Present_Past_Performance_Questionnaire_MA.docx

15JPSS19R00000006 Private Counsel Debt Collection – District of Massachusetts

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS TO OFFERORS SENDING REFERENCE QUESTIONNAIRE FORMS:

Section A (Part I and Part II) shall be completed by the offeror (the firm requesting the reference) prior to issuing the questionnaire. The offeror shall send the questionnaire forms for relevant debt collection work that is in progress or completed in the past three (3) years to clients who will provide the reference. It is the responsibility of the offeror to follow-up and encourage client references to submit the questionnaires by the due date of the proposal in Section L.5 of the solicitation. The completed questionnaires shall be submitted via e-mail directly from the person providing the reference. The Department will not accept completed questionnaires sent from the offeror.

INSTRUCTIONS TO PERSON PROVIDING REFERENCE:

The U.S. Department of Justice is currently conducting a competitive procurement in support of the Private Counsel Program. The selected firm(s) shall furnish all legal services, including representation in negotiation, compromise, settlement, and litigation, to collect delinquent debts owed the United States. Such services include the collection and litigation of secured and unsecured Federal debts and participation in bankruptcy, foreclosure, and other ancillary proceedings as may be required. All of the work to be performed under the contract must be performed within the counties that comprise the United States Federal Judicial Districts, and all litigation to collect secured and unsecured debts must be brought in the United States District Court in the same judicial district in which the debtor is located. Contract payments will be based primarily on contingency fee payments for unsecured debt collection and fixed prices for secured debt collection. Other direct costs and/or material costs may be reimbursed on an actual cost basis.

In order to accurately evaluate the firm’s present/past performance, your assistance is requested in obtaining and verifying the present/past performance history of this firm. As a reference for work performed by the firm identified in Section A of this questionnaire, your candid response will assist the evaluation process. Please complete Section B (Part I and Part II) of the questionnaire as thoroughly as possible. The questionnaire must be submitted to christina.murray@usdoj.gov no later than Monday, June 3, 2019 at 4:30 p.m. ET. An earlier submission is highly recommended. The subject in the submission e-mail shall clearly indicate: Past Performance Questionnaire Submission for <Firm’s Name> and the message shall originate from the reference’s government or commercial e-mail system.

In addition to this questionnaire, you may receive a follow-up phone call or e-mail to confirm or clarify information. Your input into this evaluation is greatly appreciated. If you have questions regarding this questionnaire or require assistance, please submit inquiries to christina.murray@usdoj.gov.

Sincerely, Christina Y. Murray

Christina Y. Murray Contracting Officer

SECTION A

TO BE COMPLETED BY OFFEROR (THE FIRM REQUESTING THE REFERENCE)

PART I: OFFEROR INFORMATION

NAME AND ADDRESS OF FIRM BEING EVALUATED:

PART II: PRESENT/PAST PERFORMANCE INFORMATION

AGENCY/CLIENT NAME:

CONTRACT/ORDER NUMBER (IF AVAILABLE, PLEASE SPECIFY. OTHERWISE, INDICATE N/A):

TYPES OF DEBT COLLECTION AND LITIGATION ACTIVITY PERFORMED (E.G., SPECIFY TYPES OF SECURED AND UNSECURED DEBT, TO INCLUDE ANY PARTICIPATION IN BANKRUPTCY, FORECLOSURE, AND OTHER RELATED SERVICES/WORK):

WHEN AND HOW LONG WERE THE SERVICES/WORK PERFORMED (MM/DD/YYYY TO MM/DD/YYYY OR PRESENT):

SECTION B

TO BE COMPLETED BY EVALUATOR (PERSON PROVIDING REFERENCE)

PART I: REFERENCE INFORMATION

NAME & TITLE:

ORGANIZATION (INCLUDING AGENCY AND/OR COMPANY):

ADDRESS:

PHONE NUMBER:

E-MAIL:

PART II: INFORMATION ABOUT DEBT COLLECTION ACTIVITY FOR WHICH REFERENCE IS REQUESTED

Please identify and correct any information that is not accurate in Section A.

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating as described below. Please provide clear and concise narrative explanations (both positive and negative) for your answers.

PART III: DEFINITION OF PERFORMANCE LEVELS

PERFORMANCE LEVEL

EXCELLENT: Exceeded expectations in all areas.

VERY GOOD: Met all expectations and exceeded in one or more areas.

GOOD: Met all expectations in all areas.

POOR: Met some expectations but not in all areas.

UNACCEPTABLE: Failed to complete the work and/or did not satisfy expectations.

PART IV: PEFORMANCE ELEMENTS

1. Quality of Services/Work (For example: How would you rate the firm’s quality of services/work performed? This can include quality of task/work completion, interactions, and deliverables)

|_| Excellent |_| Very Good |_| Good |_| Poor |_| Unacceptable

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Timeliness of Performance (For example: How would you rate the firm’s ability to perform the work/services in a timely manner?)

|_| Excellent |_| Very Good |_| Good

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Business Relations (For example: How would you rate the firm’s professionalism, responsiveness, and proactiveness, while meeting all services and/or work requirements?)

|_| Very Good |_| Good

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Client Satisfaction (For example: How would you rate the firm’s ability to provide a high level of communication, customer service, and satisfaction?)

|_| Very Good |_| Good

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Reasonableness of Prices (For example: How would you rate the firm’s ability to perform the work/services at a reasonable rate/fee?).

|_| Very Good |_| Good

Explanation:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PART V: EVALUATOR SIGNATURE