Attachment J5 - Past Performance Questionnaire - 05202026 - pp. 3.docx

Attachment J5 – Past Performance Questionnaire Past Performance Questionnaire Solicitation #: 030ADV26Q0018

The purpose of this questionnaire is to gather information on the contractor named below to determine their suitability to provide services for the Library of Congress (Library). Your prompt completion of this questionnaire is sincerely appreciated as it is critical to the completion of the proposal evaluation process. Any information provided on this Questionnaire may, or may not be, anonymous (specifically in regards to whether the information you provide to the Government will be seen by the business under evaluation). However, your honest feedback is highly valuable and appreciated despite this.

Section 1: Contract Identification:

A. Contractor Name: _________________________________________________________ B. Agency Contract Number: __________________________________________________ C. Were you the Prime or a Subcontractor: _______________________________________ D. Agency Name: ___________________________________________________________ E. Contract Type: ___________________________________________________________ F. Period of Performance: ____________________________________________________ G. Total Contract Value: _____________________________________________________ H. Description of services provided: ____________________________________________

Section 2: Evaluator Identification

A. Evaluator’s Name and Title: ________________________________________________ B. Evaluator’s Email Address: _________________________________________________ C. Evaluator’s Phone Number: _________________________________________________

Section 3: Evaluation

Please indicate your satisfaction level with the Contractor’s performance by placing an “X” in the appropriate block.

Excellent: The Contractor has demonstrated an excellent performance level that was significantly above and beyond the minimum requirements.

Satisfactory: The Contractor has met the minimum requirements Poor: The Contractor has not met the minimum requirements or is only able to meet them with agency assistance, resources, or oversight.

N/A: Unable to provide a score

Overall quality in meeting the requirements of the contract

Ability to understand/comply with customer objectives and technical requirements

Effectiveness of assigned personnel in terms of the appropriate mix of education and experiences to accomplish the requirement

Adequacy/effectiveness of quality control program

Quality/effectiveness of sub-contracted efforts

Effectiveness of overall contract management

Timeliness of contract performance

Effectiveness of managing subcontractors

Timeliness of problem resolutions

Ability and flexibility to successfully respond to issues

Effectiveness of material management

Effectiveness of quality control measures

Timeliness of deliverables

Quality of deliverables

Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

Contractor’s ability to smoothly transition resources and personnel

Ability to hire/apply a qualified workforce to this effort

Ability to retain a qualified workforce to this effort

Section 4: Narrative Summary

What were the contractor’s greatest strengths?

What were the contractor’s greatest weaknesses?

Would you hire this contractor in the future?

Do you have any additional comments concerning this contractor you would you share?

Section 5: Signatures

Evaluator’s Signature Date

Please Email Completed Form to both: