2.2.1-Attachment 2 Past Performance Questionnaire.docx

HSCENV-08-Q-00014

Attachment 2: Past Performance Questionnaire Date of Form: 3/23/2023 70CMSD23R00000001

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The Department of Homeland Security, Immigration and Customs Enforcement (ICE) have a solicitation to provide Student Exchange and Visitor Program I-901 Form Fee Collection and Receipting activities for the purpose of expediting the collection of fees and applications related to, and in support of, SEVP operations. These services and activities include hosting and software operations and maintenance (O&M) services to ensure a continuously operating and secure application available 24 hours a day, 7 days a week annually capable of processing the I-901 payments received by SEVP. Past Performance is an extremely important part of the evaluation criteria for this acquisition, so your input is very important. The information is to be provided directly to, the ICE Contracting Officer. This information will not be disclosed to the offeror. Please provide an honest assessment and return the questionnaire to ICE by email, no later than 1000 eastern, June 1, 2023. If you have questions, please contact Chris Jackson at (682) 308-7165 or Christopher.L.Jackson@dhs.gov.

PART TWO: GENERAL INFORMATION

PAST PERFORMANCE/EXPERIENCE QUESTIONNAIRE

PERFORMANCE EVALUATION

I. CONTRACT INDENTIFICATION

A. CONTRACT NUMBER:

B. OFFEROR:

C. TYPE OF CONTRACT:

☒ COMPETITIVE ☐ SOLE SOURCE

☐ FIXED PRICE ☐ TIME & MATERIAL ☐ LABOR HOUR

☐ COST REIMBURSEMENT ☐ OTHER (SPECIFY)

D. COMPLEXITY OF WORK: ☐ DIFFICULT ☐ ROUTINE

E. CONTRACT AMOUNT: $

F. CONTRACT PERIOD:

G: AGENCY NAME:

H. Nature of Effort (i.e., please describe the scope of the effort performed by the contractor and the type of tasks involved.

II. Adjectival ratings are defined below and should be used as a reference in assessing performance:

III. EVALUATION

A. PERFORMANCE HISTORY

1. To what extent did the offeror adhere to the contract delivery schedule?

☐ E ☐ VG ☐ S ☐ M ☐ U

2. To what extent did the offeror submit required reports and documentation in a timely manner?

☐ E ☐ VG ☐ S ☐ M ☐ U

3. To what extent were the offeror’s reports and documentation accurate and complete?

4. To what extent was the offeror able to solve contract performance problems without extensive guidance from government counterparts?

5. To what extent did the offeror display initiative in meeting requirements?

☐ E ☐ VG ☐ S ☐ M ☐ U

6. Did the offeror commit adequate resources in a timely fashion to the contract to meet the requirement and to successfully solve problems?

7. To what extent did the offeror respond positively and promptly to technical directions, contract change orders, etc.?

8. To what extent was the offeror’s quality control successful to include problem tracking/reporting documentation timely, accurate, and of appropriate content?

B. TERMINATION HISTORY

9. Has this contract been partially or completely terminated for default or convenience?

☐ Yes ☐Default ☐ Convenience ☐ No

10. Are there any pending terminations?

☐ Yes ☐ No

C. COST MANAGEMENT

11. To what extent did the offeror meet the proposed cost estimate?

☐E ☐VG ☐S ☐M ☐U

Additional comments:

Printed Name of Reviewer:

Title of Reviewer:

Phone Number:

Email address:

Signature: _______________________________________________ Date: ___________________