Attach 32 - Past Performance Questionnaire.pdf

Past Performance Questionnaire – FA3099-22-R-0001, Relocate

Kirtland Sunshades

Please have your customer fill out the past performance questionnaire and submit them to the 47th Contracting

Flight, attn.: TSgt Rebecca Pelayo Ruelas at rebecca.pelayo_ruelas@us.af.mil or Mr. Kurt Armbruster at kurt.armbruster@us.af.mil.

Contractor:

Contract Number:

Contract Type:

Program Title:

Contracting Agency/Customer:

DUNS Number:

Delivery or Task Order Number:

Brief Description of Effort as:

Select Prime, Sub, Joint Venture, or Other (explain)

Contract Dollar Value— Original: $

Current: $

Explain the differences in contract values, if applicable:

Period of Performance

Start Date:

Original End Date: Current End Date:

Explain the differences in Period of Performance, if applicable:

Recency:

Customer Points of Contact

Program Manager’s Name:

Office:

Address:

Telephone:

Contracting Officer’s Name:

Office:

Address:

Telephone:

mailto:rebecca.pelayo_ruelas@us.af.mil mailto:kurt.armbruster@us.af.mil

1. Description of Work (please elaborate on the complexity of this job):

2. Where there any major issues (if yes, please explain):

3. Did you have to issue a letter of concern, show cause notice, cure notice (if yes, please explain):

4. Did you have to assess for liquidated damages (if yes, please explain):

5. Would you hire this company again: