ATTACHMENT D PAST PERFORMANCE QUESTIONNAIRE

RETURN BY

INSTRUCTIONS FOR THE

PAST PERFORMANCE QUESTIONNAIRE

FOR OFFICIAL USE ONLY

CONTRACTOR INFORMATION (Information on the Company that you are evaluating)

A. Contractor Name:

B. Contractor's Address:

C. Point of Contact:

CONTRACT INFORMATION:

IN ORDER TO DETERMINE RELEVANCY AND RECENCY, THE

FOLLOWING DATA IS REQUIRED. FAILURE TO PROVIDE THIS

INFORMANTION MAY RENDER THE PROPOSAL UNRESPONSIVE.

A. CONTRACT NUMBER:

B. CONTRACT TYPE:

C. AWARD DATE:

D. PERIOD OF PERFORMANCE:

E. TOTAL CONTRACT DOLLAR AMOUNT INCLUDING

OPTIONS, IF APPLICABLE: $________________

F. SCOPE: PLEASE INCLUDE A BRIEF DESCRIPTION OF THE

SERVICES PERFORMED TO DETERMINE SIMILARITY OF

SCOPE.

PAST PERFORMANCE QUESTIONNAIRE

OCT 28, 2026; 12:00PM CT

ATTACHMENT D–PAST PERFORMANCE QUESTIONNAIRE

RETURN BY 12P CT, Wed., Oct. 28, 2026

FOR OFFICIAL USE ONLY

1. Please complete this questionnaire based on the following guidance:

a. For each question please circle one rating as defined below. Please circle "N" if you are unable to provide a rating for an area. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:

Rating Definition Outstanding (O) High Confidence Based on the offeror’s performance record, no doubt exists that the offeror will successfully perform the required effort.

Excellent (E) Significant Confidence Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

Satisfactory (S) Confidence Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required effort.

Neutral (N) Unknown Confidence No performance record identifiable (see FAR 15.305(a)(2)(iii) and (iv)).

Marginal (M) Little Confidence Based on the offeror’s performance record, substantial doubt exists that the offeror will successfully perform the required effort. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements.

Unsatisfactory (U) No Confidence Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required effort.

b. Handwritten remarks are encouraged. Space is provided at the end of the survey. If more space is needed, please provide information of a separate sheet of paper.

c. You are urged to supplement your own knowledge of the contractor's performance with the judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, we solicit your comments on other contracts/programs that your activity has with this offeror.

2. Please return completed questionnaire by e-mail to:

Wednesday, Oct. 28, 2026; 12:00 p.m. CT rene.impey@va.gov

ATTACHMENT D PAST PERFORMANCE QUESTIONNAIRE

RETURN BY 12PM CT, Wed, Oct. 28, 2026

PAST PERFORMANCE QUESTIONNAIRE

FOR OFFICIAL USE ONLY

QUALITY OF SERVICE

1. Contractor's compliance with contractual terms and conditions. O E S N M U

2. Quality of contractor furnished reports/deliverables. O E S N M U

3. Overall rating of contractor's commitment to providing quality service. O E S N M U

4. Contractors ability to meet standards specified for performance. O E S N M U

5. Overall rating of contractor's quality of service. O E S N M U

TIMELINESS OF PERFORMANCE

1. Contractor's ability to meet specific response times and scheduled O E S N M U time frames for completion of specific tasks.

2. Contractor's responsiveness/timeliness for providing administrative O E S N M U reports/documents required by the contract.

3. Contractor's timeliness in responding to emergency service requirements. O E S N M U

4. Overall rating of contractor's responsiveness/timeliness. O E S N M U

BUSINESS RELATIONS

1. Contractor's ability to identify problems and potential problems and O E S N M U promptly notify the Contracting Officer.

2. Contractor's ability to correct problems and prevent or mitigate potential O E S N M U problems in a timely manner.

3. Contractor's willingness to improve and correct noncompliance issues O E S N M U or concerns.

4. Extent to which the contractor has demonstrated reasonable and cooperative O E S N M U behavior.

5. Contractor's ability to use effective approaches and provide technical O E S N M U expertise and resources to solve contract problems.

6. Contractor's working relationship with the Contracting Officer, O E S N M U

ATTACHMENT D– PAST PERFORMANCE QUESTIONNAIRE

RETURN BY 12PM CT, Wed, Oct 28, 2026 quality assurance personnel, and customers.

7. Contractor's flexibility in satisfying the requirements of its customers. O E S N M U

8. Extent to which the contractor provided prompt and courteous O E S N M U service when responding to customer complaint.

9. Overall rating of customer satisfaction. O E S N M U

10. Overall rating of business relations. O E S N M U

MANAGEMENT OF KEY PERSONNEL

1. Contractor's ability to select and retain cooperative and effective O E S N M U key personnel, such as the contract manager and quality control personnel.

2. Extent key personnel were knowledgeable about contractual O E S N M U requirements.

3. Contractor's ability to meet appropriate staffing levels with qualified O E S N M U personnel in order to provide required services.

4. Contractor's ability to effectively manage subcontracts. O E S N M U

5. Overall rating of contractor's management of key personnel. O E S N M U

REMARKS CONCERNING CONTRACTOR’S OVERALL PERFORMANCE:

RESPONDENT’S PRINTED NAME: ____________________________________________

RESPONDENT’S TITLE: _____________________________________________________

RESPONDENT’S SIGNATURE: ________________________________________________

RESPONDENT’S PHONE NUMBER: ___________________________________________

FOR OFFICIAL USE ONLY

THANK YOU FOR TAKING THE TIME TO COMPLETE AND RETURN THIS QUESTIONNAIRE!