Attachment J - Past Performance Questionnaire

Attachment J
Past Performance Questionnaire

The evaluator shall complete the questionnaire and submit via email to [email protected], [email protected], and [email protected] with the following Subject Line:

36C10F26R0045 – [Input Contractor Name] – Completed Past Performance Questionnaire

The completed questionnaire must be received by the Government no later than [Input Month X, 20XX].

Evaluator Information
Company/Organization:

Name:

Duty Position/Title:

Phone Number:

Email Address:

I. REFERENCED CONTRACTOR INFORMATION: Please complete the following questionnaire on the below-listed contractor who has provided services in the past or is currently providing services for your company/organization. If any information is incorrect or incomplete, please provide the complete accurate information.

a.Contractor Information:
Company Name:
Point of Contact:
Contractor Address:
Contractor Phone:
b.Contract Information:
1.Number:
2.Type of Contract:
3.Technical Complexity of Work:
4.Period of Performance:
5.Total Contract Amount:
6.Services Provided (Explain, in some detail, the type of services provided by the contractor):

II. PERFORMANCE INFORMATION: When responding to the following statements, choose the number on the scale of 1 to 5, based on the corresponding adjective definitions described below, which most accurately describes the Contractor's performance under the referenced contract or project. If the statement is not applicable to the circumstance of this contract effort, circle N/A. The numbers correspond with the following adjective ratings:

N/A
Unsatisfactory
Marginal
Acceptable
Very Good
Outstanding
Not Applicable

ADJECTIVE RATING DEFINITIONS:

Outstanding: Performance consistently exceeded contract or project requirements and produced significant benefits to the customer. The Contractor demonstrated exceptional quality, timeliness, responsiveness, technical capability, communication, and problem-solving. Any minor issues were resolved promptly and effectively.

Very Good: Performance exceeded contract or project requirements in important respects and provided clear benefits to the customer. The Contractor demonstrated strong quality, timeliness, responsiveness, technical capability, communication, and problem-solving. Any issues were minor and were resolved effectively.

Acceptable: Performance met contract or project requirements. The Contractor delivered generally satisfactory quality, timeliness, responsiveness, technical capability, communication, and problem-solving. Any issues were minor or were corrected without material impact to the contract or project.