ATTACHMENT D Past Performance Questionaire

ATTACHMENT D PAST PERFORMANCE QUESTIONNAIRE

RETURN BYOCT 28, 2026; 12:00PM CT

INSTRUCTIONS FOR THE

PAST PERFORMANCE QUESTIONNAIRE

FOR OFFICIAL USE ONLY

CONTRACTOR INFORMATION (Information on the Company that you are evaluating)

A. Contractor Name:

B. Contractor's Address:

C. Point of Contact:

CONTRACT INFORMATION:

IN ORDER TO DETERMINE RELEVANCY AND RECENCY, THE

FOLLOWING DATA IS REQUIRED. FAILURE TO PROVIDE THIS

INFORMANTION MAY RENDER THE PROPOSAL UNRESPONSIVE.

A. CONTRACT NUMBER:

B. CONTRACT TYPE:

C. AWARD DATE:

D. PERIOD OF PERFORMANCE:

E. TOTAL CONTRACT DOLLAR AMOUNT INCLUDING

F. SCOPE: PLEASE INCLUDE A BRIEF DESCRIPTION OF THE

SERVICES PERFORMED TO DETERMINE SIMILARITY OF

SCOPE.

PAST PERFORMANCE QUESTIONNAIRE

ATTACHMENT D–PAST PERFORMANCE QUESTIONNAIRE

RETURN BY 12P0 CT, Wed., Oct. 28, 2026

FOR OFFICIAL USE ONLY

1. Please complete this questionnaire based on the following guidance: a. For each question please circle one rating as defined below. Please circle "N" if you are unable to provide a rating for an area. Assessments should reflect only contractor liable performance. The following is a definition of the scoring levels:
Rating
Outstanding (O)

High Confidence

Definition
Based on the offeror’s performance record, no doubt exists that the offeror will successfully perform the required effort.

Excellent (E)

Significant Confidence

Based on the offeror’s performance record, essentially no doubt exists that the offeror will successfully perform the required effort.

Satisfactory (S)

Confidence

Based on the offeror’s performance record, little doubt exists that the offeror will successfully perform the required effort.

Neutral (N)

Unknown Confidence

No performance record identifiable (see FAR
15.305(a)(2)(iii) and (iv)).

Marginal (M)

Little Confidence

Based on the offeror’s performance record, substantial
doubt exists that the offeror will successfully perform the required effort. Changes to the offeror’s existing processes may be necessary in order to achieve contract requirements.

Unsatisfactory (U)

No Confidence

Based on the offeror’s performance record, extreme doubt exists that the offeror will successfully perform the required effort.

b. Handwritten remarks are encouraged. Space is provided at the end of the survey. If more space is needed, please provide information of a separate sheet of paper. c. You are urged to supplement your own knowledge of the contractor's performance with the judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, we