J.1 Past Performance Questionnaire.docx
DOCX document 29 KB Posted
- Solicitation number
- 1605AE-25-R-00001
About this file
This is a Past Performance Questionnaire template designed for clients to evaluate contractor performance on prior U.S. Department of Labor contracts. The questionnaire is part of RFP No. 1605AE-25-R-00001 for a Design/Build Multiple Award Task Order Contract (MATOC) supporting Job Corps Centers nationwide. Completed questionnaires must be submitted by 12:00 PM ET on February 27, 2026, to Paul Seivert and Bernadette Hughes at DOL/OASAM/OSPE Job Corps Acquisition Services.
The questionnaire requires past clients to evaluate contractor performance across six evaluation categories: Outcomes vs. Goals, Cost Control, Timeliness of Performance, Business Relations, and Customer Satisfaction. Each category uses a five-point adjectival rating scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory). Specific evaluation criteria include effectiveness in achieving measurable outcomes, performance within budget, accuracy of financial reporting, compliance with schedules and timeframes, responsiveness to technical direction, proactive contract monitoring, cooperation with government staff, timely problem notification, technical expertise in problem-solving, program customization to customer needs, and operational flexibility. The form requests contract identifying information, work performance period, contract value, and summary of the Statement of Work, with space for comments explaining any ratings below Satisfactory and additional remarks from the individual completing the evaluation.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT J.1 – PAST PERFORMANCE QUESTIONNAIRE
To Whom it May Concern:
<<Insert offeror name>> is currently responding to the U. S. Department of Labor RFP No. 1605AE-25-R-00001 for Design/Build MATOC.
The U. S. Department of Labor is placing increased emphasis in their procurements on past performance as a source selection factor. They are asking that clients of entities responding to their solicitations be identified and their participation in the evaluation process be requested. Therefore, we are requesting that you provide the following information regarding our performance on the contract identified below. Please complete Sections B-F of this Questionnaire and return it directly to the address shown below no later than 12:00 PM ET, February 27, 2026
ATTN: Paul Seivert & Bernadette Hughes
DOL/OASAM/OSPE
Job Corps Acquisition Services, A/E & Construction Division E-mail: seivert.paul.m@dol.gov and hughes.bernadette.l@dol.gov
By my signature below, I authorize you to respond to any additional inquiries by the U. S. Department of Labor regarding our performance on the referenced contract.
(Offeror Signature) (Date)
(Title)
A. Contract Identifying Information
Offeror:
Project Title & Contract Number:
Contracting Officer:
Phone No.:
Project Manager:
Phone No.:
Address:
Fax No.:
Work Performance Period: ____________________ to ______________________
Contract Value: $
Brief Summary of Statement of Work:
B. Outcomes vs. Goals:
| 1. | Were there measurable performance goals or outcomes associated with this contract? If yes, describe: |
| ☐ Yes |
☐ No
For the following questions, where applicable, check the adjectival rating which most closely represents your assessment of the contractor's performance: Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory
| 2. | How effective was the contractor in achieving those outcomes? (Explain any rating below Satisfactory) |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
C. Cost Control: How well has the contractor:
| 1. | Performed all contracted services within the budget? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| 2. | Submitted complete and accurate financial reports and invoices? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
3. Has a draft or final audit report disclosed questioned or disallowed costs? If yes, indicate:
period covered by audit disallowed or recommended for disallowance disallowed costs as a % of audited funds
☐ Yes ☐ No
Comments: (Explain any ratings below Satisfactory)
Summary Adjectival Rating of Cost Control ☐ Exceptional ☐ Very Good ☐ Satisfactory
D. Timeliness of Performance: How well has the contractor:
| 1. | Completed contract requirements and submitted reports and schedules according to specified time frames? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| 2. | Responded to technical direction and requests in a timely manner? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| Comments: (Explain any ratings below Satisfactory) |
| Summary Adjectival Rating of Timeliness of Performance |
☐ Exceptional ☐ Very Good ☐ Satisfactory
E. Business Relations: To what extent has the contractor:
| 1. | Been pro-active in contract monitoring and review? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| 2. | Demonstrated a responsive and cooperative working relationship with the Contracting Officer and Project staff? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| 3. | Promptly notified the Contracting Officer of potential problems? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| 4. | Used effective approaches and provided technical expertise and resources to solve contract problems? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| Comments: (Explain any ratings below Satisfactory) |
| Summary Adjectival Rating of |
Business Relations
☐ Exceptional ☐ Very Good ☐ Satisfactory
F. Customer Satisfaction: To what extent has the contractor:
| 1. Been effective in tailoring the program to meet the needs of the customers? |
| ☐ Exceptional |
☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
2. Shown flexibility in operating the program to meet changing program needs and emphases?
☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory
| Comments: (Explain any ratings below Satisfactory) |
| Summary Adjectival Rating of |
Customer Satisfaction
☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal
Additional Comments:
Name & Title of Individual Completing Information:
Phone No.
(For Department of Labor Use Only)
SUMMARY PAST EXPERIENCE CONFIRMATION
B. Outcomes vs. Goals
C. Cost Control
D. Timeliness of Performance
E. Business Relations
F. Customer Satisfaction
Verified by:___________________________________________Date:____________________
File details come from the government source that posted it. Updated .