2.2.1-DRAFT Attachment 5 - Past Performance Questionnaire v2.doc

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Transportation Services for the SNA and HLG Field Office, TX
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This is a Past Performance Questionnaire template created by DHS Immigration and Customs Enforcement (ICE) for evaluating vendors bidding on an IDIQ contract for Transportation Services. The questionnaire must be submitted directly to brittany.tobias@ice.dhs.gov and Shereen.demarais@ice.dhs.gov by May 2020 (specific date not provided).

The questionnaire evaluates contractors across three main areas: Corporate Commitment, Quality of Service, and Timeliness of Performance using a four-tier confidence rating system (High Confidence, Some Confidence, Low Confidence, Unknown Confidence). Key evaluation factors include contract/project management effectiveness, understanding of requirements, quality control standards, service quality, personnel qualifications, emergency response capabilities, and adherence to delivery schedules. The form also asks about any contract terminations, contractor strengths and weaknesses, and whether the evaluator would award future contracts to the contractor.

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PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on a U.S. Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE) Indefinite Delivery Indefinite Quantity (IDIQ) request to provide Transportation Services to meet the mission needs of ICE. 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 brittany.tobias@ice.dhs.gov and Shereen.demarais@ice.dhs.gov. This information will not be disclosed to the respondent. Please provide an honest assessment and return the questionnaire to ICE by e-mail to the address shown below no later than XX:XXAM, Central Daylight Time on May XX, 2020. If you have questions, please contact OAQDCRSW@ice.dhs.gov.

Completed questionnaires should be emailed to the following address: brittany.tobias@ice.dhs.gov and Shereen.demarais@ice.dhs.gov.

GENERAL INFORMATION

1. RESPONDENT’S NAME:

2. RESPONDENT’S TITLE:

3. CONTRACT NUMBER:

4. CONTRACT VALUE: _______________________

5. CONTRACT AWARD DATE:

6. CONTRACT COMPLETION DATE:

7. CONTRACT TYPE (Check All That Apply):

8. COMPLEXITY OF WORK (Check One Response):

Fixed Price FORMCHECKBOX Cost-Plus Fixed Price FORMCHECKBOX Cost-Plus Award Fee FORMCHECKBOX

DIFFICULT FORMCHECKBOX

ROUTINE FORMCHECKBOX

T & M FORMCHECKBOX

OTHER

FORMCHECKBOX

PART TWO: RESPONDENT PERFORMANCE RATING

On the following pages, please summarize the Respondent’s performance in each rating factors. Each factor has a set of sub factors with four possible adjectival ratings. Determine the confidence rating that most nearly represents your experience with this Respondent and indicate your assessment by placing an “X” under the appropriate heading. Respondent performance factors are:

A. CORPORATE COMMITMENT

B. QUALITY OF SERVICE

C. TIMELINESS OF PERFORMANCE

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

High Confidence
The Government has a high expectation that the Offeror will successfully perform.
Some Confidence
The Government has a reasonable expectation that the Offeror will successfully perform.
Low Confidence
The Government has a low expectation that the Offeror will successfully perform.
Unknown Confidence (Neutral)
The Offeror’s performance record is so sparse, a meaningful confidence rating cannot be reasonably assigned.
A
CORPORATE COMMITMENT
High

Confidence Some Confidence Low Confidence Unknown Confidence

(Neutral)

1.
Did contractor provide effective contract and project management?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

2.
How effective has the contractor been in understanding and responding to user requirements?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

3.
Did the contractor establish and maintain effective quality control standards and procedures?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

B
QUALITY OF SERVICE
High

Confidence Some Confidence Low Confidence

Unknown Confidence

(Neutral)

1.
Did the contractor provide quality goods/services?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

2.
Did the contractor provide quality reports and documentation (i.e., accurate, current and complete)?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

3.
Was the contractor able to solve contract performance problems without extensive guidance from counterparts?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

4.
Did the contractor supply professional and qualified personnel?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

5.
Did the contractor respond to emergency situations to include staffing and responsiveness?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

TIMELINESS OF PERFORMANCE
High

Confidence Some Confidence Low Confidence Unknown Confidence

(Neutral)

1.
Did the contractor adhere to contract delivery schedules in the following areas:
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

(a) Performance of services?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

(b) Delivery of reports or other documentation?
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

(c) Qualified Staffing
FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

HIGH CO

1. Has this contract been partially or completely terminated for default? YES FORMCHECKBOX

NO FORMCHECKBOX

If yes, please explain (e.g. inability to meet cost, performance, or delivery schedules - also include contract number, name, address, and phone number of Terminating Contracting Officer - TCO).

2. What was the contractor’s greatest strength in the performance of the contract?

3. What was the contractor’s greatest weakness in the performance of the contract?

4. Would you award another contract to this contractor?

YES FORMCHECKBOX

NO FORMCHECKBOX

COMMENTS:

PART THREE: EVALUATOR’S CERTIFICATION

I HEREBY CERTIFY THAT THE INFORMATION IN THIS FORM IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

SIGNATURE OF EVALUATOR

TITLE OF EVALUATOR

DATE

SOURCE SELECTION SENSITIVE INFORMATION

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