Section J-03 Past Performance Questionnaire

Please provide your assessment of the prospective offeror’s level of past performance on a contract for which you were the reference. Please fill in the tables below and choose the appropriate rating from the drop-down list using the definitions on page two and provide justification for that rating. Prospective offeror or evaluator may fill out page one. Submitted questionnaire by the proposal due date to: [email protected].

Contractor Being Evaluated
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Company/Government Agency Completing the Questionnaire
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Evaluator Name
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Period of Performance Being Assessed
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Contract Number
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Order Number (if applicable)
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Contract Award Date
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Contract Completion Date
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Total Dollar Value (includes unexercised options; ceiling amount for IDIQ) Click or tap here to enter text.
Current Dollar Value (current obligated amount)
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Project Title
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Contract Effort Description (Identify the key requirements and/or type of effort. The description should be detailed enough so that it can be used in determining the relevance of this program or project. Address the complexity of the contract/order effort and the overall technical risk associated with accomplishing the effort. Ensure acronyms are identified. Provide a complete description of the contract/order effort that identifies key technologies, components, subsystems, and requirements. Address annual production quantity. For task/delivery order contracts, state the number of orders issued during the period, the number of orders completed during the period, and the number of orders that remain active.) Click or tap here to enter text.
Evaluator Email and Phone
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Rating
Definition
Justification
Exceptional
Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.
To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant