Attachment 1: Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

Instructions:
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The Bureau of Engraving and Printing (BEP) requests recent past performance. Recent is defined as within the last 5 years.
Offeror shall send the questionnaire to at least three (3) Assessors for which services were provided. Services must be relevant to BEP’s requirement. Relevant is defined as similar in size, scope, and complexity to the BEP’s requirement identified in the Performance Work Statement.
Offeror shall complete Section II prior to submitting the questionnaire to Assessor(s). The Assessor(s) shall validate/confirm Section II information and complete Sections III and V.
The Assessor(s), NOT THE OFFEROR, shall email the completed questionnaire to the contracting office point of contact no later than the date and time indicated below.

Message to the Assessor: Your assistance is requested by the BEP to assist with establishing the performance history for the Contractor named below. Please validate/confirm Section II information, complete Sections III and V, and sign the questionnaire. Completed questionnaire shall be emailed to [email protected] no later than 12:00 PM Central Time (CST), Friday, October 9, 2026.
I. Solicitation Data (for the proposed effort)
Solicitation Number
Project/Requirement

Cooling Towers

II. Current or Historical Contract Information
Assessor: The performance data submitted by the Offeror is

correct or

incorrect.

CONTRACTOR NAME &

ADDRESS:

Contract No
Type of Contract
Initial

Final

Contract Value
Period of
Performance/Delivery
Schedule
Project/Requirement
Description
Please select from the following as it applies to this contract: Contracting Role
Termination History

PRIME

Convenience

SUBCONTRACTOR

Default

N/A

III. Assessor Information
Assessor Name
Organization
Title
Phone Number/Email Address
Identify your role in the contract award or administration and the period of your involvement. Role

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Procuring Contracting Officer (PCO)
Administrative Contracting Officer (ACO)
Contract Specialist
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Manager
Quality Assurance Specialist
Defense Contract Audit Agency (DCAA)
Auditor
Other:

Period of Involvement

IV. Evaluation Definitions
The following definitions should be used in your assessment of Contractor performance.

EXCEPTIONAL

VERY GOOD

SATISFACTORY

MARGINAL

UNSATISFACTORY

NOT APPLICABLE

(N/A)

Contractor’s performance significantly exceeded most or all contract