2.2.1 APPENDIX A - Past Performance Questionnaire.docx

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Attached to
Armed Security Guards within the State of Missouri for disaster declaration DR-4867 MO
Solicitation number
70FBR725Q00000003
Issued by

About this file

The document is a Past Performance Questionnaire template designed to capture detailed performance evaluations for federal contractors. The form allows evaluators to rate a contractor's performance across three primary dimensions: Quality of Service, Timeliness of Delivery, and Overall Customer Satisfaction, using a rating scale that ranges from Unsatisfactory to Excellent. The questionnaire provides granular assessment criteria, including compliance with contract requirements, technical excellence, budget adherence, milestone achievement, and responsiveness to contract needs.

The accompanying federal contract opportunity is a Request for Quote (RFQ) issued by the Department of Homeland Security's Federal Emergency Management Agency (FEMA) for Armed Security Guards within Missouri's disaster declaration area (DR-4867 MO). The solicitation is a 100% Small Business set-aside specifically targeting businesses in 18 Missouri counties, with a NAICS code of 561612 and a small business size standard of $29 million. The contract will be a labor-hour contract with a base 90-day period and three 90-day option periods, focusing on providing security services using Department of Labor's Guard II labor category. Quotes are due by June 3, 2025, with contractors required to submit detailed pricing and be actively registered in the System for Award Management (SAM).

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Text version

Contract Performance Customer Questionnaire

1. Please complete this questionnaire. Handwritten responses are sufficient. If you need more space than that provided, please attach additional pages or write on the back.

N/A - NOT APPLICABLE - Unable to provide a score. Performance in this area not applicable to effort assessed.

Ratings
Quality of Service

-Compliance w/contract requirements -Technical excellence -Within budget -Relationship of negotiated costs to actual Timeliness of Delivery -Met interim milestones -Reliable -Delivery Schedule achieved Overall Customer Satisfaction -Effective Management -Businesslike correspondence -Responsive to contract requirements -Prompt notification of problems -Reasonable/cooperative -Flexible -Pro-active

Unsatisfactory
Nonconformances

are comprising the achievement of contract requirements

Delays are compromising achievement of contract requirements
Response is not effective
Poor
Nonconformances

require major agency resources to ensure achievement of contract requirements

Delays require major agency resources to ensure achievement of contract requirements
Response is marginally effective
Fair
Nonconformances require minor agency resources to ensure achievement of contract requirements
Delays require minor agency resources to ensure achievement of contract requirements
Response is somewhat effective
Good
Nonconformances

do not impact achievement of contract requirements

Delays do not impact achievement of contract requirements
Response is usually effective
Excellent
There are no quality problems
There are no delays
Response is effective

PAST PERFORMANCE QUESTIONNAIRE

1. Company/Contractor Being Referenced:
2. Solicitation/Contract Number:
3. Address:
4. Contract Type:
|_|Firm Fixed Price
|_|Cost Reimbursement
|_|Other (Please Specify)
5. Agency/Company Completing Reference:
6. Agency/Company POC, Phone & Fax:

7. Period of Performance:

8. Overall Contract Value: $

9. Title of Contract:

10. Description of Contract Service:

11. Complexity of Work: Difficult: |_| Routine: |_|

NOTE: Please use adjectival ratings from attached sheet.

12. Evaluation Factor
13. Rating
13. Comments (Attach additional sheets, if necessary.)

a. Quality of Service

b. Timeliness of Delivery

c. Overall Customer Satisfaction

15. Would you select this company/contractor again? Please explain. (Attach additional sheet if necessary.)

16. Name & Date:

17. Title:

File details come from the government source that posted it. Updated .