Attachment 4: Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

For use by The Architect of the Capitol
Solicitation # AOCACB26R0052
Management Capacity Study
The company/individual listed below is preparing an offer on the above project for an agency in the federal government - the Architect of the Capitol (AOC) in Washington, DC. Your name/firm has been selected as a previous user of the below listed company with information on its past performance under a contract awarded by you/your firm. Your comments are considered Source Selection Sensitive, therefore, please be advised that your response to this Past Performance Questionnaire will be safeguarded to the extent cited in the Federal Acquisition Regulation (FAR) 42.1503. The FAR prohibits in part the release of past performance evaluations to other than other Government personnel used to evaluate source selection sensitive information. This past performance questionnaire is being submitted to you/your firm by the company listed below, however, you are requested complete it and return it directly to AOC as follows. Please provide your responses to the AOC Contracting Officer of record, Michael Hoover, and send your response to this questionnaire to [email protected] on or before the proposal submission due date listed in Block 9. of the SF 33. While all elements in this questionnaire may not apply, please complete as much as possible. Company/Individual Requesting Past Performance Information: Name:
Past Project Title on Which the Company/Individual Is Being Evaluated Project Title:
Name/Firm information: Point of Contact (POC) - for verification purposes Name:

Date:

Name for Point of Contact (for verification purposes):
Phone No.:

Fax No.

E-mail Address:
Address:
Position held or function in relation to project:
Ratings: Please evaluate the contractor’s performance using the following ratings: “O” Outstanding The contractor’s performance clearly exceeded the contract requirements. “S” Satisfactory The contractor’s performance met the contract requirements. “M” Marginal

The contractor’s performance met the minimum contract requirements but with difficulty.

“U” Unsatisfactory

The contractor’s performance was poor and/or did not satisfy contract requirements.

Please rate and provide supporting information for the following. If the rating is Outstanding or Unsatisfactory, please provide specific contract/job performance areas which were exceeded or not performed in accordance with the contract’s minimum requirements. (Use additional sheets as needed)