J.2_Past_Performance_Questionnaire_Cover_Sheet.pdf

PAST PERFORMANCE QUESTIONNAIRE COVER SHEET

(NOTE TO OFFEROR: For each past performance questionnaire to be completed by a client and submitted to the Government as a reference, provide a copy of this cover sheet with your proposal identifying the client’s point-of-contact information. Ensure correct phone numbers and email addresses are provided for the client point of contact.)

1. OFFEROR:

2. FIRM BEING EVALUATED:

3. CONTRACT NUMBER:

4. PROJECT DESCRIPTION: _____________________________________________

5. CONTRACT AMOUNT: ____________________________________

6. PERFORMANCE PERIOD: _____________________________________________

7. REFERENCE ORGANIZATION NAME:

8. EVALUATOR’S CONTACT INFO:

a. NAME & TITLE:

b. PHONE NUMBER:

c. FAX NUMBER:

d. EMAIL ADDRESS: