Attachment J.2 Past Performance Questionnaire.docx

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Attached to
GPO procurement of Uniforms, Lab Coats, and Supplies, to include laundering with pick-up and delivery services
Solicitation number
040ADV-24-R-0035
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This document is a Past Performance Questionnaire to be completed by an evaluating organization representative regarding a contractor's performance on a previous contract. It covers topics such as quality of products and services, overall performance, schedule, technical requirements, cost control, subcontracting, and customer satisfaction. The evaluator is asked to rate the contractor's performance on a scale from Exceptional to Unsatisfactory, and to list the contractor's weak and strong points. The questionnaire is to be used as part of a source selection process for a federal contract opportunity.

The related federal contract opportunity is for the procurement of Uniforms, Lab Coats, and Supplies, to include laundering with pick-up and delivery services, to support the Security and Intelligent Documents Division (SID) of the Government Publishing Office (GPO). The contract will be awarded by the GPO.

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040ADV-24-R-0035 RFP final 06 04 24.pdf PDF
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Attachment J.2 Past Performance Questionnaire

ORGANIZATION’S PERFORMANCE QUESTIONNAIRE

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

Email: Shawnita Hamm at shamm@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.:

CONTRACT DATE:

4. PERIOD OF PERFORMANCE:

4. PACE OF PERFORMANCE:

5. COMPLETION DATE:

6. CONTRACT VALUE $

2. PROJECT NAME:
7. TYPE OF CONTRACT:
8. DESCRIPTION OF PROJECT’S KEY CHARACTERISTICS:

Please add a continuation page if additional space is necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

9. 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?

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