Attachment 6-Past Performance Questionnaire

Your name was provided as a past performance point of contract for the following:

Contractor Role / Responsibility (circle one): Prime Contractor Sub-Contractor

In regard to the above contractor’s performance on the referenced contract, please complete the attached Past Performance Questionnaire and return as follows:

Send to: Connie Houpt, Contracting Officer

E-mail Address: [email protected]

Please provide your response no later than [TBD], 2023, 2:00 p.m. CT

Thank you!

Please complete and/or verify the following reference check information:

2. Type of contract/agreement for pricing; e.g., firm fixed-price, fixed rate per hour (labor-hour, T&M), cost-reimbursable:

Please complete and/or verify the following responder information:

1.How would you rate the contractor's overall compliance with contract requirements?

( ) Acceptable
( ) Unacceptable

2.How would you rate the timeliness of the Contractor - adhering to the required schedule?

( ) Acceptable
( ) Unacceptable`

3.Has this contract been partially or completely terminated for default, or is a termination pending?

( ) Yes/ If yes, please explain and indicate the status. ( ) No/Acceptable

4.Has it ever been necessary to send this Contractor a Notice to Cure letter?

( ) Yes If yes, please explain and indicate the status. ( ) No

5.How would you rate the performance of the contractor's key personnel?

( ) Acceptable
( ) Unacceptable

6.Would you recommend awarding similar contracts or using the offeror again for future work?

( ) Yes/Acceptable
( ) No/Unacceptable

7.Did you experience any integrity problems with this Contractor?

( ) Yes If yes, please explain.
( ) No

8.Please provide any other comments you may have.