Attachment 2: Past Performance Questionnaire

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PAST PERFORMANCE QUESTIONNAIRE

The U.S. Senate Sergeant at Arms (SAA) requests information in support of a contract for a Customizable Employee Wellbeing Application, Solicitation 2027-R-007. When complete, the information on this form is SOURCE SELECTION INFORMATION and shall be protected as procurement sensitive information. Please complete this questionnaire and send within five (5) days of receipt by email to:
[email protected]
Attn: Tonia Courtney
Senior Procurement and Contracting Specialist
A. Contract/Project/Task Order Information. Offeror must complete the information below regarding the contract on which the offeror is seeking a past performance reference: Brief Description of Work:

SOURCE SELECTION INFORMATION

PPQ V3 | May 2022

Attachment - 2
B. Reference Information. Reference must complete the information below regarding the contract on which the offeror is seeking a past performance reference: For each question posed below, please identify (highlight or underline) the response code which best reflects your experience with the referenced contract:
EX

Exceptional -- Performance meets contractual requirements and exceeds many to the Company/Agency’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG

Very Good -- Performance meets contractual requirements and exceeds some to the Company/Agency’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S

Satisfactory -- Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MG

Marginal -- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

US

Unsatisfactory -- Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or subelement contains a serious problem(s) for which the contractor’s corrective actions appear