2.1.1_Sol_Attachment 4_Past Performance Questionnaire_70B03C26R00000053.docx
DOCX document 30 KB Posted
- Attached to
- CBP Caregivers Services Federal contract opportunity
- Solicitation number
- 70B03C26R00000053
About this file
This is a Past Performance Questionnaire template for use in evaluating contractor performance on federal contracts for the U.S. Customs and Border Protection (CBP).
The questionnaire is designed for government agencies or commercial organizations to assess the past performance of contractors or subcontractors bidding on Solicitation Number 70B03C26R00000053 (CBP Caregivers Services). Completed questionnaires must be submitted to benjamin.j.dorgan@cbp.dhs.gov no later than April 30, 2026 at 5:00 PM Eastern Daylight Time via email only; phone calls will not be accepted. Respondents provide identifying information including the name of the person completing the form, the contractor's name, contract number, period of performance, dollar value, and a description of products or services provided. The questionnaire evaluates contractor performance across four dimensions—Performance (ability to meet requirements), Timeliness (schedule adherence and problem resolution), Quality of Services (specifications and delivery quality), and Overall Rating—using a three-level scale of Superior, Satisfactory, or Unsatisfactory with detailed definitions provided. Explanatory narratives and comments are requested for each rating to support the evaluation.
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| 2.4.1_Sol_A3_SF30_70B03C26R00000053.pdf | ||
| 2.4.1_Sol_A2_SF30_70B03C26R00000053.pdf | ||
| 2.4.1_Sol_A1_SOW_Rev 1_70B03C26R00000053.pdf | ||
| 2.4.1_Sol_A1_SF30_70B03C26R00000053.pdf | ||
| 2.4.1_Sol_A1_Questions and Answers_70B03C26R00000053.pdf | ||
| 2.1.1_Sol_Attachment 2_SOW_70B03C26R00000053.pdf | ||
| 2.1.1_Sol_Attachment 3_Proposal Pricing Schedule_70B03C26R00000053.xlsx | XLSX spreadsheet | |
| 2.1.1_Sol_Attachment 5_List of Applicable Wage Determinations_70B03C26R00000053.xlsx | XLSX spreadsheet | |
| 2.1.1_Sol_Attachment 1_SF-1449_70B03C26R00000053.pdf |
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Text version
SOLICITATION ATTACHMENT 4
RFP 70B03C26R00000053
PAST PERFORMANCE QUESTIONNAIRE
Contractor Name: __________________________________________________________________
To: Contracting Officer at government agency or commercial organization with knowledge of contractor’s past performance.
1. Please complete this questionnaire, which concerns the past performance of a contractor or subcontractor who is doing business (or has done business) with you, and is interested in doing business with U.S. Customs and Border Protection (CBP). If you need more space than that is provided, please attach additional pages. Responses will be treated as source selection sensitive information. A handwritten assessment is acceptable.
Please email the completed questionnaire to the solicitation’s contract specialist at the address provided below so that it is received not later than April 30, 2026 at 5:00 PM Eastern Daylight Time. Phone calls will not be accepted.
| Solicitation Number: 70B03C26R00000053 |
| Email Address: benjamin.j.dorgan@cbp.dhs.gov |
2. Please complete the following identifying information and past performance assessment:
Name of Individual filling out questionnaire:___________________________
Email of person listed above:________________________________________
Contractor’s Name: _______________________________________________
Contract Number: ________________________________________________
Period of Performance: ____________________________________________
Dollar Value of Contract:___________________________________________
Describe product or service:
3. EVALUATION: Please rate the Contractor utilizing the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.
Evaluation Definitions –
The following definitions should be used in the assessment of Contractor performance.
| SUPERIOR |
| Performance EXCEEDS SOME OR MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns for which the Contractor’s corrective actions were highly effective. |
| SATISFACTORY |
| Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective. |
| UNSATISFACTORY |
| Performance DOES NOT MEET contractual requirement. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective. |
Past Performance Question 1. Performance What is your assessment of the Contractor’s ability to meet your requirements?
| Superior |
| Satisfactory |
| Unsatisfactory |
Performance
Comments, if any:
Question 2. Timeliness
What is your assessment of the Contractor’s ability to provide services in a timely manner (i.e., meeting schedule requirements?
| Superior |
| Satisfactory |
| Unsatisfactory |
Timeliness
Ability to Resolve Timeline Problems
Comments, if any.
Question 3. Quality of Services
What is your assessment of the Contractor’s ability to meet requirements of your services specifications and the overall quality of those services delivered?
| Superior |
| Satisfactory |
| Unsatisfactory |
Quality of Services
Comments, if any.
Question 4. Overall Rating of Contractor’s performance
What is your overall rating of Contractor’s performance (e.g., requirements, schedule, and price) on contract being assessed?
| Superior |
| Satisfactory |
| Unsatisfactory |
General Comments:
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