2.2.1 Attachment 3 - Past Performance Questionnaire.pdf
PDF 2 MB Posted
- Attached to
- Level II Security Guard Services - New Mexico (Amendment 1) Federal contract opportunity
- Solicitation number
- 70FBR624R00000017
- Issued by
- Federal Emergency Management Agency
About this file
This document is a Past Performance Questionnaire that is part of a Request for Proposal (RFP) from the Federal Emergency Management Agency (FEMA) for Level II Security Guard Services in New Mexico. The RFP is set-aside for Small Disadvantaged Businesses and covers security services primarily at disaster-related sites and facilities within the declared disaster area in New Mexico. The immediate requirement is for up to 200 hours per day of armed guard services, with a minimum of 50 officers available for immediate deployment. The contractor must use Department of Labor category 27102 Guard II security personnel who meet all local and state qualification requirements. The questionnaire requests the evaluator's assessment of the contractor's past performance on key elements such as staffing capacity, customer satisfaction, and responsiveness. The completed questionnaire must be submitted to the Contracting Officer by the RFP closing date.
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Text version
PAST PERFORMANCE QUESTIONNAIRE
Source Selection Information – See FAR 3.104 and FAR 2.101
The Department of Homeland Security (DHS), FEMA, recently released a Request for Proposal (RFP) for the procurement of supplies or services RFP 70FBR624R00000017. 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 michael.bonds@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 RFP.
DHS/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. If you have any questions, please contact the Contracting Officer at michael.bonds@fema.dhs.gov.
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.
70FBR624R00000017 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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