Attachment 9 Past Performance Questionnaire.docx

DOCX document 40 KB Posted

Attached to
Dry-dock (DD): USCGC ALEX HALEY FY26 Repair
Solicitation number
70Z08526QLREP0012
Issued by

About this file

This is a Past Performance Questionnaire template designed to evaluate contractor performance on federal contracts. The form requires respondents to provide overall contract information and identify the evaluator, including name, title, signature, address, telephone number, and email address. Evaluators assess contractor performance across 24 criteria using a five-point scale: Exceptional (E), Very Good (VG), Satisfactory (S), Marginal (M), and Unsatisfactory (U). Performance areas evaluated include management and personnel qualifications, quality control procedures, schedule adherence, problem-solving capabilities, responsiveness to changes, cost proposal accuracy, subcontractor payment timeliness, and overall cooperation with government personnel. The questionnaire also requires narrative explanations for any Unsatisfactory ratings and captures information regarding cure or show cause notices, willingness to award future contracts, and CPARS registration status.

This questionnaire is associated with solicitation 70Z08526QLREP0012 for the Dry-dock (DD) of USCGC ALEX HALEY FY26 Repair, issued by the Department of Homeland Security US Coast Guard. The solicitation closing date is 4 March 2026 at 4:00 pm Pacific Time. The form serves as an evaluation tool to assess the performance history of contractors bidding on or previously involved with Coast Guard maintenance and repair work, with the questionnaire appearing to reference past contract performance that would inform future award decisions.

View the file

Other files

File Type Posted
Amendment 007-Alex Haley DD.doc DOC document
AMENDMENT 006 - 70Z08526QLREP012.pdf PDF
AMENDMENT 005 - 70Z08526QLREP0012.pdf PDF
ALEX HALEY (WMEC 282) DD FY26 R5.pdf PDF
xEnclosure (1) Asbestos Survey 2025.pdf PDF
xLead Paint November 2012.pdf PDF
AMENDMENT 004 - 70Z08526QLREP0012.pdf PDF
ALEX HALEY (WMEC 282) DD FY26 R4.pdf PDF
AMENDMENT 003 - 70Z08526QLREP012.pdf PDF
AMENDMENT A002 - 70Z08526QLREP012.pdf PDF
Attachment 2 - ALEX HALEY (WMEC 282) DD FY26 R3.docx DOCX document
Amendment 001- Attch 2-Specification-ALEX HALEY-R2-10Feb2026.docx DOCX document
Amendment 001-Attachment 1 Pricing Sheet-10Feb2026.xlsx XLSX spreadsheet
Amendment 001-Alex Haley DD.doc DOC document
Attachment 7 Department of Homeland Security Non-Disclosure Agreement (NDA).pdf PDF
Attachment 8 Change Request Proposal Form.xlsx XLSX spreadsheet
Attachment 2 - Specification-Alex Haley DD.docx DOCX document
Attachment 5 Request for Clarifications.docx DOCX document
Attachment 4 Past Performance Information Form.docx DOCX document
Attachment 1 ALEX HALEY DD FY26 Price Sheet.xlsx XLSX spreadsheet
Solicitation-ALEX HALEY DD FY26-2FEB2026.docx DOCX document
Attachment 6 List of Government Property-Alex Haley.docx DOCX document
Attachment 3 - Consolidated List of References -Alex Haley DD.docx DOCX document
Show all 23

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 9 - Past Performance Questionnaire

OVERALL INFORMATION ON CONTRACT:

RESPONDENT INFORMATION:

Name of Respondent:

Title:

Signature of Respondent:

Address

Telephone Number:

Email Address:

PERFORMANCE INFORMATION

Choose the appropriate letter on the scale (E, VG, S, M, and U) that most accurately describes the Contractor’s performance or situation. Please provide a narrative explanation for any rating of U.

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the task and/or sub-task being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.
Performance meets contractual requirements. The contractual performance of the task and/or sub-task contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.
Performance does not meet some contractual requirements. The contractual performance of the task and/or sub-task being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginally effective or were not fully implemented.
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the task and/or sub-task contains a serious problem(s) for which the Contractor’s actions appear or were ineffective.

Place an “X” in the appropriate column using the definitions matrix above.

The Contractor has:
E
VG
S
M
U
1
Provided experienced managers and supervisors with the technical and administrative abilities needed to meet contract requirements.
2
Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period.
3
Delegated authority to project managers and supervisors commensurate with contract requirements.
4
Home office participated in solving significant local problems.
5
Followed approved quality control plan.
6
Provided effective quality control and/or inspection procedures to meet contract requirements.
7
Corrected deficiencies in timely manner and pursuant to their quality control procedures.
8
Provided timely resolution of contract discrepancies.
9
Identified problems as they occurred.
10
Suggested alternative approaches to problems.
11
Displayed initiative to solve problems.
12
Developed realistic progress schedules.
13
Met established project schedules.
14
Provided timely resolution of warranty defects.
15
Was responsive to contract changes.
16
Provided adequate project supervision.
17
Obtained consent of surety for increases in bonding as work-in-progress increased.
18
Paid subcontractors/suppliers in a timely manner.
19
Provided accurate and complete line-item cost proposals including all aspects of work required for each task.
20
Cooperated with Government personnel after award.
21
How would you rate the contractor's overall performance?
22
Was the Contractor ever issued a cure or show cause notice under the referenced contract? If yes, explain outcome in “remarks”.
Yes / No
23
Would you award another contract to this Contractor? If not, explain in “remarks”.
Yes / No
24
Is this Contractor rated in CPARS?
Yes / No

Remarks:

70Z08526QLREP0012

Attachment 9

File details come from the government source that posted it. Updated .