70B06C21R00000024 - Attachment 3- Past Performance Questionnaire.docx

ATTACHMENT 3

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.

Email the completed questionnaire to the contracting officer at the address provided below so that it is received not later than September 1, 2021 at 4:00 PM (EDT). Phone calls will not be accepted.

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.

EXCEPTIONAL

Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

VERY GOOD

Performance EXCEEDS SOME 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?

Performance

Comments, if any.

Questions 2. Timeliness

What is your assessment of the Contractor’s ability to provide products in a timely manner?

Timeliness

Ability to Resolve TimelineProblems

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?

Quality of Shipments

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?

General Comments: