questionnaire via email to the Contracting Officer, Troy White (twhite@gpo.gov) and Contract Specialist, Michaela Farmer (mfarmer@gpo.gov).
Attachment 3 Past Performance Questionnaire
EVALUATOR’S PHONE NUMBER MONTHS PERFORMANCE MONITORED BY
EVALUATOR:
Please check the response code for each topic that best reflects your experience with this Contractor:
EX = Exceptional VG = Very Good S = Satisfactory MG = Marginal US = Unsatisfactory N/O = Not Observed Quality of Products and Services- Assess the Contractor’s conformance to contract requirements.
EX VG S MG US N/O
Overall Performance- Assess the Contractor’s overall performance for the project.
EX VG S MG US N/O
Schedule- Assess the timeliness of the Contractor against the schedule of activities (as appropriate).
EX VG S MG US N/O
Technical Requirements- Assess the Contractor’s ability and capacity to fulfill the technical requirements of the contract.
EX VG S MG US N/O
Cost Control- Assess the Contractor’s willingness and ability to manage the contract budget and control costs.
EX VG S MG US N/O
Subcontracting- Assess the Contractor’s success at complying with subcontracting goals.
EX VG S MG US N/O
Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.
EX VG S MG US N/O
Customer Satisfaction- Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.
EX VG S MG US N/O
Repeat Business- Assess the likelihood that you would want this Contractor to perform another contract for you in the near future.
EX VG S MG US N/O
List Contractor’s Weak Points:
List Contractor’s Strong Points:
List any other projects this Contractor has completed for you:
If an award fee contract, what was the average award fee % earned?
Past Performance Questionnaire
File details come from the government source that posted it. Updated .