Attachment J-10. Past Performance Questionnaire

Offeror/Contractor: Please complete Part 1 and provide each reference/evaluator with the form.

Reference/Evaluator: Please complete Part 2 and provide your candid responses. The information you provide will be used in the evaluation of the Offeror/Contractor for potential award of a federal contract or agreement; therefore, it is important that your information is factual, accurate, and complete as possible. If you do not have knowledge of or experience with the company in question, please forward to the person who does.

Please send completed questionnaire to [email protected] and [email protected] no later than 2:00 PM (EDT) on November 9, 2026. The subject line in the submission email shall clearly indicate: “1332KP26R0041– Past Performance Questionnaire Submission for <Company Name>”, and the message shall originate from the reference’s government or commercial email address.

PART 1: (TO BE COMPLETED BY THE OFFEROR/CONTRACTOR)

A. NAME OF COMPANY BEING EVALUATED:

B. NAME/ADDRESS OF COMPANY PROVIDING EVALUATION INFORMATION:

Company Name:

Evaluator's Name and Title:

Address:

Telephone No.: E-mail Address:

C. PROJECT INFORMATION

(Under Work Description, include similarities/relevance to solicitation project AND a description of work performed to include specific requirements, location, and complexity.)

Contract No.:

Date of Award:

Project Title/Location:

Work Description:

Contract Type:

Original Contract Price:

Final Contract Price:

Original Completion Date:

Forecasted/Actual Completion Date:

Work was with: Commercial ☐ Fed. Gov't ☐ Local/City/State Gov't ☐ PART 2: EVALUATION (INFORMATION TO BE COMPLETED BY THE EVALUATOR RESPONDING FOR THE OFFEROR): For each performance element identified below, references should evaluate performance of the firm or individual identified in Part 1 of this form. Where the reference lacks sufficient information to provide an evaluation for a particular performance element, this should be noted. Where any deficiency or unfavorable information is identified, the reference should identify any mitigating factors that may weigh in favor for the person/firm on whose behalf the reference is provided (i.e., problems due to causes outside the contractor's control). An individual within your organization that is knowledgeable of the contractor's day-to-day operations and overall performance should complete this questionnaire. However, that individual is encouraged to supplement their own knowledge of the contractor's (Offeror's) performance with the judgment of others within their organization, as applicable.