Attachment C - Past Performance Questionnaire.docx
DOCX document 33 KB Posted
- Attached to
- Laundry & Dry-Cleaning Services
- Solicitation number
- 2031ZA26Q00131
About this file
This is a Past Performance Questionnaire template for the Bureau of Engraving and Printing (BEP) solicitation 2031ZA26Q00131 for Uniform Dry Cleaning Services for the BEP Police in Washington, DC. Offerors must submit questionnaires to a minimum of three assessors whose services were relevant to the requirement—defined as similar in size, scope, and complexity to the BEP's needs. The assessors must be current or historical personnel or organizations for which the offeror provided services within the three years preceding the Request for Quotation issuance date. Completed questionnaires must be submitted directly by the assessors (not the offeror) to marico.sellers@treasury.gov no later than 12:00 PM Eastern on Monday, August 31, 2026.
The questionnaire requires assessors to validate contract information provided by the offeror in Section II, including contractor name, contract number, contract type, contract value, period of performance, and project description. Assessors must then complete their evaluation in Section V, rating the contractor's performance across six categories—Customer Satisfaction, Schedule Performance, Management Performance/Program Management, Quality, and Cost—using a five-point scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory) plus a Not Applicable option. Assessors must identify their role in contract administration (such as Procuring Contracting Officer, Administrative Contracting Officer, Contract Specialist, Contracting Officer's Representative, or other relevant position) and provide their period of involvement. The questionnaire concludes with an assessment of overall contractor performance and whether the assessor would recommend awarding another contract to the contractor.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2031ZA26Q00131 0002.pdf | ||
| Attachment A - Pricing Schedule - 18 Aug 2026.xlsx | XLSX spreadsheet | |
| Laundry Dry-Cleaning Services - Request for Clarifications-Questions-Answers - 13 Aug 2026.pdf | ||
| Attachment C - Past Performance Questionnaire - 13 Aug 2026.docx | DOCX document | |
| 2031ZA26Q00131 0001_US (2).pdf | ||
| 2031ZA26Q00131 Solicitation.pdf | ||
| Attachment B - Wage Determination.pdf | ||
| Attachment A - Pricing Schedule.xlsx | XLSX spreadsheet |
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Text version
ATTACHMENT C: PAST PERFORMANCE QUESTIONNAIRE
Instructions:
· The Bureau of Engraving and Printing (BEP) requests recent past performance. Recent is defined as three (3) years from the date of Request for Quotation (RFQ) issuance.
· Offeror shall send the questionnaire to at least three (3) Assessors (personnel or organization) for which services were provided. Services must be relevant to BEP’s requirement. Relevant is defined as similar in size, scope, and complexity to the BEP’s requirement identified in the Performance Work Statement.
· Offeror shall complete Section II prior to submitting the questionnaire to Assessor(s).
· The Assessor(s) shall validate/confirm Section II information and complete Sections III and V.
· The Assessor(s), NOT THE OFFEROR, shall email the completed questionnaire to the contracting office point of contact no later than the date and time indicated below.
Message to the Assessor: Your assistance is requested by the BEP to assist with establishing the performance history for the Contractor named below. Please validate/confirm Section II information, complete Sections III and V, and sign the questionnaire. Completed questionnaire shall be emailed to marico.sellers@treasury.gov no later than 12:00 PM Eastern, on Monday, 31 August 2026.
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| 2031ZA26Q00131 |
| Project/Requirement |
| Uniform Dry Cleaning Services for the BEP Police in Washington, DC |
II. Current or Historical Contract Information Assessor: The performance data submitted by the Offeror is |_| correct or |_| incorrect.
Name of Company Reference is for: _____________________________________________________
CONTRACTOR NAME & ADDRESS:
Contract No
Type of Contract
| Initial |
| Final |
Contract Value
Period of Performance/Delivery Schedule
Project/Requirement Description
Please select from the following as it applies to this contract:
| Contracting Role |
| |_| PRIME |
| |_| SUBCONTRACTOR |
| Termination History |
| |_| Convenience |
| |_| Default |
| |_| N/A |
III. Assessor Information
Assessor Name
Title
Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement.
| Role |
| Period of Involvement |
Procuring Contracting Officer (PCO)
Administrative Contracting Officer (ACO)
Contract Specialist
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Manager
Quality Assurance Specialist
Defense Contract Audit Agency (DCAA) Auditor
Other:
IV. Evaluation Definitions
The following definitions should be used in your assessment of Contractor performance.
| EXCEPTIONAL |
| Contractor’s performance significantly exceeded most or all contract requirements. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective. |
| VERY GOOD |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective. |
| SATISFACTORY |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory. |
| MARGINAL |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element 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. |
| UNSATISFACTORY |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problems(s) for which the Contractor’s corrective actions appear or were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
V. Performance Evaluation
| Exceptional |
| Very Good |
| Satisfactory |
| Marginal |
| Unacceptable |
| N/A |
CUSTOMER SATISFACTION
The referenced contractor was responsive to the customer’s needs.
The contractor’s personnel were qualified to meet the requirements.
SCHEDULE PERFORMANCE
The contractor’s ability to ensure, to the extent of its responsibility, that all tasks were completed within the requested time frame.
Time required for vendor to respond to emergencies and service requests.
Timeliness in Meeting Milestones and deliverables (if applicable)
MANAGEMENT PERFORMANCE/PROGRAM MANAGEMENT
The contractor had a clear understanding of the tasks detailed in the Statement of Work/Performance Work Statement
The contractor’s ability to complete tasks correctly the first time.
The contractor’s ability to resolve problems/issues.
Was the contractor’s management effective in controlling cost, schedule and performance requirements?
QUALITY
What is your OVERALL assessment of the quality of the contractor’s performance? Were your specifications and expectations met by the contractor?
Quality of the finished product; please note any specific issues.
Conformance to Contract Requirements
Corrected deficiencies in a timely manner
Standards of Good Workmanship
COST
The contractor’s ability to accurately estimate cost.
COST/PRICE ESTIMATES—(ability to meet proposed costs and whether actual costs/rates realized reflect negotiated costs/rates)
INVOICING—accuracy and timeliness of submission
Based on this Contractor’s overall performance, would you award this Contractor another contract?
Yes________ No___________ If no, please explain:
General Comments:
| _________________________________ | ____________________ | |
| Assessor’s Signature | Date |
1 | Page 2031ZA26Q00131
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