past performance questionnaire.docx

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Attached to
RFQ - Healthcare Building Construction Data and Prices
Solicitation number
1625-OPL-26-NAT-0016
Issued by

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This is a Past Performance Questionnaire template for federal contract proposals submitted to the U.S. Department of Labor, Bureau of Labor Statistics (BLS). The questionnaire is designed to be completed by references or previous clients to evaluate contractor performance on prior contracts relevant to the solicitation 1605C5-26-Q-00008. Responses must be submitted to Contract Specialist Daniel Garza at garza.daniel@dol.gov no later than 12:00 PM Eastern Daylight Time on May 22, 2026, and must be sent from a corporate email account. An alternate point of contact should be identified if the primary contact will be unavailable between May 22–26, 2026 for verification purposes.

The questionnaire evaluates contractor performance across five primary areas: (1) ability to meet requirements, (2) timeliness of product/service delivery and ability to resolve timeliness issues, (3) quality of content/shipments, (4) overall contract management, and (5) overall contractor performance regarding requirements, schedule, and price. Respondents rate performance using a five-point scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory) with an N/A option, and are requested to provide explanatory narratives for each response. The questionnaire also collects information about the referenced contract, including contract number, value, period of performance, description of items/services provided, and contact information for the person completing the evaluation. This is a template document and does not address specific products, services, or award details for the current solicitation.

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PAST PERFORMANCE QUESTIONNAIRE

Solicitation# 1605C5-26-Q-00008 Please complete this Questionnaire and e-mail Contract Specialist, Daniel Garza e-mail: garza.daniel@dol.gov

We are currently in the process of preparing our proposal for the U.S. Department of Labor, Bureau of Labor Statistics Solicitation Number 1605C5-26-Q-00008. As part of our proposal, we have listed you as a reference on our performance for this type of service with your agency under the previous/current contract listed below. Your input on our performance is therefore requested.

Please complete this Questionnaire and e-mail to Contract Specialist, Daniel Garza.

E-mail: garza.daniel@dol.gov

Questionnaire is due to Daniel Garza no later than 12:00 PM Eastern Daylight Time on 22 May 2026. Questionnaire must be submitted directly to the Contract Specialist emailed from a corporate email account.

If you will not be available between 22 – 26 May 2026 for verification of this past performance evaluation, please indicate another POC for the contacting officer to contact.

Alternate POC name: ________________________________________

Alternate POC phone number: _________________________________

Alternate POC e-mail address: _________________________________

Thank you.

NAME OF OFFEROR:

Phone: Fax:

E-Mail:

I. Current or Historical Contract Information

CONTRACT REFERENCED:

1. Contract or Identifying Number: ________________________________________________

2. Contract Value: _____________________________________________________________

3. Period of Performance: ______________________________________________________________________________

4. Brief description of items provided:

5. Name of Person Completing Questionnaire: _______________________________________

Agency/Company:

Title: __________________________________ Phone: _____________________________

E-mail: _____________________________________________________________________

II. EVALUATION. Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Evaluation Definitions –

The following definitions should be used in the assessment of Contractor performance.

EXCEPTIONAL
Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.
VERY GOOD
Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.
SATISFACTORY
Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.
MARGINAL
Performance MEETS SOME contractual requirements. The performance of the areas being assessed includes significant problems, issues, or concerns for which corrective actions taken by the Contractor were only somewhat effective.
UNSATISFACTORY
Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.
NOT APPLICABLE (N/A)
Performance information not recent or relevant as defined in the Solicitation. Unable to provide assessment.

Past Performance Evaluation

Question 1. Performance

What is your assessment of the Contractor’s ability to meet your requirements?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Performance

Comments, if any.

Questions 2 Timeliness

What is your assessment of the Contractor’s ability to provide products / services in a timely manner?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Timeliness

Ability to Resolve Timeliness Problems

Question 3. Quality of Content

What is your assessment of the Contractor’s ability to meet requirement of the contents?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
N/A

Quality of Shipments

Question 4. Contract Management

What is your overall rating of Contractor’s contract management on contract being assessed?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

General Comments:

Question 5. Overall Rating of Contractor’s performance

What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?

Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

General Comments:

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