Attachment_4_-_HAIBP_Past_Performance_Questionnaire.docx

DOCX document 15 KB Posted Mar 23, 2018

Attached to: Helium-3 Alternative Implementation Backpack Program Federal contract opportunity
Solicitation number: 70RDND18R00000005
Issued by: Department of Homeland Security Office of Procurement Operations

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Attachment 4 - HAIBP Past Performance Questionnaire

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HAIBP RFP 70RDND18R00000005 Attachment 4 - Past Performance Questionnaire

PAST PERFORMANCE INFORMATION

CONTRACTOR PERFORMANCE CUSTOMER SURVEY QUESTIONNAIRE

Please complete the following questionnaire and return it to the attention of the individuals named below, no later than April 13, 2018 at 3:00 PM Eastern Time (ET):

Ryan Buck, Contract Specialist Ryan.Buck@hq.dhs.gov Jennifer D’Addio, Contracting Officer Jennifer.DAddio@hq.dhs.gov

This survey pertains to: __________________________________________________________ Department/Component: _________________________________________________________ Solicitation Number: ____________________________________________________________ Date of Survey: ________________________________________________________________ Name of Person Completing Survey: _______________________________________________ Signature of Person Completing Survey: _____________________________________________ Your Company/Agency: _________________________________________________________ Your Role in this Contract: _______________________________________________________ Survey Period of Performance: ____________________________________________________ General description of products/services required under the contract: ______________________

RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Assign each area a rating of 4 (Superior), 3 (Good), 2 (Acceptable), 1 (Unsatisfactory). Use the attached Rating Guidelines as guidance in making these evaluations. Circle the appropriate rating. Annotate with N/A if not a rating consideration or inapplicable to the performance of the task order.

QUALITY OF PRODUCT

1.	Compliance with contract requirements:
	1	2	3	4	N/A

2.	Delivered the required product.
	1	2	3	4	N/A

3.	There were no issues with the product upon delivery.
	1	2	3	4	N/A

4.	If there were issues with the product upon delivery, the contractor took adequate action to correct the problem and prevent reoccurrence.
	1	2	3	4	N/A

5.	Overall quality of product:
	1	2	3	4	N/A

6.	Product performance:
1	2	3	4	N/A

7.	Quality and timeliness of warranty work:
1	2	3	4	N/A

TIMELINESS OF PERFORMANCE

1.	Reliability:
	1	2	3	4	N/A

2.	Meets contract delivery schedules.
	1	2	3	4	N/A

3.	If delivery schedules were not met, the contractor took adequate action to correct the problem and prevent reoccurrence.
1	2	3	4	N/A

BUSINESS RELATIONS

1.	Effective management, including subcontracts:
	1	2	3	4	N/A

2.	Reasonable/cooperative behavior:
	1	2	3	4	N/A

3.	Responsive to contract requirements:
	1	2	3	4	N/A

4.	Notification of problems:
	1	2	3	4	N/A

5.	Flexibility:
	1	2	3	4	N/A

6.	Pro-active vs. reactive:
	1	2	3	4	N/A

COST CONTROL

1.	Current, accurate and complete billings:
	1	2	3	4	N/A

CUSTOMER SATISFACTION

1. Contractor Management Personnel are committed to customer satisfaction:

Yes No (circle one)

2. Contractor Onsite Facility Personnel are committed to customer satisfaction:

Yes No (circle one)

PROVIDE APPROPRIATE CONTRACT/TASK/DELIVERY ORDER NUMBER(S):

ADDITIONAL COMMENTS:

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