70RTAC22R00000027 J.3 - Past Performance Questionnaire.pdf

RFP 70RTAC22R00000027 - Attachment J.3 Past Performance Questionnaire

DEPARTMENT OF HOMELAND SECURITY

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

Please have your referenced client complete this survey and submit directly to Sohl Han, at

Sohl.Han@hq.dhs.gov and Kazankina Stewart, at Kazankina.Stewart@hq.dhs.gov by the Phase 2 proposal deadline.

This survey pertains to Offeror

(Contractor Name)

Your Name

Your Company/Agency

Your Title/ Your Role in this

Contract

Your Email Address

Your Telephone Number

Your Role in this Contract

Reference

Survey Period of Performance

General Description of Services

Required under the Contract

Signature of Person Completing

Survey mailto:Sohl.Han@hq.dhs.gov mailto:Kazankina.Stewart@hq.dhs.gov

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 either 5

(Exceptional), 4 (Very Good), 3 (Satisfactory), 2 (Marginal), or 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 contract effort.

QUALITY OF PRODUCT OR SERVICE:

1 2 3 4 5 N/A

SCHEDULE (TIMELINESS OF PERFORMANCE):

COST CONTROL (not applicable to fixed-price contract type):

MANAGEMENT:

SMALL BUSINESS SUBCONTRACTING, IF APPLICABLE:

REGULATORY COMPLIANCE

RECOMMENDATION:

Given what I know today about the contractor’s ability to perform in accordance with this contract or order’s most significant requirements, I would recommend them for similar requirements in the future.

Yes No

ADDITIONAL COMMENTS:

Rating Guidelines

Rating Definition

5-Exceptional Performance meets contractual requirements and exceeds many to the Government's benefit. The element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4-Very Good Performance meets contractual requirements and exceeds some to the Government's benefit. The element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3-Satisfactory Performance meets contractual requirements. The element being assessed contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

2-Marginal Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions.

1-Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The element being assessed contains a serious problem(s) for which the contractor's corrective actions appear or were ineffective.