2.02.01 Attachment 3 - Past Performance Questionnaire.pdf
PDF 3 MB Posted
- Solicitation number
- 70FBR425Q00000162
About this file
The document is a Past Performance Questionnaire for a Federal Emergency Management Agency (FEMA) Request for Quote (RFQ) 70FBR425Q00000162 for Level II Armed Security Guard Services in Florida. The questionnaire is designed to collect performance feedback from previous contractors, with evaluators asked to rate the contractor's performance across three key elements: staffing capacity, customer satisfaction, and responsiveness/attentiveness using a scale from Superior to Unsatisfactory. The form requires confidential submission directly to the FEMA Contracting Officer by the closing date, with ratings to be used in evaluating the offeror's past performance for a small business set-aside contract supporting disaster response and recovery operations in Florida.
The solicitation is specifically for armed security guard services at temporary and fixed facilities including Joint Field Offices, staging yards, and branch offices, with a preference for local firms in counties affected by Hurricane Helene and Hurricane Milton. The contract is set aside for small businesses under NAICS code 561612 with a size standard of $29M, and funding is contingent on appropriation availability. The procurement emphasizes local business participation in support of disaster recovery efforts, with potential contractors required to demonstrate their previous performance capabilities through this detailed questionnaire process.
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PAST PERFORMANCE QUESTIONNAIRE
Source Selection Information – See FAR 3.104 and FAR 2.101
The Federal Emergency Management Agency (FEMA), recently released a Request for Quote (RFQ) for the procurement of supplies or services RFQ 70FBR425Q00000162. Offerors were asked to provide information on contracts similar in nature, size, and complexity to the present requirement on which they had performed in the past. An offeror has submitted this to you as a reference for past performance. (See blocks 1 to 3 below).
We need your opinion on how well the contractor performed on your contract(s). Please fill out the attached questionnaire and send it electronically to either the Contracting Officer at stewart.knotts@fema.dhs.gov. To be considered, this form must be filled out and received by the Contracting Officer no later than the closing date and time listed in the RFQ.
FEMA may contact you to clarify or verify any information provided. For purposes of confidentiality, only send this completed form to the FEMA Contracting Officer. Your input will be confidential. Please note your comments will be used to form the basis for evaluation of this offeror. Thank you in advance for your assistance.
A. CERTIFICATION
By law, the Government will not disclose the names of individuals providing reference information during discussions with the contractor identified in Block 1 below.
Block 1. Contractor Name:
Block 2. Contractor phone number and address:
Block 3. Contract Name and Number: |
I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS QUESTIONNAIRE IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Evaluator’s Printed Name Title
Evaluator’s Mailing Address (Agency, Bldg/Room, Street, City, State, Zip)
Evaluator’s Signature Date Phone Fax
B. INSTRUCTIONS
Two forms are provided to document your opinion: 1) Performance Rating Form; and 2) Supplemental Comment Form. Please fill out both forms in accordance with the instructions provided on each. Please use the following standards in arriving at your rating: Superior, Good, Satisfactory, Marginal, Unsatisfactory, or Neutral.
70FBR425Q00000162 Attachment 3
QUESTIONNAIRE PERFORMANCE RATING FORM (put an X in the appropriate box)
Performance Element Superior Good Satisfactory Marginal Unsatisfactory Neutral
1. STAFFING CAPACITY:
Contractor has demonstrated support capacity that will meet the expected Armed services requirements
2. CUSTOMER SATISFACTION:
The contractor exhibited a commitment to customer satisfaction and achieved customer satisfaction.
3. RESPONSIVENESS AND
ATTENTIVENESS: The contractor exhibited reasonable and cooperative behavior in response to criticism/rejection of contract deliverables and in immediately correcting errors, poor performance, and other problems.
OVERALL PERFORMANCE:
QUESTIONNAIRE SUPPLEMENTAL COMMENT FORM
Please provide any additional comments regarding your performance element ratings in the appropriate spaces below. We appreciate your time and valuable comments. Please add additional pages as necessary.
Performance Element 1. STAFFING CAPACITY
Performance Element 2. CUSTOMER SATISFACTION
Performance Element 3. RESPONSIVENESS AND ATTENTIVENESS:
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