Attachment_2_-_Past_Performance_Questionnaire_CSL013.doc

HSTS03-09-R-CSL029

70T05019Q5NCSL013

ATTACHMENT 2

Past Performance Questionnaire

EXHIBIT A - PACKAGE INFORMATION AND FORMS

Instructions to Offeror for Sending Reference Questionnaire Forms: Prepare and send a transmittal letter (Exhibit B) and Past Performance Questionnaire (Exhibit C) to three (3) references. For Government contracts, send to Contracting Officer Representative or Contracting Officer Technical Representative. For commercial references, send to personnel with duties similar to those for Government contracts. It is your responsibility to follow-up and to encourage your references to send in their questionnaire. Your questionnaire package should contain the following.

Sample Transmittal Letter (Exhibit B)

Past Performance Questionnaire (Exhibit C).

OFFEROR SHOULD PLACE THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE!!!

OFFEROR SHOULD DELETE THESE INSTRUCTIONS BEFORE SENDING OUT QUESTIONNAIRES

EXHIBIT B- SAMPLE TRANSMITTAL LETTER

Your Company Letterhead

Date: _________________

To: ______________________________________

We have listed your firm as a reference for the work we have performed for you as listed below. Our firm has submitted a proposal under a project advertised by the Transportation Security Administration Contracting Office, 601 South 12th Street, Arlington, VA 20598-6025. In accordance with Federal Acquisition Regulations (FAR), they will evaluate our firm's past performance. Your candid response to the attached questionnaire will assist the evaluation team in this process. We understand that you have a busy schedule and your participation in this evaluation is greatly appreciated. Please complete the enclosed questionnaire as thoroughly as possible. Space is provided for comments. Understand that while the responses to this questionnaire may be released to the offeror, FAR 15.306 (e)(4) prohibits the release of the names of the persons providing the responses. Complete confidentiality will be maintained. Only one response from each office is required.

Please send your completed questionnaire to the following individual to arrive NLT 9:00 A.M. EDT Thursday, 26 August 2019. Do not return them to our company.

Email:

To:

Susan Mielke, susan.mielke@dhs.gov Subject: 70T05019Q5NCSL013 Questionnaire

Or Fax:

ATTN:

Susan Mielke Subject: 70T05019Q5NCSL013

(571) 227-2430 If you have questions regarding the attached questionnaire or require assistance, please contact HYPERLINK "mailto:dennis.ayotte@ma.ngb.army.mil" Susan Mielke at susan.mielke@dhs.gov. E-Mail is the preferred method.

Thank you for your assistance.

Signature and Title

EXHIBIT C - PAST PERFORMANCE QUESTIONNAIRE

TRANSPORTATION SECURITY ADMINISTRATION

RFP FOR COURT REPORTING SERVICES

SOURCE SELECTION SENSITIVE WHEN COMPLETED

*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****

· How long have you had the contract in place with the Contractor? __________

· What is the volume of requests you send to Contractor?

Comments:

· In what locations are the services provided (rough % of DC work versus elsewhere)?

Comments:

· What turn around times do you use for receiving transcripts from Contractor?

Comments:

· Have they ever missed a deadline? FORMCHECKBOX Yes FORMCHECKBOX No

· Have you had any problems with the quality of court reporting or transcripts from Contractor? If so, how were they resolved? FORMCHECKBOX Yes FORMCHECKBOX No Comments:

· How did the Contract management perform?

Comments:

· Would you use this Contractor again? FORMCHECKBOX Yes FORMCHECKBOX No (Part 1 Contractor submitting Proposal fill-in)

Reference is provided for: ____________________________________

Contract Number or Project Title_____________________________________________________

Date of Award/Completion Date_______________ Dollar Amount______________________

Location_________________________________________________________________________

Dollar Amount____________________________________________________________________

Brief Description of work and your role in the referenced contract:___________________________

(Part 2 Person providing Reference)

Reference is provided by: ____________________________

Company/Agency:_________________________________________________________________

Business Address:________________________________________________________________ Telephone Number: ___________________ E-Mail Address: __________________________

Relationship to Contract: ___________________________________________________________

THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS: Return via email to susan.mielke@dhs.gov.

Mark cover sheet: (Attention: 70T05019Q5NCSL013 “Source Selection Sensitive Information”)

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