ATCH_5_Past_Performance_Questionnaire__Survey_PPE_Yuma__.pdf

ATCH 5 PAST PERFORMANCE SURVEY PR 20112548 PPE Uniforms Yuma Sector

ATTACHMENT 5 – PAST PERFORMANCE

PPE –Uniforms – USBP Yuma Sector Yuma, Arizona

PAST PERFORMANCE SURVEY COVER PAGE

Instructions: Offerors may send up to three questionnaires to previous clients/customers for completion. The actual rating will be completed by the client/customer and returned to the Government (address is shown on the questionnaire). Offerors will list the contract number and name on the questionnaire and send to the client/customer.

Offerors are asked to complete this survey cover sheet and return with their completed package to the point of contact listed in the combined synopsis.

Offerors without relevant past performance may include information that describes efforts of key personnel who have relevant experience.

List the clients/customers you have asked to complete past performance information:

Contract Name: _______________________________________________ Contract Number: _____________________________________________ Name, phone and address of contact:

Contract Name: _______________________________________________ Contract Number: _____________________________________________ Name, phone and address of contact:

Contract Name: _______________________________________________

Contract Number: _____________________________________________ Name, phone and address of contact:

Past Performance Questionnaire Please have customers from your previous projects complete the following information in regards to the referenced contract and contractor:

Contract #: ____________________________________________ Contractor:____________________________________________

Completed past performance information must be received prior to the closing date of the solicitation (20085602). Send completed responses to:

E-mail (preferred method) Teresa.Nechvatal@cbp.dhs.gov Regular mail: Customs and Border Protection ATTN: Teresa Nechvatal – 20086605 – PPE San Diego 4760 N. Oracle Road, Suite 100 Tucson AZ 85705

1. Did the contractor perform any of the functions below in performance of this contract? (Check all that apply and provide a brief description)

Function Brief Description Laundry Services Uniforms

Transport / Delivery of Uniforms

2. Where was the work performed? List location and check applicable area below:

Location: ____________________________________________ __ Installation of the Federal Government __ Other (Please specify) _______________________________

3. Did the Contractor use any of the following in performance of this contract?

____Government-owned information system Please specify: _______________________________ __ Commercial information system?

Please specify: _______________________________

Evaluation mailto:Teresa.Nechvatal@cbp.dhs.gov

Mark the contractor’s past performance by indicating the number associated with the most appropriate response according to the rating scale shown below. Provide rationale, including specific examples, as appropriate, to support your ratings of 5(Excellent), 2 (Marginal), or 1(Unsatisfactory), in the space provided for comments in each section. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire. It is important that the information be as factual, accurate, and complete as possible to preclude the need for follow-up by the evaluators. If there is an area that you do not have detailed knowledge of then you may consult with someone in your organization that does.

Use the following ratings to assess contractor performance where appropriate.

TABLE 1- PERFORMANCE RATINGS

Rating Description

5 – Excellent Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 – Good Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 – Fair Performance meets contractual requirements. The contractual performance contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2 – Marginal Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s corrective actions appear only marginally effective or were not fully implemented.

1 – Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

0 – Not Rated Not applicable or has no history.

Schedule

1. How well did the contractor meet the overall schedule of the requirement? Provide rationale only to support your ratings of 5, 2 or 1.

2. How well did the contractor respond (overall) to schedule changes?

Provide rationale only to support your ratings of 5, 2 or 1.

Safety

3. How well did the contractor meet contractual safety requirements?

Provide rationale only to support your ratings of 5, 2 or 1.

4. How well did the contractor adequately respond and follow-up on safety incidents/violations? Provide rationale only to support your ratings of 5, 2 or 1.

Quality

5. How well did the contractor meet the overall quality of service required by the contract? Provide rationale only to support your ratings of 5, 2 or 1.

0 1 2 3 4 5

6. How effective were the contractor’s overall quality control plan?

Customer Satisfaction

7. What is the overall level of Customer Satisfaction for this requirement?

8. Overall, how well did the contractor perform/execute the requirement?

9. What was the overall capability of the contractor’s team? Did the contractor’s personnel demonstrate the appropriate education, relevant experience, security clearances, levels of skill, and expertise for the tasks required?

10. How effective was the contractor in responding to technical and administrative issues? Provide rationale only to support your ratings of 5, 2 or 1.

11. Overall, how effective was the contractor’s ability to provide qualified personnel to support the contract. Provide rationale only to support your ratings of 5, 2 or 1.

Additional Relevant Data

12. Would you recommend the award of similar contracts to this contractor in the future? Explain.

Yes _____ No _____

13. Are you aware of other relevant past service contract efforts by this company? If yes, please provide the name and telephone number of a point of contact.

14. Additional Comments/Significant Issues:

Mark the contractor’s past performance by indicating the number associated with the most appropriate response according to the rating scale shown below. Provide rationale, including specific examples, as appropriate, to support your ratings of 5(Exc...