Past_Performance_Questionnaire.doc

Past Performance Questionnaire

PAST PERFORMANCE QUESTIONNAIRE

____________________________ is interested in fulfilling a requirement for U.S. Customs and Border Protection (CBP). As part of the evaluation process, CBP is required to examine relevant past performance of interested vendors. To that end, CBP has requested that questionnaires be sent to customers.

Your organization has been selected to complete a questionnaire. Past Performance is an important part of the evaluation process for this acquisition, so your input is very important. The information should be provided directly to Gary Orr, the U.S. Customs and Border Protection Contracting Officer conducting this acquisition. Please provide an honest assessment and return the questionnaire directly to CBP, Attn: Gary Orr, Contract Specialist, by e-mail at gary.orr@cbp.dhs.gov.

Please provide the following information:

Organizational Information

Point of Contact:

Company Name:

Address:

POC Phone No.:

POC Fax No.:

E-Mail Address:

Contract Information

Contract No. (if federal contract):

Total Value of Contract (w/ options):

Supplies or Services Purchased:

Period Of Performance:

Performance Evaluation Element – Meeting Mission Requirements/Quality

Please evaluate the vendor’s ability to meet its contractual requirements:

Performance Evaluation Element – Schedule Performance

Please evaluate the vendor’s ability to meet the following items in a timely fashion:

Performance Evaluation Element – Project Management

Please evaluate the vendor’s ability to execute the project:

Additional Comments

Please use the space below to comment on any of the questions above or on any other relevant performance issue. You may attach additional sheets, if needed.

Final Evaluation

Thank you for your valuable assistance in evaluating this vendor. Please sign and return this document to Gary Orr (contact information above).

Point of Contact Name (printed)

Signature Date