Attachment_7_Past_Performance_Questionnaire_Form.docx

ATTACHMENT 7

ID07180011

PAST PERFORMANCE (PP) Questionnaire Form

A. GENERAL INFORMATION: The offeror shall submit this questionnaire to all PP references (Appendix 1) provided in response to the solicitation. One questionnaire should be completed by each past performance reference, and submitted via email DIRECTLY TO THE CONTRACTING OFFICER at erin.quinn-neuendorf@gsa.gov. The vendor shall not see this completed form prior to submittal to the Government – NO EXCEPTIONS. If there is any adverse past performance information received by the Government, for which the offeror has not had the opportunity to respond to in the past, the offeror shall be provided the opportunity by the CO responsible for this solicitation to respond to the information received by GSA during the evaluation process.

Contractor’s Name: ______________________________________________________________ Address: _______________________________________________________________________

Point of Contact and phone number: __________________________________________________ Contract Number/Project Title: ______________________________________________________ Contract Type: ___________________________________________________________________ Dollar Value: ____________________________________________________________________ Period of Performance: ____________________________________________________________

Did Contractor performed as the Prime Contractor or Sub-Contractor:

Brief narrative describing the nature and complexity of the work performed:

B. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 5 (5 being the best, 1 being the worst) that most accurately describes the contractor’s performance or situation. PLEASE PROVIDE A COMMENTS/EXPLANATION FOR ANY RATINGS OF 1 OR 2.

Comments:

Comments:

Comments:

Comments:

Comments:

19. Given what I know today about the Contractor's ability to execute what they promised in their proposal, I (select one of the following: ____definitely would not, _____probably would not, ____might or might not, ____probably would , ____definitely would) award to them today given that I had a choice.

Upon completion of this form the individual who provided the data above is requested to email the completed form DIRECTLY TO THE CONTRACTING OFFICER at erin.quinn-neuendorf@gsa.gov Thank you for completing this questionnaire! Your assistance and time are greatly appreciated.