Attachment Z- Past Performance Questionnaire.docx

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Consolidated Receiving Point (CRP) - Seattle/Tacoma, WA
Solicitation number
19AQMM26R0343
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About this file

This is a Past Performance Questionnaire template designed for evaluators of the Consolidated Receiving Point (CRP) Services contract opportunity for the Seattle/Tacoma, Washington area. The questionnaire serves as an evaluation tool to assess contractor qualifications and previous relevant experience rather than a substantive requirement document. As a template, it does not contain specific past performance criteria, scoring methodologies, or evaluation factors, but rather provides the structural framework that the Government will use during the source selection process to collect and evaluate information about offerors' prior performance on similar logistics, warehousing, and freight forwarding contracts.

The questionnaire is intended to support the Department of State Office of Acquisition Management's evaluation of contractor capability to perform consolidated receiving point services, including receipt, inspection, inventorying, hazardous material identification, consolidation, deconsolidation, export packing, temporary storage, and delivery services for government-owned and personally owned items destined for Foreign Service Posts and U.S. Government employee household effects at the Seattle/Tacoma Commercial Port Area.

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PERFORMANCE QUESTIONNAIRE

Your assistance is requested in support of a source selection.

Please complete this Questionnaire and email to:

Department of State – Office of Acquisition Management

A/OPE/AQM/WWD/FBSB

ATTN: Sarah Cass, Contracting Officer CassSL@state.gov (this is preferable method of receipt) Desired Response Date: August 17, 2026

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 OFFEROR

1. CONTRACTOR NAME & ADDRESS:

2. CONTRACT NO.:

3. CONTRACT INITIATION DATE:

4. COMPLETION DATE:

5. CONTRACT VALUE (with options): $

6. TYPE OF CONTRACT:

7. DESCRIPTION OF CONTRACT REQUIREMENTS:

Please add a continuation page if additional space necessary.

TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE

8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION: DVIDS Director

b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:

Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.

O = Outstanding E = Excellent A = Adequate M = Marginal P = Poor N/O = Not Observed

A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).

O E A M P N/O

B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.

O E A M P N/O

C. Schedule – Assess the timeliness of contractor against the schedule of activities.

O E A M P N/O

D. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.

O E A M P N/O

E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.

O E A M P N/O

F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”.

O E A M P N/O

G. Overall Assessment.

O E A M P N/O

If an Award Fee contract, what was the average Award Fee % earned?

SBU - CONTRACTING AND ACQUISITIONS

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