Att.2 - Past Performance Questionnaire.docx

APPENDIX C

Past Performance Questionnaire

U.S. Customs and Border Protection (CBP) Mobile X-Ray Vehicles IDIQ Contract The purpose of this questionnaire is to evaluate the offeror’s past performance on projects of similar scope, size, and complexity to the requirements outlined in the Statement of Work (SOW). The information provided shall be used to assess the offeror’s ability to successfully perform the requirements of this contract.

Please complete all sections of this questionnaire to the best of your ability. Your responses shall remain confidential and shall only be used for evaluation purposes.

Section 1: General Information

1. Name of Offeror (Contractor):

2. Project Title:

3. Contract Number:

4. Contract Value:

5. Period of Performance (Start Date – End Date):

6. Customer Name (Government Agency or Company):

7. Customer Point of Contact (POC):

· Name: ___________________________________________

· Title: ___________________________________________

· Phone: ___________________________________________

· Email: ___________________________________________

Section 2: Project Description

1. Provide a brief description of the project, including its scope, size, and complexity.

2. Describe the offeror’s role and responsibilities in the project.

3. Was the project related to Mobile X-Ray Vehicles? (Check all that apply):

4. Did the project involve Non-Intrusive Inspection (NII) or Biometrics Entry/Exit (BEE) technologies?

· Yes

· No

· If yes, please describe:

Section 3: Performance Evaluation Please rate the offeror’s performance in the following areas using the scale below:

· 5 – Excellent: Performance significantly exceeded expectations.

· 4 – Very Good: Performance exceeded expectations.

· 3 – Satisfactory: Performance met expectations.

· 2 – Marginal: Performance did not meet expectations.

· 1 – Unsatisfactory: Performance significantly failed to meet expectations.

· N/A – Not Applicable: Not relevant to this project.

Adherence to project schedule

Adherence to project budget

Quality of deliverables

Technical expertise

Ability to manage subcontractors

Communication and reporting effectiveness

Responsiveness to customer needs

Problem-solving and risk mitigation

Compliance with applicable codes/standards

Overall customer satisfaction

Section 4: Strengths and Weaknesses

1. What were the offeror’s key strengths during the performance of this project?

2. Were there any weaknesses or areas for improvement? If so, please describe.

Section 5: Additional Feedback

1. Would you recommend this contractor for similar work in the future?

· Yes

· No

· Please explain your response:

2. Do you have any additional comments or feedback regarding the offeror’s performance?

Section 6: Certification I certify that the information provided in this questionnaire is accurate and reflects my honest assessment of the offeror’s performance.

· Name: ___________________________________________

· Title: ___________________________________________

· Organization: ___________________________________________

· Phone: ___________________________________________

· Email: ___________________________________________

· Date: ___________________________________________

Instructions for Submission:

Please return the completed questionnaire to the Contract Specialist at the following email address: christopher.j.shaw@cbp.dhs.gov. If you have any questions, please contact the Contract Specialist directly.