Attachment 5 - Past Performance Questionnaire.docx

Past and Present Performance Questionnaire Solicitation FA7000-10-R-0036 Attachment 5

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

Sample Cover Letter

Company: Date Address:

We are contemplating offering a quote for a solicitation from the 36th Contracting Squadron - GUAM. The solicitation is for FA524026Q0034 Utility Vehicle Maintenance and Repair Services. This quote requires that we provide past performance information. Please complete the attached past performance questionnaire and return it via email to: elena.gifford.1@us.af.mil and lauren_renee.reyes.2@us.af.mil no later than the solicitation close date and time. In order to ensure this questionnaire is considered, please forward this survey to arrive at the above email address, no later than 10 September 2026, 10:00 AM Chamorro Standard Time (ChST). Upon completion, please notify my office that the survey has been accomplished.

1 Attachment:

Past Performance Questionnaire

PART I: PAST PERFORMANCE QUESTIONNAIRE

GENERAL INFORMATION:

Contractor’s Name: __________________ Telephone Number: ____________________ Address: __________________________ __________________________ Point of Contact: ______________________

Project Title and Brief Description of Work: _____________________________________

Contract Number: ___________________ Overall Contract Value: ________

Contract Period or Dates of Performance: _______________________

Contractor performed as the Prime Contractor Sub-Contractor

PART II: POINT OF CONTACT INFORMATION

Name: _____________________ Title: ____________________________

RETURN COMPLETED QUESTIONNAIRE VIA EMAIL TO:

elena.gifford.1@us.af.mil, and lauren_renee.reyes.2@us.af.mil

CONTRACTOR PERFORMANCE EVALUATION SURVEY

For each of the five criteria listed below, the rater must choose One (1) Adjectival Rating by checking the box, as applicable. At a minimum, for any rating that is checked Marginal or Unsatisfactory, please submit additional comments to substantiate the rating.

In the subject line, please include “PP ‘Contractor Name’”.

1. QUALITY OF SERVICE

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Very Good Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Satisfactory Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

ADDITIONAL COMMENTS:

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2. SCHEDULE

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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3. COST CONTROL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

Not Applicable

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4. MANAGEMENT OF KEY PERSONNEL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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5. SMALL BUSINESS SUBCONTRACTING

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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6. REGULATORY COMPLIANCE

Performance meets contractual requirements and exceeds many to the Government’s benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective

Performance meets contractual requirements and exceeds some to the Government’s benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective

Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

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