Attachment_1_Performance Assesement Questionnaire.pdf

DEPARTMENT OF THE ARMY

U.S. ARMY MISSION AND INSTALLATION CONTRACTING COMMAND

925TH CONTRACTING BATTALION AND MICC- FORT DRUM

4205 PO VALLEY ROAD

FORT DRUM, NY 13602-5220

December 1, 2025

SUBJECT: Firm Past Performance Assessment in Support of SF 330 for Synopsis

W911S226RA003

Dear Sir/Ma’am, The US Army, Mission Installation Contracting Command-Fort Drum (MICC-Fort

Drum) is currently conducting a competitive source selection to evaluate firms on the subject synopsis. As part of this evaluation, we have requested that the firms provide information about their past performance on same or similar federal, state, or local government or commercial contracts as compared to the North American Industry Classification System [NAICS] 541330. 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 to the MICC-Fort Drum 4205 PO Valley Rd., Ft. Drum, NY 13602-5220, no later than 30 days after receipt of request or 19 December 2025, whichever occurs first. Submit your completed questionnaire to Milan Sanchez at alfredo.m.sanchez.civ@army.mil and Lyndsie Hall at lyndsie.j.hall.civ@army.mil.

Your cooperation is greatly appreciated. Questions may be directed to the undersigned at 315-772-9903.

Sincerely, A. Milan Sanchez Contracting Officer

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 notify the Contracting Officer. Please return the completed Questionnaire to the Contracting Officer identified in the cover letter within the stated timeframe.

Rating Definitions:

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)

Contractor/Company Name/Division:

Address:

Program Identification/Title:

Contract Number:

Contract Type:

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

Contract Award Date:

Forecasted or Actual Contract Completion Date:

Nature of the Contractual Effort or Items Purchased:

A. CONTRACT IDENTIFICATION

Total Contract Value:

Name:

Title:

Date:

Telephone Number:

E-mail Address:

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

Satisfactory Confidence Limited Confidence No Confidence

Rationale:

B. IDENTIFICATION OF OFFEROR’S REPRESENTATIVE

A. Compliance of Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

B. Effectiveness of Project Management (to include use and control of subcontractors).

C. Timeliness of Performance for Services and Product Deliverables.

D. Effectiveness in Forecasting and Controlling Estimated Costs (Use this Question on Cost Reimbursement Type Contracts Only).

E. Commitment to Customer Satisfaction and Business-like Concern for its Customers’ Interest

Comments:

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:

Point of Contact (Name):

Telephone Number:

Organization:

Name:

Title:

Date:

Telephone Number

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.

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

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

H. Respondent Identification. Please provide the following information: