Attachment IV- Past Performance Questionnaire.pdf

This is a Past Performance Questionnaire template used to collect feedback on contractor performance for completed or ongoing federal contracts and orders.

The questionnaire is structured in four main sections. Section 1 captures identifying information about the firm or agency providing feedback, including the project name, period of performance, contract type, award date, completion date, awarded value, and current contract dollar value. Section 2 requests details about the assessing official, including their name, email, phone number, their association with the firm being rated, and the contract or order number. Section 3 contains the core assessment component, requiring evaluators to rate the contractor across eight primary performance categories and two additional customizable areas using a six-point scale: Unsatisfactory, Marginal, Satisfactory, Very Good, Exceptional, and N/A. The eight mandatory assessment categories are Quality of Product or Service, Schedule, Cost Control, Business Relations, Management of Key Personnel, Reliability, Customer Support, and Overall Performance. Section 4 requires that supporting comments be provided for any ratings marked as Very Good or Exceptional. The form provides space for two additional performance areas to be evaluated at the discretion of the assessing official. This template is designed as a standardized tool for federal agencies and contractors to document and communicate performance history for use in source selection and evaluation processes.