Attachment_E_-_Past_Performance_Questionnaire_NWS_Southern_Region_WFO_Emergency_Power_Generator_Replacement_(To_Be_Completed).docx

PAST PERFORMANCE QUESTIONNAIRE

Instructions to Person Providing Reference:

In order to assess potential vendors under Solicitation No. 1305M426Q0048 - NWS Southern Region WFO Emergency Power Generator Replacement (Multiple Site), the Department of Commerce (DOC), National Oceanic and Atmospheric Administration (NOAA), Acquisition and Grants Office (AGO), Corporate Services Acquisition Division (CSAD) is obtaining past performance information with respect to each Offeror. As a reference for work performed by the firm identified, your candid response will assist in the evaluation process. The questionnaire must be completed and submitted to the Contracting Officer noelle.albert@noaa.gov no later than 12:00 PM Eastern Standard Time (EST) on September 4, 2026. The subject line in the submission email shall clearly indicate: “1305M426Q0048– Past Performance Questionnaire Submission for <Company Name>”, and the message shall originate from the reference’s government or commercial email address.

In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. Your input into this evaluation is greatly appreciated. NOAA encourages references to provide substantive comments to support their ratings. If you have questions regarding this questionnaire or require assistance, please submit inquiries to noelle.albert@noaa.gov.

Sincerely, Noelle Albert Contracting Officer

ASSESSMENT

TO BE COMPLETED BY EVALUATOR (PERSON PROVIDING REFERENCE)

PART I: REFERENCE INFORMATION

NAME & TITLE:

ORGANIZATION (INCLUDING AGENCY AND/OR COMPANY):

CONTRACT ROLE (e.g. CO, COR, PM):

ADDRESS:

PHONE NUMBER:

FAX NUMBER:

E-MAIL:

PART II: INFORMATION ABOUT PROJECT/CONTRACT FOR WHICH REFERENCE IS REQUESTED

CONTRACTOR NAME:

TITLE OF PROJECT FOR WHICH REFERENCE IS REQUESTED:

PROCUREMENT VEHICLE (e.g. CONTRACT/ORDER/SUBCONTRACT/OTHER):

TYPE OF CONTRACT (e.g. NEGOTIATED, SEALED BID):

DATE OF AWARD:

DOLLAR VALUE:

PERIOD OF PERFORMANCE (INCLUDING OPTIONS):

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating:

· Exceptional: Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated 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 evaluated 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 subelement 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 evaluated 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 a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Very Good

Satisfactory

1. QUALITY OF PRODUCT OR SERVICE

Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship (e.g. commonly accepted technical, professional, environmental, or safety and health standards).

Substantive Comments:

2. SCHEDULE

Assess the timeliness of the Contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or affect the schedule).

Substantive Comments:

3. COST CONTROL

Assess the contractor’s effectiveness in forecasting, managing, and controlling cost.* *Cost Control – not required for Firm Fixed Price (FFP). If FFP please extend N/A in the comments box.

Substantive Comments:

4. BUSINESS RELATIONS

Assess the integration and coordination of all activities needed to execute the contract, specifically the timeliness, completeness, and quality of problem identification, corrective action plans, proposal submittals, the contractor’s history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award, and management of subcontractors.

Substantive Comments:

5. MANAGEMENT OF PERSONNEL Assess the contractor’s performance in selecting, retaining, supporting, and replacing personnel.

Substantive Comments:

6. UTILIZATION OF SMALL BUSINESS

FAR Subpart 19.7 and 15 U.S.C. 637 contains statutory requirements for complying with the Small Business Subcontracting Program. Assess whether the contractor provided maximum practicable opportunity for small business to participate in contract performance consistent with efficient performance of the contract.* *Not required for Small Businesses.

Substantive Comments:

7. ADDITIONAL COMMENTS YOU WOULD LIKE TO SHARE:

SIGNATURE: ________________________________________________________________

DATE: ________________________

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