Attachment 6 - 06C25R0075 Past Performance Questionnaire.pdf

70B06C25R00000075

ATTACHMENT 3 – Past Performance Questionnaire

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on a Department of Homeland Security, Customs and Border Protection solicitation. Past Performance is an important part of the evaluation criteria for this acquisition, so your input is very important. Your response on this form shall be sent directly to Daniel G. Stiller, the DHS CBP Contracting Officer. Do not send back to the requesting company or individual. Please provide an honest assessment and return the questionnaire by e‐mail to daniel.g.stiller@cbp.dhs.gov by 5PM, EDT, Wednesday, July 9, 2025.

PART TWO: GENERAL INFORMATION

1. OFFEROR’S NAME AND ADDRESS 2. CUSTOMER ORGANIZATION

3. CONTRACT NUMBER: 2a. EVALUATOR

4. CONTRACT VALUE: $______________________ NAME:

TITLE:

PHONE NO:

5. CONTRACT AWARD DATE: 6. CONTRACT COMPLETION DATE:

7. CONTRACT TYPE: 8. COMPLEXITY OF WORK (Circle One Response):

DIFFICULT ROUTINE

9. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS:

day, July 9, 2025.

PART THREE: OFFEROR PERFORMANCE RATING

On the following pages, please summarize the offeror’s performance in each rating factors.

Each factor has a set of subfactors with four possible adjectival ratings. Determine the adjectival rating that most nearly represents your experience with this offeror and indicate your assessment by placing an “X” under the appropriate heading. Offeror performance factors are:

A. CUSTOMER SATISFACTION

B. ADHERENCE TO PRICE, SCHEDULE, AND PERFORMANCE BASELINES

C. TIMLINESS OF PERFORMANCE

Adjectival ratings are defined below and should be used as a reference in assessing performance:

SUPERIOR = Offer’s performance met all contract requirements and exceeded many to the customer’s benefit. Offeror’s performance has resulted in a high level of efficiency, productivity and quality. Very little risk anticipated with performance or lack of customer satisfaction.

SATISFACTORY = Offer’s performance met customer expectations or contract requirements. Some potential risk and lack of customer satisfaction is anticipated based upon the offeror’s past performance.

MARGINAL = Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which the contractor’s corrective actions were only marginally effective.

UNSATISFACTORY

(UNSAT) = Performance did not meet most (or all) contractual requirements.

There were serious problems and the contractor’s corrective actions were ineffective.

A CUSTOMER SATISFACTION SUPERIOR SATISFACTORY UNSAT MARGINAL

1 The functionality and usability of the Offeror’s system.

2 Satisfaction with the reliability (e.g., system up time) of the Offeror’s system.

3 Satisfaction with the Offeror’s ability to provide customer support to end users (e.g., applicants).

4 Satisfaction with the Offeror’s ability to provide customer support to administrative level users.

5 Quality of reports and documentation (e.g., accurate, current and complete)

6 Effectiveness of the contractor in responding to changes in user requirements

7 Establishment and maintenance of effective quality control standards and procedures (e.g, bug resolution, system testing)

PART THREE: OFFEROR PERFORMANCE RATING CONTINUED

1. Has this contract been partially or completely terminated for default or convenience?

YES Default Convenience

NO

B ADHERENCE TO PRICE, SCHEDULE, AND

PERFORMANCE BASELINES

SUPERIOR SATISFACTORY UNSAT MARGINAL

1 Completion of work in accordance with agreed upon price

2 Completion of work in accordance with agreed upon schedule

3 Completion of work in accordance with performance expectations

4 Resolution of performance problems without extensive guidance

C TIMELINESS OF PERFORMANCE SUPERIOR SATISFACTORY UNSAT MARGINAL

1 Rate the Offeror’s adherence to task order delivery schedules in the following areas:

(a) Performance of services

(b) Delivery of reports or other documentation

(c) Resolution of system deficiencies

If yes, please explain (e.g. inability to meet cost, performance, or delivery schedules - also include contract number, name, address, and phone number of Terminating Contracting Officer -

TCO).

2. What was the contractor’s greatest strength in the performance of the contract?

3. What was the contractor’s greatest weakness in the performance of the contract?

4. Would you award another contract to this contractor?

YES No

COMMENTS:

PART FOUR: EVALUATOR’S CERTIFICATION

I HEREBY CERTIFY THAT THE INFORMATION IN THIS FORM IS ACCURATE AND COMPLETE TO

THE BEST OF MY KNOWLEDGE.

SIGNATURE OF EVALUATOR

TITLE OF EVALUATOR