Past_Performance_Questionnaire.docx

DOCX document 26 KB Posted

Attached to
Emergency Fuel Services Federal contract opportunity
Solicitation number
70B01C18Q00000237
Issued by
Department of Homeland Security Customs and Border Protection

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Past Performance Questionnaire

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Attachment Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

The Contractor listed below is being considered in a Source Selection by U.S. Customs and Border Protection (CBP), Washington, D.C. Please provide us with comments regarding the Contractor's past performance. Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulation (15.506) prohibits the release of the names of individuals providing reference information about an Offeror's past performance. To maintain the integrity of the source selection process, it is requested that you do not divulge the name of the Contractor nor discuss your comments on this questionnaire with any other individuals.

Email the completed questionnaire to the CBP Contracting Officer Gary Robertson at GARY.R.ROBERTSON@cbp.dhs.gov no later than August 31, 2018

Past Project Information:

1. Offeror (Contractor submitting this request):

2. Address: Phone Number:

3. Firm being evaluated (Offeror or team subcontractor):

4. Contract Number/Project Title being evaluated:

Evaluator: (The following information will assist in the analysis of the data.

Information will be kept confidential)

1. Name of Evaluator:

2. Firm/Agency Name Address:

_______________________________________________
_______________________________________________

3. Phone Number:

4. Position held or function in relation to project:

Rating: Please evaluate the Contractor's performance using the following ratings only:

E
Exceptional
The Contractor's performance greatly exceeded the contract requirements.
A
Acceptable
The Contractor's performance met the contract requirements.
U
Unacceptable
The Contractor’s performance failed significantly to meet the contract requirements (performance was poor).
N/A
Not Applicable
The item being rated does not apply or the evaluator has insufficient information to rate the item.

(Do not rate on a "+" or "-" scale. Please use only the ratings provided above, without variation)

Please rate and provide any supporting information for the following.

TOPIC
RATING

1. The relationship between the Contractor and customer.

2. The Contractor's performance on delivery of quality work.

3. The Contractor's ability to meet the performance schedule.

4. The Contractor's ability to control costs and provide required work at a reasonable price.

5.Has the Contractor been issued any cure notices, show cause letters, letters of reprimand, suspension of payments, termination? If yes, please explain
Yes _No ____
6.Would you award another contract to this Contractor? If no, please state reason(s) for not recommending this Contractor for additional work:
Yes _No ____
7.Was the customer satisfied with the end product?
Yes _No ____

OVERALL RATING

Please provide any additional applicable comments (if required):

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