B08 Past Performance Questionnaire.docx

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Attached to
Profilometer Terrain Measurement System Federal contract opportunity
Solicitation number
W91CRB-26-R-A015
Issued by
Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground

About this file

This is a Past Performance Questionnaire template designed to evaluate offeror performance in support of RFP W91CRB-26-R-A015 for a Profilometer Terrain Measurement System. The questionnaire is issued by the U.S. Army Contracting Command - Aberdeen Proving Ground and must be completed by points of contact identified by offerors and returned to Contracting Officer Todd Strasavich and Noah Lane no later than 15 days after receipt or April 16, 2026, whichever occurs first. Responses should be submitted to todd.m.strasavich.civ@army.mil and noah.r.lane.civ@army.mil.

The questionnaire contains three primary sections: Part I requests contract identification information completed by the offeror (contractor name, address, program title, contract number, contract type, award date, completion date, nature of work, and total contract value); Part II requires evaluation by the point of contact respondent across five rating categories—Compliance of Products/Services/Deliverables to Specifications, Effectiveness of Project Management, Timeliness of Performance, Commitment to Customer Satisfaction, and General Comments—with rating definitions ranging from Substantial Confidence (exceeds requirements) to No Confidence (does not meet most requirements), each requiring rationale; Part III requests the respondent's organizational information, identification, and return instructions. The questionnaire also requests identification of other relevant past performance efforts and points of contact.

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Text version

APPENDIX D

Performance Assessment

Performance Assessment Questionnaire – Cover Letter

03/16/2026

SUBJECT: Offeror Past Performance Assessment in Support of Request for Proposal (RFP) W91CRB-26-R-A015

Dear Sir/Ma’am, The US Army Contracting Command – Aberdeen Proving Ground is currently conducting a competitive source selection to evaluate offerors on the subject RFP. As part of this evaluation, 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] 334519. 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 Army Contracting Command – Aberdeen Proving Ground Division D, no later than 15 days after receipt of request or April 16th 2026 whichever occurs first. Submit your completed questionnaire to undersigned at todd.m.strasavich.civ@army.mil and Noah Lane at noah.r.lane.civ@army.mil.

Your cooperation is greatly appreciated. Questions may be directed to the undersigned at todd.m.strasavich.civ@army.mil or Noah Lane at noah.r.lane.civ@army.mil.

Sincerely, Todd Strasavich 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 or notify the contracting officer for the requested past performance. 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 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 Products, Services, Documents, and Related Deliverables to Specification Requirements and Standards of Good Workmanship

· Substantial Confidence

· Satisfactory Confidence

· Limited Confidence

· No Confidence

Rationale: __________________________________________________________

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

· Limited Confidence

· No Confidence

Rationale: __________________________________________________________

C. Timeliness of Performance for Services and Product Deliverables.

· Limited Confidence

· No Confidence

Rationale: __________________________________________________________

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

· Limited Confidence

· No Confidence

Rationale: __________________________________________________________

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

Comments: _________________________________________________________

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:

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

G. 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.

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