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Attachment J.4 - Past Performance Questionnaire

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A Word document (37 KB) attached to Countermeasures That Work (CMTW) Updates, from the National Highway Traffic Safety Administration. Due Nov 5, 2026, 3:00 PM (UTC-5).

File name: Attachment J.4 - Past Performance Questionnaire (693JJ926R000067).docx

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ATTACHMENT J.3 - PAST PERFORMANCE QUESTIONNAIRE

Solicitation No. 693JJ926R000067 - Countermeasures That Work (CMTW) Update INSTRUCTIONS: The Offeror shall provide this questionnaire to at least three (3) references familiar with the Offeror's relevant work. References shall complete Parts I-III and submit the questionnaire directly to Van A. Nixon, Jr., Contract Specialist, at [email protected], no later than the proposal due date.

PART I - CONTRACTOR AND REFERENCE INFORMATION

Offeror (Contractor) Name

Contract / Project Title

Contract Number

Period of Performance

Total Contract Value

Reference Name and Title

Reference Organization

Reference Phone

Reference Email

Nature of Services Provided

PART II - PERFORMANCE RATINGS

Rate the contractor on each element using the scale: E = Exceptional, VG = Very Good, S = Satisfactory, M = Marginal, U = Unsatisfactory, N/A = Not Applicable. Performance Element
Rating
Quality of technical work and deliverables

Ability to conduct and synthesize large-scale literature reviews

Technical/scientific report writing quality (including APA style)

Timeliness in meeting milestones and deliverables

Cost control and budget management

Project management and staffing

Responsiveness and communication with the client

Overall customer satisfaction

Would you award to this contractor again? (Yes/No)

PART III - NARRATIVE AND SIGNATURE

Please provide any narrative comments regarding the contractor's strengths, weaknesses, and overall performance:

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