Attachment 4 - Past Performance Questionnaire.pdf

FY26 Nellis Custodial

PAST PERFORMANCE QUESTIONNAIRE

Business being evaluated:

Past Performance under Contract/Project Number:

This past performance questionnaire will be used to evaluate the above corporation in its offer to the USAF for 99 CES Custodial Services contract at Nellis Air Force Base. Please complete the following questions as thoroughly as possible.

1. Did the company in question perform as the prime contractor or subcontractor?

[ ] Prime [ ] Subcontractor If subcontractor, please describe the frequency/type of interaction you held with company:

2. Description of services/product provided (if subcontractor, please describe only their specific role in the project):

3. Contract Value (if subcontractor, please only indicate amount actually performed by sub):

4. Period of Performance (if subcontractor, please indicate POP of sub’s portion of project):

From:

INSTRUCTIONS – After commenting, please score in column on the right using the rating scale defined below:

PERFORMANCE CONFIDENCE ASSESSMENTS

Rating Description

SUBSTANTIAL

CONFIDENCE

(5)

Based on the offeror’s performance record, there is a high expectation that the offeror will successfully perform the required effort.

SATISFACTORY

CONFIDENCE

(4)

Based on the offeror’s performance record, there is an expectation that the offeror will successfully perform the required effort.

LIMITED CONFIDENCE

(3)

Based on the offeror’s performance record, there is a low expectation that the offeror will successfully perform the required effort.

NO CONFIDENCE

(2)

Based on the offeror’s performance record, there is no expectation that the offeror will be able to successfully perform the required effort.

UNKNOWN CONFIDENCE

(1) No performance record is identifiable or the offeror’s performance record is so sparse that no confidence assessment rating can be reasonably assigned.

1. Address the contractor’s ability to recruit and maintain qualified personnel. Please specifically address turnover.

Rating

2. Address the contractor’s overall technical performance on this task order.

3. Address the contractor’s overall management performance on this task order.

4. Address the contractor’s compliance with and ability to maintain performance standards.

5. Address the effectiveness of the contractor’s quality control systems.

6. Address the contractor’s proactive resolution of quality issues.

7. Address your experience with the contractor’s invoicing practices (problems? overbilling? Inaccuracies?)

8. Rate the contractor’s overall performance.

9. Do you know of any other source that has knowledge of this contractor’s performance on similar work?

Name/Company:

Telephone No.:

Evaluator’s Name/Organization:

Signature and Date: Phone/e-mail address:

Thank you for your time and cooperation.

Please return this completed questionnaire to:

ATTN: Addlene Williams

99 CONS/PKC

Nellis AFB, NV 89191 E-mail: addlene.williams.6@us.af.mil mailto:addlene.williams.6@us.af.mil