D.10 PAST PERFORMANCE SURVEY

PAST PERFORMANCE SURVEY

36C25727Q0032

D.10 PAST PERFORMANCE SURVEY

Past Performance Surveys must be completed by the organization (reference) that has direct knowledge of the Offeror’s performance on previous contracts. Completed surveys shall be sent directly from the reference organization (not the Offeror) via email to both of the following addresses:
[email protected]
[email protected]
Return surveys NLT November 4, 2026.

A. GENERAL INFORMATION:

Contractor's Name:
Contractor’s Address:
Contract #:
Contract Dollar Value:
COR:
COR’s Ph #:
Contracting Officer:
Contracting Officer’s Ph #:

B. SERVICES PERFORMED:

C. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor's performance or situation. 1 - Unsatisfactory. Performance did not meet most contractual requirements. There were serious problems and the contractor’s corrective actions were ineffective. 2 - Marginal. Performance did not meet some contractual requirements. There were problems and the contractor’s corrective actions were ineffective. Past Performance Form version 1.1

PAST PERFORMANCE SURVEY

36C25727Q0032
3 - None. No record of past performance or the record is inconclusive. 4 - Satisfactory. Performance met contract requirements. There were some minor problems and corrective actions taken by the contractor were satisfactory. 5 - Very Good. Performance met all contract requirements and exceeded some to the government’s benefit. There were few minor problems which the contractor resolved in a timely, effective manner.
6 - Exceptional. Performance met all contract requirements and exceeded many to the government’s benefit. Problems, if any were negligible and were resolved in a timely, highly efficient manner.
E. Please provide comments for all questions in which an Unsatisfactory or Marginal rating is given and as appropriate for all other answers. Space for your comments is provided in each area. If more space is needed, attach additional sheets to the end of the questionnaire and reference the respective question.

TO BE COMPLETED BY THE DELEGATED COR

The contractor:
1.

Provided experienced/qualified personnel to perform services.

N/A

2. Demonstrated ability to hire, maintain, and replace, if necessary, qualified personnel during the contract period. Also provide coverage with qualified personnel during periods of leave or absence .

N/A

3.

Met established schedules.

N/A

Past Performance Form version 1.1