Performance Assessment Questionnaire - Protestant (2).pdf

APPENDIX D

Performance Assessment Performance Assessment Questionnaire – Cover Letter

DEPARTMENT OF THE ARMY

413TH CONTRACTING SUPPORT BRIGADE HEADQUARTERS

536 PALM CIRCLE DRIVE, BUILDING T122 SECOND FLOOR

FORT SHAFTER, HAWAII 96858

CCSB-PA 08/11/2025

SUBJECT: Offeror Past Performance Assessment in Support of Request for Quote

(RFQ) (W912CN-25-Q-A038)

Dear Sir/Ma’am, The US Army 413th Contracting Support Brigade is currently evaluating offerors on the subject RFQ. We have requested that the offerors provide information about their past performance on recent and relevant federal, state, or local government or commercial contracts as compared to the North American Industry Classification System [NAICS] 711130. You have been identified as the point of contact cited on the enclosure.

Your assessment of their performance is extremely valuable to our evaluation.

Please complete the enclosure and return it to the 413th Contracting Support Brigade, no later than 3 days after receipt of request. Submit your completed questionnaire to Ms. Renee M. Fletcher renee.m.fletcher.civ@army.mil and Mr. Alex J. Bonus alex.j.bonus.civ@army.mil.

Your cooperation is greatly appreciated. Questions may be directed to the undersigned at Ms. Renee M. Fletcher renee.m.fletcher.civ@army.mil.

Sincerely, Alex J. Bonus Contracting Officer mailto:renee.m.fletcher.civ@army.mil mailto:alex.j.bonus.civ@army.mil mailto:renee.m.fletcher.civ@army.mil

Performance Assessment Questionnaire

Please provide your candid responses. The information that you provide will be used in the awarding of federal contracts. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators. If you do not have knowledge of or experience with the company in question, please forward this Questionnaire to the person who does [and/or notify the Contracting Officer]. Please return the completed Questionnaire to the Contracting Officer identified in the cover letter within the stated timeframe.

Rating Definitions:

Substantial Confidence: Performance meets contractual requirements and exceeds many requirements that benefit the end user. Work was accomplished with few, if any, minor problems for which corrective actions taken by the contractor were highly effective. The offeror has been highly successfully in performing the required effort.

Satisfactory Confidence: Performance meets contractual requirements and exceeds some requirements that benefit the end user. Work was accomplished with some minor problems for which corrective actions taken by the contractor were effective. The offeror has successfully performed the required effort.

Limited Confidence: Performance does not meet some contractual requirements.

Serious problems with contractor performance were experienced for which the contractor has either not yet identified corrective actions, or the corrective actions taken appear only marginally effective. The offeror has had little success performing the required effort.

No Confidence: Performance does not meet most contractual requirements. Serious problems with contractor performance were experienced for which the corrective actions were ineffective. The offeror has not successfully performed the required effort.

PART I. (To be completed by the Offeror)

A. CONTRACT IDENTIFICATION

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

Prime Contractor Name (if different from the contractor’s name cited above):

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

Total Contract Value:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

Address:

E-mail Address:

PART II. EVALUATION (To be completed by Point of Contact – Respondent) *Note: rationale is required for each response.

A. Compliance of Services to Specification Requirements and Standards of Good Workmanship

Substantial Confidence Satisfactory Confidence Limited Confidence No Confidence

Rationale: __________________________________________________________

B. Timeliness of Performance for Services

C. Commitment to Customer Satisfaction

D. General Comments. Provide any other relevant performance information.

Comments: _________________________________________________________

E. Other Information Sources. Please provide the following information:

Are you aware of other relevant past efforts by this applicant/company?

If yes, please provide the name and telephone number of a point of contact:

Point of Contact (Name): __________________________________________ Telephone Number: ______________________________________________

F. Respondent Identification. Please provide the following information:

Organization:

Name:

Title:

Date:

Telephone Number Address:

E-mail Address:

PART III. RETURN INFORMATION

Please return this completed Questionnaire to the Contracting Officer identified in the cover letter.

Thank you for your assistance.