Attch_4_-_Past-Performance-Questionnaire_-Montlake_Fume_Hood_.docx
DOCX document 4 MB Posted
- Attached to
- Montlake Methylene Chloride Fume Hood
- Solicitation number
- 1305M326Q0484
About this file
This is a Past-Performance Questionnaire template designed for vendors responding to the Montlake Methylene Chloride Fume Hood solicitation issued by the National Oceanic and Atmospheric Administration (NOAA), Department of Commerce (Solicitation Number: 1305M326Q0484). As a template document, it does not address specific required products or services, pricing terms, response dates, or award information. Instead, it provides a standardized format and guidance for prospective contractors to document their relevant past performance experience. The questionnaire would typically require vendors to demonstrate their qualifications and track record on similar projects, supporting NOAA's evaluation of contractor capability and reliability for this fume hood procurement. Interested vendors should refer to the primary solicitation document for specific technical requirements, specifications, evaluation criteria, submission deadlines, and other contractual terms governing this opportunity.
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Text version
1305M326Q0301
ATTACHMENT #4
Past Performance Questionnaire Template
Instructions:
· Sections I and II to be completed by the Offeror/Major Subcontractor and provided to the assessor (Government personnel that had experience with the Offeror/Major Subcontractor on a previous relevant contract). The assessor, in turn, to verify Sections I through III, complete the questionnaire, and submit to the Contracting Office. The Offeror should also submit with its proposal (by the closing date of the Solicitation) copies of Sections I and II of all questionnaires as provided to assessors.
· Section II to be validated by the assessor. If any information is incorrect herein, please annotate and provide the correct information accordingly.
· Sections III through IV to be completed in their entirety by the assessor.
Message to the assessor: Your feedback is requested by NOAA to assist with establishing the performance history for the Contractor named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you please e-mail the completed questionnaire(s) to: name@noaa.gov.
I. Solicitation Data (for the proposed effort)
| Solicitation Number |
| 1305M326Q0301 |
| Project/Requirement |
| Santa Cruz Laboratory Cooling Tower & Chiller Maintenance |
| Customer/Agency |
| NOAA (AGO) |
| Project/Requirement Description |
| Santa Cruz Laboratory Cooling Tower & Chiller Maintenance & Servicing. Base + 4 Option Years. |
II. Current or Historical Contract Information
Assessor: The performance data submitted by the Offeror is ☐ correct or ☐ incorrect.
CONTRACTOR NAME & ADDRESS:
Contract No
Type of Contract
| Initial |
| Final |
Contract Value
Period of Performance/Delivery Schedule
Project/Requirement Description
Please select from the following as it applies to this contract:
| Contracting Role |
| ☐ PRIME |
| ☐ SUBCONTRACTOR |
| Termination History |
| ☐ Convenience |
| ☐ Default |
| ☐ N/A |
III. Assessor Information
Assessor Name
Title
Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement.
| ✔ |
| Role |
| Period of Involvement |
Procuring Contracting Officer (PCO)
Administrative Contracting Officer (ACO)
Contract Specialist
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Officer
Quality Assurance Specialist
Defense Contract Audit Agency (DCAA) Auditor
Other:
IV. Overall Performance Rating
Please provide the overall performance rating based on performance of contract requirements, quality and timeliness of delivery of goods, services and/or construction, cost management, communications between contracting parties, proactive management and/or customer satisfaction.
| EXCEPTIONAL |
| Performance EXCEEDS MOST contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns. |
| VERY GOOD |
| Performance EXCEEDS SOME contractual requirements to the Government’s benefit. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| MARGINAL |
| Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
| NOT APPLICABLE (N/A) |
| Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment. |
Additional comments/notes:
Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only
File details come from the government source that posted it. Updated .