J2 - Past Performance Questionnaire.doc
DOC document 63 KB Posted
- Solicitation number
- 2025-NLS-0098
- Issued by
-
Library of Congress
About this file
The document is a Past Performance Questionnaire template for a Library of Congress solicitation (RFQ 030ADV25R0030) for Braille Mailing Containers. The questionnaire is designed to collect detailed performance feedback from previous government contract references, with evaluation sections covering seven key performance areas including overall satisfaction, quality, schedule, cost/price, personnel, contract management, and communication/problem resolution. Evaluators are asked to rate contractor performance on a scale from 1-5, with opportunities to provide narrative strengths, weaknesses, and recommendations for future work. The questionnaire is intended to be completed by previous contract administrators and returned to James Robinson via email, serving as a critical component of the source selection process for the Library of Congress's upcoming Braille Mailing Containers procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 1 to 030ADV25R0030.pdf | ||
| Amendment 1 - Questions and Answers.docx | DOCX document | |
| Amendment 1 - Attachment J3 - Pricing Sheet.xlsx | XLSX spreadsheet | |
| J1 -Braille Mailing Container Requirements.xlsx | XLSX spreadsheet | |
| J3 - Pricing Sheet.xlsx | XLSX spreadsheet | |
| 030ADV25R0030.pdf |
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Text version
ATTACHMENT J1 –PAST PERFORMANCE QUESTIONNAIRE
030ADV25R0030 – Braille Mailing Containers
PAST PERFORMANCE QUESTIONNAIRE
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
A.
Contractor: _______________________________________ B.
Agency Contract number:____________________________________
C.
Contract type:______________________________________ D.
Was this a competitive contract? Yes
No
E.
Period of performance: _________________ F.
Contract cost or price:___________________________________ G.
Description of work:____________________________________________________________________ Government Contracts Only: Was this contract partially or fully terminated for default or convenience or are there any pending terminations?
Default______
Convenience______
Pending Termination______ If any applies, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc): ____________________________________________________________________________________________
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
A.
Customer or agency name: _________________________________________________________________________ B.
Geographic description of services under this contract, i.e. local, nationwide, worldwide:
SECTION 3: EVALUATOR IDENTIFICATION
A.
Evaluator's name and title: __________________________________________________________________________.
B.
Evaluator's phone/fax number: _______________________________________________________________________.
C.
Number of years evaluator worked on subject contract:_____________________.
SECTION 4: EVALUATION
Please indicate your satisfaction with the contractor's performance by placing an "X" in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:
· Not Applicable: N/A
· 1: Performance clearly below the contract performance standard or requirement
· 2:
Performance occasionally does not meet minimum contract performance standard or requirement
· 3:
Performance that meets the minimum contract performance standard or requirement
· 4:
Performance that meets and occasionally exceeds the contract performance standard or requirement
· 5:
Performance that almost always exceeds the contract performance standard or requirement
| 1. Overall satisfaction |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Overall satisfaction with performance. Would you (the reference) choose to work with this offeror again?
| 2. Quality |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the effectiveness and applicability of the plans and strategies delivered and the actual implementation of those.
| 3. Schedule |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Schedule includes delivery consistency, on-time performance, and flexibility in responding to emerging issues.
| 4. Cost/Price |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Cost/price refers to the offeror’s ability to manage the work within the agreed upon cost or price.
| 5. Personnel |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
Rate the quality of the contractor’s staff in executing the project work scope.
| 6. Contract Management |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes quality and timeliness in sourcing, invoicing, and reporting under the contract.
| 7. Communication and problem resolution |
| N/A |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
This includes the offeror’s ability to communicate and solve problems in a timely and effective manner.
SECTION 5: NARRATIVE SUMMARY
What were the contractor's greatest strengths in performance of the contract?
What were the contractor's greatest weaknesses in the performance of the contract?
Would you hire this contractor in the future to perform one of your critical and demanding programs?
| YES |
| NO |
Evaluator Signature:
Date:
Thank you for your prompt response and assistance!
Please return this completed questionnaire with the Subject: RFQ 030ADV25R0030 to James Robinson at jarobinson@loc.gov.
Attachment J1
File details come from the government source that posted it. Updated .