Attachment J-9 Past Performance Questionnaire.docx

9594CS26Q0025 - Attachment J-9 Past Performance Questionnaire 9594CS26Q0025 – Attachment J-9: Past Performance Questionnaire

PLEASE EMAIL THE COMPLETED QUESTIONNAIRE NO LATER THAN August 4, 2026 @ 11:59 PM (local Washington, DC time), TO: catherine.collins@csosa.gov .

1. The Contractor in A below has identified the Questionnaire Respondent as someone for whom the Contractor provided a service similar to the service requirement in paragraph 2.

2. The Contractor is submitting a quotation to the Court Service and Offender Supervision Agency (CSOSA) to provide a Personal Property Management System and maintenance and support services.

3. This Questionnaire should be completed by the individual most knowledgeable of the Contractor’s day-to-day operations and overall condition of the supplies/services provided under the referenced project/award. However, that individual is encouraged to supplement their knowledge of the Contractor’s performance with the judgement and observations of others within their organization, as applicable.

4. Handwritten responses are sufficient, however, please ensure responses are legible.

5. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just descriptive. Space for narrative comments is included on the last page of the questionnaire. If more space is required, additional pages may be added to this questionnaire. Please clearly identify which evaluation factor a narrative applies to.

6. As this questionnaire relates to an ongoing competitive solicitation for “Personal Property Management System”, we request that all information provided in this questionnaire be safeguarded against unauthorized disclosure.

A. CONTRACTOR/PROJECT INFORMATION: (Contractor requesting reference complete Section A)

Contractor Name:

Reference Contract Number:

Project Title or Brief Description of the Supplies/Services Provided by the Contractor under the Reference Project/Award:

B. QUESTIONNAIRE RESPONDENT INFORMATION:

Respondent Name: Title:

Respondent’s Phone #: Email:

Respondent’s Company/Agency Name:

Company Address:

CONTRACT PERFORMANCE INFORMATION:

1. What was the period of performance start and end dates for the Reference Contract:

From: To:

2. What was the total value of the Reference Contract?

3. In what capacity did the Contractor provide supplies/services to under the reference project/award?

Prime Contractor ______ Subcontractor ______ Key Person ________

4. Was the solution provided a cloud/Saas system? ____ Yes ___ No

5. Did the solution provided include data migration? ____ Yes ____ No

6. Please use the following Performance Scale to rate the Contractor’s performance on the Reference Contract, where a 6 is Exceptional and a 1 is Neutral. Please place the number that corresponds with the level of performance that you experienced/observed in the box on the right side of the performance criteria.

7. Please provide a narrative explanation for any ratings of 1, 2 or 3.

Performance Scale

Narrative Remarks: (Please include the corresponding question # in the remark):

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