2.2.1_Sol_Attachment 4_Past Performance Questionnaire_70B03C26R00000045.docx
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- Attached to
- Non-Intrusive Inspection (NII) Relocatable Passenger Vehicle Scanning Systems (RPVSS) IDIQ
- Solicitation number
- 70B03C26R00000045
About this file
This is a Past Performance Questionnaire template designed for the RFP 70B03C26R00000045 issued by U.S. Customs and Border Protection (CBP) for Non-Intrusive Inspection (NII) Relocatable Passenger Vehicle Scanning Systems (RPVSS). The questionnaire is completed by government agencies or commercial organizations with knowledge of a contractor's past performance and must be submitted by April 1, 2026 at 5:00 PM Eastern Daylight Time to benjamin.j.dorgan@cbp.dhs.gov. The form requests identifying information including the contractor name, contract number, period of performance, dollar value, and description of products or services provided.
The questionnaire evaluates contractor performance across four key areas using a three-tier rating system (Superior, Satisfactory, Unsatisfactory): ability to meet requirements, timeliness of product delivery, quality of shipments including packing and marking, and overall performance rating across requirements, schedule, and price. Performance definitions are provided to guide assessments, with Superior indicating performance exceeding contractual requirements with few minor issues, Satisfactory indicating meeting contractual requirements with minor issues resolved effectively, and Unsatisfactory indicating failure to meet contractual requirements with serious unresolved problems. Respondents are encouraged to provide detailed narrative explanations for their ratings on additional pages as needed.
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Text version
SOLICITATION ATTACHMENT 4
RFP 70B03C26R00000045
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 1, 2026 at 5:00 PM Eastern Daylight Time. Phone calls will not be accepted.
| Solicitation Number: 70B03C26R00000045 |
| 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 products in a timely manner?
| Superior |
| Satisfactory |
| Unsatisfactory |
Timeliness
Ability to Resolve Timeline Problems
Comments, if any.
Question 3. Quality of Shipments
What is your assessment of the Contractor’s ability to meet requirements of shipping (including packing, marking, etc.) and the overall quality of the delivery?
| Superior |
| Satisfactory |
| Unsatisfactory |
Quality of Shipments
Comments, if any.
Question 4. Overall Rating of Contractor’s performance
What is your overall rating of Contractor’s performance (requirements, schedule, and price) on contract being assessed?
| Superior |
| Satisfactory |
| Unsatisfactory |
General Comments:
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