Attachment_3_Past_Performance_Questionnaire.docx

Company Name Company UEI Company CAGE Code Company Name Company UEI Company CAGE Code

Past Performance Questionnaire Instructions:

1. Offerors must use this document to provide their past performance information. Submissions in any other format may render the proposal unacceptable. The information in the header must be provided. Ensure that all required blocks in this document are completed, even if that means marking the block “Not Applicable.” Incomplete submissions may result in disqualification.

2. Offerors may identify no more than six relevant efforts completed within six years of the date of this request for proposal (RFP). If fewer efforts apply, provide only those. If you have no relevant past performance during this period, clearly state that by marking the checkbox below. Otherwise, mark the checkbox indicating that you are submitting recent, relevant past performance references. For each effort, use the required format in the tables below to provide the information.

☐ We have no recent, relevant past performance.

☐ We are submitting the following recent, relevant past performance references:

Past Performance Entry 1 Customer/Agency Name

Contract/Task Order Number

Contract Type (e.g., FFP, IDIQ, T&M, etc.)

Awarded Dollar Value

Final Cost of Contract (Including All Modifications and, If Applicable, a Brief Explanation of the Cost Difference from the Awarded Dollar Value)

Awarded Delivery Date / Period of Performance (e.g., Jan 15, 2024 – Mar 15, 2024, 90 Days after NTP)

Actual Completion Date (e.g., Mar 15, 2024, 120 Days after NTP and, If Applicable, a Brief Explanation of the Difference from the Awarded Delivery Date/Period of Performance)

Relevance to This Effort (Scope, Scale, Complexity) (Briefly explain how this past performance is similar to the current requirement in terms of scope, scale, and complexity.)

Details of Offeror’s Involvement in the Performance of the Project (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Briefly, describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the solicitation requirement.)

Customer/Client Performance Rating (Provide CPARS rating if available, e.g., "Exceptional," "Very Good," "Satisfactory," "Marginal," "Unsatisfactory." If CPARS is not available, provide a civilian equivalent rating, e.g., "Outstanding," "Above Average," "Satisfactory," or a star rating (e.g., ★★★★★ for excellent, ★★★★ for good, ★★★ for average, ★★ for below average, ★ for poor).

Point of Contact (POC) Information (Name, Title/Role, Organization, Email Address, Phone Number)

Past Performance Entry 2 Customer/Agency Name

Contract/Task Order Number

Contract Type (e.g., FFP, IDIQ, T&M, etc.)

Awarded Dollar Value

Final Cost of Contract (Including All Modifications and, If Applicable, a Brief Explanation of the Cost Difference from the Awarded Dollar Value)

Awarded Delivery Date / Period of Performance (e.g., Jan 15, 2024 – Mar 15, 2024, 90 Days after NTP)

Actual Completion Date (e.g., Mar 15, 2024, 120 Days after NTP and, If Applicable, a Brief Explanation of the Difference from the Awarded Delivery Date/Period of Performance)

Relevance to This Effort (Scope, Scale, Complexity) (Briefly explain how this past performance is similar to the current requirement in terms of scope, scale, and complexity.)

Details of Offeror’s Involvement in the Performance of the Project (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Briefly, describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the

Customer/Client Performance Rating (Provide CPARS rating if available, e.g., "Exceptional," "Very Good," "Satisfactory," "Marginal," "Unsatisfactory." If CPARS is not available, provide a civilian equivalent rating, e.g., "Outstanding," "Above Average," "Satisfactory," or a star rating (e.g., ★★★★★ for excellent, ★★★★ for good, ★★★ for average, ★★ for below average, ★ for poor).

Point of Contact (POC) Information (Name, Title/Role, Organization, Email Address, Phone Number)

Past Performance Entry 3 Customer/Agency Name

Contract/Task Order Number

Contract Type (e.g., FFP, IDIQ, T&M, etc.)

Awarded Dollar Value

Final Cost of Contract (Including All Modifications and, If Applicable, a Brief Explanation of the Cost Difference from the Awarded Dollar Value)

Awarded Delivery Date / Period of Performance (e.g., Jan 15, 2024 – Mar 15, 2024, 90 Days after NTP)

Actual Completion Date (e.g., Mar 15, 2024, 120 Days after NTP and, If Applicable, a Brief Explanation of the Difference from the Awarded Delivery Date/Period of Performance)

Relevance to This Effort (Scope, Scale, Complexity) (Briefly explain how this past performance is similar to the current requirement in terms of scope, scale, and complexity.)

Details of Offeror’s Involvement in the Performance of the Project (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Briefly, describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the

Customer/Client Performance Rating (Provide CPARS rating if available, e.g., "Exceptional," "Very Good," "Satisfactory," "Marginal," "Unsatisfactory." If CPARS is not available, provide a civilian equivalent rating, e.g., "Outstanding," "Above Average," "Satisfactory," or a star rating (e.g., ★★★★★ for excellent, ★★★★ for good, ★★★ for average, ★★ for below average, ★ for poor).

Point of Contact (POC) Information (Name, Title/Role, Organization, Email Address, Phone Number)

Past Performance Entry 4 Customer/Agency Name

Contract/Task Order Number

Contract Type (e.g., FFP, IDIQ, T&M, etc.)

Awarded Dollar Value

Final Cost of Contract (Including All Modifications and, If Applicable, a Brief Explanation of the Cost Difference from the Awarded Dollar Value)

Awarded Delivery Date / Period of Performance (e.g., Jan 15, 2024 – Mar 15, 2024, 90 Days after NTP)

Actual Completion Date (e.g., Mar 15, 2024, 120 Days after NTP and, If Applicable, a Brief Explanation of the Difference from the Awarded Delivery Date/Period of Performance)

Relevance to This Effort (Scope, Scale, Complexity) (Briefly explain how this past performance is similar to the current requirement in terms of scope, scale, and complexity.)

Details of Offeror’s Involvement in the Performance of the Project (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Briefly, describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the

Customer/Client Performance Rating (Provide CPARS rating if available, e.g., "Exceptional," "Very Good," "Satisfactory," "Marginal," "Unsatisfactory." If CPARS is not available, provide a civilian equivalent rating, e.g., "Outstanding," "Above Average," "Satisfactory," or a star rating (e.g., ★★★★★ for excellent, ★★★★ for good, ★★★ for average, ★★ for below average, ★ for poor).

Point of Contact (POC) Information (Name, Title/Role, Organization, Email Address, Phone Number)

Past Performance Entry 5 Customer/Agency Name

Contract/Task Order Number

Contract Type (e.g., FFP, IDIQ, T&M, etc.)

Awarded Dollar Value

Final Cost of Contract (Including All Modifications and, If Applicable, a Brief Explanation of the Cost Difference from the Awarded Dollar Value)

Awarded Delivery Date / Period of Performance (e.g., Jan 15, 2024 – Mar 15, 2024, 90 Days after NTP)

Actual Completion Date (e.g., Mar 15, 2024, 120 Days after NTP and, If Applicable, a Brief Explanation of the Difference from the Awarded Delivery Date/Period of Performance)

Relevance to This Effort (Scope, Scale, Complexity) (Briefly explain how this past performance is similar to the current requirement in terms of scope, scale, and complexity.)

Details of Offeror’s Involvement in the Performance of the Project (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Briefly, describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the

Customer/Client Performance Rating (Provide CPARS rating if available, e.g., "Exceptional," "Very Good," "Satisfactory," "Marginal," "Unsatisfactory." If CPARS is not available, provide a civilian equivalent rating, e.g., "Outstanding," "Above Average," "Satisfactory," or a star rating (e.g., ★★★★★ for excellent, ★★★★ for good, ★★★ for average, ★★ for below average, ★ for poor).

Point of Contact (POC) Information (Name, Title/Role, Organization, Email Address, Phone Number)

Past Performance Entry 6 Customer/Agency Name

Contract/Task Order Number

Contract Type (e.g., FFP, IDIQ, T&M, etc.)

Awarded Dollar Value

Final Cost of Contract (Including All Modifications and, If Applicable, a Brief Explanation of the Cost Difference from the Awarded Dollar Value)

Awarded Delivery Date / Period of Performance (e.g., Jan 15, 2024 – Mar 15, 2024, 90 Days after NTP)

Actual Completion Date (e.g., Mar 15, 2024, 120 Days after NTP and, If Applicable, a Brief Explanation of the Difference from the Awarded Delivery Date/Period of Performance)

Relevance to This Effort (Scope, Scale, Complexity) (Briefly explain how this past performance is similar to the current requirement in terms of scope, scale, and complexity.)

Details of Offeror’s Involvement in the Performance of the Project (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Briefly, describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the

Customer/Client Performance Rating (Provide CPARS rating if available, e.g., "Exceptional," "Very Good," "Satisfactory," "Marginal," "Unsatisfactory." If CPARS is not available, provide a civilian equivalent rating, e.g., "Outstanding," "Above Average," "Satisfactory," or a star rating (e.g., ★★★★★ for excellent, ★★★★ for good, ★★★ for average, ★★ for below average, ★ for poor).

Point of Contact (POC) Information (Name, Title/Role, Organization, Email Address, Phone Number)