Attachment J2 - Past Performance Questionnaire.doc

DOC document 61 KB Posted

Attached to
Library of Congress - Shelving and Binding
Solicitation number
030ADV26R0022
Issued by

About this file

This is a Past Performance Questionnaire template for RFP 030ADV26R0022 issued by the Library of Congress. The questionnaire is designed to be completed by government evaluators or references regarding contractor performance on relevant past contracts and is classified as source selection sensitive under FAR 3.104.

The questionnaire requests comprehensive information across five sections: contract identification (including contractor name, agency contract number, contract type, competitiveness, period of performance, cost, work description, and termination history); customer/agency identification and geographic scope of services; evaluator identification and tenure on the subject contract; and detailed performance evaluation using a five-point scale (1-5 with N/A option) across seven criteria including overall satisfaction, quality, schedule adherence, cost/price management, personnel quality, contract management, and communication/problem resolution. The form also includes a narrative section requesting evaluators to describe the contractor's greatest strengths and weaknesses and indicate willingness to hire the contractor for future critical and demanding programs. Completed questionnaires must be returned to Brian Curl at bcurl@loc.gov by April 20, 2026 at 12:00 Noon Eastern Time. This questionnaire serves as part of the source selection process for the Library of Congress's Shelving and Binding contract, which requires contractor assistance for collection maintenance, preservation, binding preparation, shifting, shelving, inventory, and reshelving services to support the Library's preservation and access goals.

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ATTACHMENT J1 –PAST PERFORMANCE QUESTIONNAIRE

030ADV26R0022

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 Brian Curl at bcurl@loc.gov by 04/20/2026 at 12 Noon Eastern Time... Subject: RFP 030ADV26R0022

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