Attachment 6: HRMII Past Performance Questionnaire

Past Performance Questionnaire
Offeror Instructions
Human Resource Management II (HRM II)
(U) The Offeror shall complete PART 1 of this questionnaire and submit the entire questionnaire to the respective Government Points of Contact (POCs) pertaining to referenced contracts for completion of PART 2. (U) Upon receipt of the questionnaire, it is incumbent upon the Offeror to contact and request the Government POCs to promptly complete their assessment of the Offeror’s contractual past performance, forward the assessment to the below cited e-mail by the specified date and time, and agree to participate in a subsequent telephonic interview with the CO or CO’s designee. (U) It is the responsibility of the offeror to ensure that: (U) The information regarding their Government POCs is current, complete and accurate. (U) The past performance is recent and relevant.
(U) The respective POCs receive this questionnaire promptly so as to provide the POCs with sufficient time to complete their respective assessments and return completed Part 2 of the questionnaire by 26 October 2026,12:00PM ET via e-mail to: [email protected] and [email protected].

(U) All narrative sections are unclassified until filled in.

(U) Past Performance Questionnaire
(U) PART 1—To be completed by OFFEROR

1. Contractor Name

3. Contract Number

2. Address

4. Contract Value

9. Contracting Officer (CO)

10. Phone Number

11. E-Mail Address

5. Award Date (DD MM YYYY)

12. Contracting Officer’s Representative (COR)

13. Phone Number

14. E-Mail Address

6. Completion Date (DD MM YYYY) YYYY)

15. Government Program Manager (PM)

16. Phone Number

17. E-Mail Address

7. Contract Type

18. Government Finance (FM)

19. Phone Number

20. E-Mail Address

8. Fee Type (if Applicable)

21. Summary Description of the Referenced Contract and its Relevance to HRM II :

22. Estimate the percentage of the contract performance which contains the same or similar services to HRM II: %
23. Did/does this contract, task order, or delivery order involve any classified work? YES
NO

☐
☐
24. If the answer to 23. is YES, what type of classified work? Select all that apply. ☐ Department of Defense
☐ Collateral
☐ Sensitive Compartmented Information
☐ Other (i.e., Special Access Program)
☐ Top Secret
☐ Secret

25. Signature

26. Title

27. Date

(U) PAST PERFORMANCE QUESTIONNAIRE

(U) PART 2—Direct Input Assessment
—to be completed by the Assessment Organization—
(U) [INSERT Offeror’s Name] has submitted your organization as a Government Point of Contact (POC) for the purpose of rendering information and your assessment of the contractor’s performance on the contract cited below.