Attachment J.2 Past Performance Questionnaire.docx

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GPO TTP printed sleeves and Inserts
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040ADV-26-R-0004
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This is a Past Performance Questionnaire template designed by the U.S. Government Publishing Office (GPO) for evaluating contractor performance on completed federal contracts. The form is classified as Source Selection Sensitive Information under 41 U.S.C. 423 and is submitted by contractors to document their performance history.

The questionnaire requires contractors to provide basic contract information including contractor name and address, project name, contract number, contract date, period of performance, place of performance, completion date, contract value, and contract type. The evaluating organization representative (typically a Project Manager, COR, or other designated official) completes the assessment portion by rating contractor performance across nine criteria using a six-point scale: Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Observed. The evaluation categories include quality of products and services, overall performance, schedule adherence, technical requirements fulfillment, cost control, subcontracting compliance, customer satisfaction in routine matters, customer satisfaction in unexpected difficulties, and likelihood of repeat business. The form also requests narrative sections for the contractor's weak points, strong points, other completed projects, and average award fee percentage if applicable. This template is used as part of GPO's source selection process for evaluating past performance of potential contractors.

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Attachment J.2 Past Performance Questionnaire

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

U.S. Government Publishing Office Agency Acquisitions 732 North Capitol Street, NW Room A530, Stop: AS Washington, DC 20401

Email: Nataliya Holl at nholl@gpo.gov and Paige Menard at pmenard@gpo.gov

When complete, the information on this form is SOURCE SELECTION SENSITIVE INFORMATION (41 U.S.C. 423) and shall be protected accordingly.

TO BE COMPLETED BY CONTRACTOR

1. CONTRACTOR’S NAME AND ADDRESS:

3. CONTRACT NO.:

4. CONTRACT DATE:

5. PERIOD OF PERFORMANCE:

6. PLACE OF PERFORMANCE:

7. COMPLETION DATE:

8. CONTRACT $ VALUE:

2. PROJECT NAME:

9. TYPE OF CONTRACT:

10. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:

Please add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

11. NAME AND ADDRESS OF EVALUATING ORGANIZATION:

EVALUATOR’S NAME, POSITION DURING PROJECT EXECUTION (Project Manager/COR/Other)

EVALUATOR’S PHONE NUMBER

MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please check the response code for each topic that best reflects your experience with this Contractor:
EX = Exceptional VG = Very GoodS = SatisfactoryMG = Marginal US = Unsatisfactory N/O = Not Observed
Quality of Products and Services - Assess the Contractor’s conformance to contract requirements.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Overall Performance - Assess the Contractor’s overall performance for the project.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Schedule - Assess the timeliness of the Contractor against the schedule of activities (as appropriate).
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Technical Requirements - Assess the Contractor’s ability and capacity to fulfill the technical requirements of the contract.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Cost Control - Assess the Contractor’s willingness and ability to manage the contract budget and control costs.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Subcontracting - Assess the Contractor’s success at complying with subcontracting goals.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Customer Satisfaction - Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in ROUTINE matters.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Customer Satisfaction - Assess the Contractor’s responsiveness to customer concerns and “user friendliness” in UNEXPECTED DIFFICULTIES.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O
Repeat Business - Assess the likelihood that you would want this Contractor to perform another contract for you in the near future.
|_|EX|_|VG|_|S|_|MG|_|US|_|N/O

List Contractor’s Weak Points:

List Contractor’s Strong Points:

List any other projects this Contractor has completed for you:

If an award fee contract, what was the average award fee % earned?

File details come from the government source that posted it. Updated .