Attachment J2 - Past Performance Questionnaire - 2 pages.doc
DOC document 62 KB Posted
- Solicitation number
- 030ADV27R0009
- Issued by
-
Library of Congress
About this file
This is a Past Performance Questionnaire form designed to evaluate contractor performance on federal contracts for the Library of Congress Microfilm Inventory Services solicitation (030ADV27R0009). The questionnaire is marked as source selection sensitive and serves as a template for collecting reference information from previous customers or agencies who have worked with offerors responding to this IDIQ contract opportunity.
The form requires contractors to identify specific past contracts and corresponding government evaluators who can assess their performance across seven key criteria: overall satisfaction, quality of deliverables and implementation, schedule adherence and flexibility, cost and price management, personnel quality, contract management and administrative capabilities, and communication and problem resolution. Evaluators rate performance on a five-point scale ranging from below standard to consistently exceeding standards. The questionnaire also includes narrative sections requesting evaluators to describe the contractor's greatest strengths and weaknesses, and to indicate whether they would hire the contractor for future critical and demanding programs. Completed questionnaires must be submitted to Lianne Carroll at lcarroll@loc.gov with a copy to James Robinson at jarobinson@loc.gov by November 30, 2026 at 12:00 noon Eastern Time.
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Text version
ATTACHMENT J2 –PAST PERFORMANCE QUESTIONNAIRE
030ADV27R0009
PAST PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
A.
Contractor: _______________________________________ B.
Agency Contract number:____________________________________
C.
Contract type:______________________________________
D.
Was this a competitive contract? Yes
No
E.
Period of performance: _________________ F.
Contract cost or price:___________________________________ G.
Description of work:____________________________________________________________________ Government Contracts Only: Was this contract partially or fully terminated for default or convenience or are there any pending terminations?
Default______
Convenience______
Pending Termination______ If any applies, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc): ____________________________________________________________________________________________
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
A.
Customer or agency name: _________________________________________________________________________ B.
Geographic description of services under this contract, i.e. local, nationwide, worldwide:
SECTION 3: EVALUATOR IDENTIFICATION
A.
Evaluator's name and title: __________________________________________________________________________.
B.
Evaluator's phone/fax number: _______________________________________________________________________.
C.
Number of years evaluator worked on subject contract:_____________________.
SECTION 4: EVALUATION
Please indicate your satisfaction with the contractor's performance by placing an "X" in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
· 2:
Performance occasionally does not meet minimum contract performance standard or requirement
· 3:
Performance that meets the minimum contract performance standard or requirement
· 4:
Performance that meets and occasionally exceeds the contract performance standard or requirement
· 5:
Performance that almost always exceeds the contract performance standard or requirement
| 1. Overall satisfaction |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Overall satisfaction with performance. Would you (the reference) choose to work with this offeror again?
| 2. Quality |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.
| 3. Schedule |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Schedule includes delivery consistency, on-time performance, and flexibility in responding to emerging issues.
| 4. Cost/Price |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Cost/price refers to the offeror’s ability to manage the work within the agreed upon cost or price.
| 5. Personnel |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the quality of the contractor’s staff in executing the project work scope.
| 6. Contract Management |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes quality and timeliness in sourcing, invoicing, and reporting under the contract.
| 7. Communication and problem resolution |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes the offeror’s ability to communicate and solve problems in a timely and effective manner.
SECTION 5: NARRATIVE SUMMARY
What were the contractor's greatest strengths in performance of the contract?
What were the contractor's greatest weaknesses in the performance of the contract?
Would you hire this contractor in the future to perform one of your critical and demanding programs?
| YES |
| NO |
Evaluator Signature:
Date:
Thank you for your prompt response and assistance!
Please return this completed questionnaire to Lianne Carroll at lcarroll@loc.gov with a copy to James Robinson at jarobinson@loc.gov by 11/30/2026 at 12 Noon Eastern Time... Subject: RFP 030ADV27R0009
File details come from the government source that posted it. Updated .