2.2.1 Attachment 4 - Past Performance Questionnaire.docx

TTHU TSS IDIQ

70FB8024R00000021 Past Performance Questionnaire

General Instructions:

· The Offeror shall complete Part I, then provide the document to the Reference to complete Part II.

· The Reference shall email the completed questionnaire directly to: Ejona.Lika@fema.dhs.gov and Keturah.Stroy@fema.dhs.gov

· The subject of the e-mail must be titled "TTHU TSS IDIQ Past Performance Questionnaire."

Part I Part I Instructions: The Quoter shall complete the highlighted areas below before providing this document to the Reference.

OFFEROR INFORMATION

Company:

Street Address:

City, State, Zip Code:

Country :

CAGE Code:

Entity Unique Identification (UEI) Number:

CONTRACT/TASK ORDER DETAILS

Award Date:

Period of Performance:

Dollar Value:

Prime or Subcontractor?

Location(s) of Performance:

Brief Contract Description:

Part II Part II Instructions: The Reference shall complete the sections below and email directly to: Ejona.Lika@fema.dhs.gov and Keturah.Stroy@fema.dhs.gov using the "Rating Descriptions" below as a guide, select a rating for each applicable area of performance. The subject of the e-mail must be titled " TTHU TSS IDIQ Past Performance Questionnaire".

REFERENCE INFORMATION

Assessor’s Name

Assessor’s Title

Assessor’s Phone number

Assessor’s Email Address

Agency/Company

Complete Address

CAGE Code

Entity Unique Identification (UEI) Number

RATING SCALE: Please use the following ratings to answer the questions on page 4.

Unsatisfactory Performance does not meet most contractual requirements and corrections are not likely in a timely manner. The contractual performance of the element being assessed contains serious problem(s) for which the contractor’s corrective actions appear to be or were ineffective.

N/A (Not applicable) should be used if the ratings are not going to be applied to a particular area for evaluation

NOTE: For statements indicating less than “Satisfactory”, please provide a brief explanation in the comments section of the survey.

CONTRACTOR PAST PERFORMANCE EVALUATION SURVEY FOR SERVICES

A.) QUALITY OF SERVICE:

(1) How successful was the Contractor in providing a service that conformed to contract requirements and specifications?

(2) How successful was the Contractor in submitting accurate reports?

(3) How would you rate the Contractor’s ability to quickly respond to frequently changing requirements?

(4) How responsive to technical and/or contractual direction was the Contractor?

B.) TIMELINESS OF PERFORMANCE / SCHEDULE:

(1) How successful was the Contractor in performing tasks/services under this effort in a timely manner and according to the agreed upon schedule?

(2) How successful was the Contractor in submitting deliverables in accordance with contract requirements?

(3) How successful was the Contractor in completing project milestones according to the agreed upon schedule?

C.) CUSTOMER SATISFACTION: (SELECT ONE)

D.) BUSINESS RELATIONS / INTEGRITY / EFFECTIVE MANAGEMENT:

(1) How well did the Contractor demonstrate effective management over the effort performed?

(2) How well did the Contractor maintain an open line of communication so that the COR and/or TM were apprised of technical, cost, and schedule issues and risks?

(3) How well did the Contractor present information and correspondence in a clear, concise, and businesslike manner?

(4) How well did the Contractor promptly notify the COR, TM, and/or Contracting Officer (CO) in a timely manner regarding urgent issues?

(5) How well did the Contractor cooperate with the Government in providing flexible, proactive, and effective recommended solutions to critical program issues?

(6) How successful was the Contractor in effectively managing its subcontractors?

E.) MANAGEMENT OF PERSONNEL:

(1) The labor turnover in key personnel labor categories was minimal and did not adversely affect Contractor performance.

(2) The Contractor proposed qualified personnel to fulfill the requirements of the contract.

(3) How successful was the Contractor in committing adequate resources in a timely fashion to resolve problems that arose during performance?

COMMENTS: For the rating of very good or exceptional briefly state the benefits received by the Government that exceeded the contract requirements. For the ratings of marginal or unacceptable briefly state the negative impact on the Government from not meeting the contract requirements.