A23 RFQ Past Performance Questionnaire.pdf

Source Selection Information FAR 2.101 & 3.104 Past Performance Questionnaire

ACS IDS CCTV Maintenance - HQ042325QE099

INSTRUCTIONS:

QUOTER: Please complete Section A and send the Past Performance Questionnaire to the COR or other customer POC with knowledge of performance.

RESPONDENT: Thank you in advance for completing this questionnaire for the Defense Finance and Accounting Service (DFAS). We understand that your time is very valuable and we appreciate your input. Your rating is essential in successfully evaluating past performance. In reference to the information provided in Section A, please complete Sections B and C of this questionnaire and submit directly to DFAS by 5 P.M. ET October 10, 2025. Email completed questionnaires to laura.b.price7.civ@mail.mil.

SECTION A: QUOTER INFORMATION

Company Name: CAGE:

Point of Contact: Title:

Email Address: Phone Number:

Contract Number: Dollar Amount:

Contract Period of Performance:

Performed as the prime contractor or sub-contractor:

Brief Description of Work Performed:

SECTION B: RESPONDENT INFORMATION

Company Name:

Point of Contact: Title:

Email Address: Phone Number:

SECTION C: PAST PERFORMANCE INFORMATION

Use the below performance ratings and definitions to reflect your evaluation.

Rating Definition

Exceptional (E)

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good (VG)

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Satisfactory (S)

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Source Selection Information FAR 2.101 & 3.104 Attachment 3 - Past Performance Questionnaire

Custodial Services for DFAS Limestone

Marginal (M)

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions.

The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory (U)

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

Not Applicable (NA) No information or did not apply.

Using the chart above, please place an X in the column with the performance rating that most accurately describes the contractor’s performance. Please respond with a narrative explanation for any ratings of unsatisfactory or marginal.

Performance Objective Rating

E VG S M U NA

Overall Technical Performance Quality of Work Schedule Performance Cost Performance Staff/Hiring Employees

For the questions below, please place an X in the column that represents your response. Please respond with a narrative explanation for any no responses.

Question Yes No Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations?

Was the contractor able to hire and retain adequate staff to fulfill the requirements of the contract?

Would you use this contractor again?

Narrative Explanation / Additional Remarks: