**ATTACHMENT 2**

**PAST PERFORMANCE QUESTIONNAIRE**

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| ##                               |                                   |
|   PAST PERFORMANCE QUESTIONNAIRE |                                   |
+----------------------------------+-----------------------------------+
| Your assistance is requested in  |                                   |
| support of a source selection    |                                   |
+----------------------------------+-----------------------------------+
| Please complete this             |                                   |
| questionnaire and email to:      |                                   |
+----------------------------------+-----------------------------------+
| Michael L. Palensky, Contracting |                                   |
| Officer                          |                                   |
|                                  |                                   |
| U.S. Census Bureau Desired       |                                   |
| Response Date: May 19, 2006      |                                   |
|                                  |                                   |
| <DADSO.Acquisition@census.gov>   |                                   |
+----------------------------------+-----------------------------------+
| When complete, the information   |                                   |
| on this form is **SOURCE         |                                   |
| SELECTION SENSITIVE              |                                   |
| INFORMATION** (41 U.S.C. 423)    |                                   |
| and **shall** be protected       |                                   |
| accordingly.                     |                                   |
+----------------------------------+-----------------------------------+
| # TO BE COMPLETED BY CONTRACTOR  |                                   |
+----------------------------------+-----------------------------------+
| 1.  CONTRACTOR'S NAME AND        | 4\. CONTRACT NO.:                 |
|     ADDRESS                      |                                   |
|                                  |                                   |
| >                                |                                   |
+----------------------------------+-----------------------------------+
|                                  | 5\. CONTRACT INITIATION DATE:     |
|                                  |                                   |
+----------------------------------+-----------------------------------+
|                                  | 6\. COMPLETION DATE:              |
+----------------------------------+-----------------------------------+
|                                  | 7\. CONTRACT VALUE \$             |
+----------------------------------+-----------------------------------+
| 2.  PROJECT NAME:                | 8\. TYPE OF CONTRACT:             |
|                                  |                                   |
|                                  |                                   |
+----------------------------------+-----------------------------------+
| 9\. DESCRIPTION OF PROJECT'S KEY |                                   |
| CHARACTERISTICS:                 |                                   |
|                                  |                                   |
|                                  |                                   |
+----------------------------------+-----------------------------------+
| Please add a continuation page   |                                   |
| if additional space is           |                                   |
| necessary.                       |                                   |
+----------------------------------+-----------------------------------+
| TO BE COMPLETED BY EVALUATING    |                                   |
| ORGANIZATION REPRESENTATIVE      |                                   |
+----------------------------------+-----------------------------------+
| 10\. EVALUATION                  |                                   |
+----------------------------------+-----------------------------------+
| a.  EVALUATOR'S NAME, POSITION   |                                   |
|     DURING PROJECT EXECUTION     |                                   |
|     (Project Manager/COR/Other)  |                                   |
|     AND ORGANIZATION             |                                   |
|                                  |                                   |
| >                                |                                   |
+----------------------------------+-----------------------------------+
| b.  EVALUATOR'S PHONE NUMBER     | c\. MONTHS PERFORMANCE MONITORED  |
|                                  | BY EVALUATOR:                     |
| >                                |                                   |
+----------------------------------+-----------------------------------+
| Please check the response code   |                                   |
| for each topic that best         |                                   |
| reflects your experience with    |                                   |
| this contractor:                 |                                   |
|                                  |                                   |
| **EX** = Exceptional **VG** =    |                                   |
| Very Good **S** = Satisfactory   |                                   |
| **MG** = Marginal **US** =       |                                   |
| Unsatisfactory **N/O** = Not     |                                   |
| Observed                         |                                   |
+----------------------------------+-----------------------------------+
| A.  **Quality of Products and    |                                   |
|     Services**- Assess the       |                                   |
|     contractor's conformance to  |                                   |
|     contract requirements.       |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| B.  **Overall Performance**-     |                                   |
|     Assess the contractor's      |                                   |
|     overall performance for the  |                                   |
|     project.                     |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| C.  **Schedule**- Assess the     |                                   |
|     timeliness of the contractor |                                   |
|     against the schedule of      |                                   |
|     activities (as appropriate). |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| D.  **Technical Requirements**-  |                                   |
|     Assess the contractor's      |                                   |
|     ability and capacity to      |                                   |
|     fulfill the technical        |                                   |
|     requirements of the          |                                   |
|     contract.                    |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| E.  **Cost Control**- Assess the |                                   |
|     contractor's willingness and |                                   |
|     ability to manage the        |                                   |
|     contract budget and control  |                                   |
|     costs.                       |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| F.  **Subcontracting**- Assess   |                                   |
|     the contractor's success at  |                                   |
|     complying with               |                                   |
|     subcontracting goals.        |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| G.  **Customer Satisfaction**-   |                                   |
|     Assess the contractor's      |                                   |
|     responsiveness to customer   |                                   |
|     concerns and "user           |                                   |
|     friendliness" in ROUTINE     |                                   |
|     matters.                     |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| H.  **Customer Satisfaction**-   |                                   |
|     Assess the contractor's      |                                   |
|     responsiveness to customer   |                                   |
|     concerns and "user           |                                   |
|     friendliness" in UNEXPECTED  |                                   |
|     DIFFICULTIES.                |                                   |
|                                  |                                   |
| EX VG S MG US N/O                |                                   |
+----------------------------------+-----------------------------------+
| I.  **Repeat Business**- Assess  |                                   |
|     the likelihood that you      |                                   |
|     would want this contractor   |                                   |
|     to perform another contract  |                                   |
|     for you in the near future.  |                                   |
|                                  |                                   |
| > EX VG S MG US N/O              |                                   |
+----------------------------------+-----------------------------------+
| J.  List Contractor's Weak       |                                   |
|     Points:                      |                                   |
+----------------------------------+-----------------------------------+
| K. List Contractor's Strong      |                                   |
| Points:                          |                                   |
+----------------------------------+-----------------------------------+
| L. List any other projects this  |                                   |
| contractor has completed for     |                                   |
| you:                             |                                   |
+----------------------------------+-----------------------------------+
| M. If an award fee contract,     |                                   |
| what was the average award fee % |                                   |
| earned?                          |                                   |
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