J.5 - Past Performance Questionnaire.pdf

J.5: PAST PERFORMANCE QUESTIONNAIRE

(To be completed by the offeror)

1. Contract Number:

2. Contractor (Name and Address):

3. Type of Contract: Negotiated Sealed Bid Fixed Price Cost Reimbursement _____ Hybrid (explain) _______________________

4. Complexity of Work: Difficult Routine

5. Description, location, and relevancy of work:

6. Contract Dollar Value:

Status: Active Completed

7. Date of Award:

Contract Completion Date (including extensions): _____

8. Type and Extent of Subcontracting:

9. Name, Address, Telephone Number, and E-mail Address of the Procuring Contracting Officer and/or the Contracting Officer ’s Representative (and other references—e.g., Administrative Contracting Officer —if applicable):

J.6: PAST PERFORMANCE QUESTIONNAIRE