Attachment 5: Past Performance Questionnaires

MAINTENANCE PERFORMANCE INFORMATION

SECTION A: Contractor Information (to be completed by the offeror)

1. Contractor’s Title, Name and Address:

2. Point of Contact:

3. Phone Number (with area code):

4. Contract Number:

5. Description / Explanation of contract services provided:

SECTION B: Respondent Information: (To be completed by Respondent, i.e., Commercial Sector or Government)

1. Respondent’s Title, Name and Address:

2. Phone Number & email address:

3. Contract Specifics:

a. Contract Number:
013335004615097330310027538503303000b. Contract Type: Firm-Fixed-Price Indefinite Quantity/Task Order Cost-Reimbursement

c. Start Date / End Date:

d. Original Contract Amount: $

e. Current Contract Value: $

f. Estimated Value at Completion: $

Please e-mail the completed questionnaire by 2:00 pm EDT 11/11/26 to: [email protected]; cc [email protected]; [email protected]

PAST PERFORMANCE EVALUATION OFFEROR’S REFERENCE QUESTIONNAIRE

1. Complete this questionnaire using the grading system explained below. Your assessment should only consider performance for which the contractor is responsible and accountable. Each offeror shall be assigned one the following ratings:

(HS)HIGHLY SATISFACTORY/HIGH CONFIDENCE - Performance meets contractual requirements and exceeds many (requirements) to the Government's benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

(S)SATISFACTORY/CONFIDENCE - Performance meets contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

(U)UNSATISFACTORY/NO CONFIDENCE - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

(N)NOT APPLICABLE/UNKNOWN CONFIDENCE - Unable to provide a score. Performance in this area is not applicable to effort assessed.

2. Please circle the rating, the appropriate letter, for each item on the questionnaire, which most accurately describes the contractor’s performance. Provide frank, concise comments or supporting narrative explanations in the spaces provided. When responding to the descriptive statements, select the answer, which most accurately describes the contractor’s performance or situation. You may use additional sheets if more space is needed.