AMD 0002 Attachment 0011 - PAST PERFORMANCE QUESTIONNAIRE.docx

Section J Attachment 0011

PAST PERFORMANCE 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. Please return the completed Questionnaire to danny.w.lester.civ@army.mil by 16 February 2023. Thank you.

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 name cited above): CAGE Code:

Contract Award Date:

Forecasted or Actual Contract Completion Date: Nature of the Contractual Effort or Items Purchased:

B.

IDENTIFICATION

OF

OFFERORS’S

REPRESENTATIVE

Name:

Title:

Date:

Telephone Number:

FAX Number:

Address:

E-mail Address:

C.

RESPONDENT

IDENTIFICATION

Organization:

Name:

Title:

Date:

Telephone Number Address:

Page of

Fax Number:

E-mail Address:

PART II. EVALUATION (To be completed by Point of Contact – Respondent)

A.

Compliance of

Products, Services, Documents, and

Related

Deliverables to

Specification Requirements and Standards of Good Workmanship.

Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

· Meets Contractual Requirements

· Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)

Comments:

B.

Effectiveness of

Project

Management

(to include use and control of subcontractors).

· Exceptional (Explanation must be provided in Comments field below)

· Satisfactory

· Unsatisfactory (Explanation must be provided in Comments field below) Comments:

C.

Timeliness of

Performance for

Services and

Product

Deliverables, including the Administrative Aspects of Performance.

· Exceeds Contractual Requirements (Explanation must be provided in Comments field below)

· Meets Contractual Requirements

· Failed to Meet Contractual Requirements (Explanation must be provided in Comments field below)

Comments:

D.

Overall

Satisfaction.

· Extremely Satisfactory (Explanation must be provided in Comments field below)

· Satisfactory

· Unsatisfactory (Explanation must be provided in Comments field below) Comments:

E.

General

Comments.

Provide any other relevant performance information.

F.

Other

Information

Sources.

Please provide the following information:

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

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

PART III. RETURN INFORMATION

PLEASE NOTE: Please send completed questionnaires electronically via email to Danny Lester, (Contracting Officer) email: danny.w.lester.civ@army.mil by 16 February 2023. Thank you for your assistance.