Attachment 12 - Past Performance Questionnaire.pdf

SOURCE SELECTION SENSITIVE INFORMATION

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on a U.S. Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE) Indefinite Delivery Indefinite Quantity (IDIQ) request to provide Transportation Services to meet the mission needs of ICE. Past Performance is an extremely important part of the evaluation criteria for this acquisition, so your input is very important. The information is to be provided directly to OAQDCRSW@ice.dhs.gov. This information will not be disclosed to the Respondent. Please provide an honest assessment and return the questionnaire to ICE by e-mail to the address shown below no later than XX:XXAM, Eastern Daylight Time on May XX, 2020. If you have questions, please contact OAQDCRSW@ice.dhs.gov.

Completed questionnaires should be emailed to the following address: OAQDCRSW@ice.dhs.gov

GENERAL INFORMATION

1. RESPONDENT’S NAME:

2. RESPONDENT’S TITLE:

3. CONTRACT NUMBER:

4. CONTRACT VALUE: _______________________

5. CONTRACT AWARD DATE: 6. CONTRACT COMPLETION DATE:

7. CONTRACT TYPE (Check All That Apply): 8. COMPLEXITY OF WORK (Check One Response):

Fixed Price Cost-Plus Fixed Price Cost-Plus Award Fee DIFFICULT ROUTINE

T & M OTHER

PART TWO: RESPONDENT PERFORMANCE RATING

On the following pages, please summarize the Respondent’s performance in each rating factors. Each factor has a set of sub factors with four possible adjectival ratings. Determine the confidence rating that most nearly represents your experience with this Respondent and indicate your assessment by placing an “X” under the appropriate heading. Respondent performance factors are:

A. CORPORATE COMMITMENT

B. QUALITY OF SERVICE

C. TIMELINESS OF PERFORMANCE

Adjectival ratings are defined below and should be used as a reference in assessing performance:

High Confidence

The Government has a high expectation that the Offeror will successfully perform.

Some Confidence

The Government has a reasonable expectation that the Offeror will successfully perform.

Low Confidence

The Government has a low expectation that the Offeror will successfully perform.

Unknown Confidence (Neutral)

The Offeror’s performance record is so sparse, a meaningful confidence rating cannot be reasonably assigned.

mailto:OAQDCRSW@ice.dhs.gov

CORPORATE COMMITMENT High Confidence

Some Confidence

Low Confidence

Unknown Confidence (Neutral)

Did contractor provide effective contract and project management?

How effective has the contractor been in understanding and responding to user requirements?

Did the contractor establish and maintain effective quality control standards and procedures?

QUALITY OF SERVICE High

Some Confidence

Low

Unknown Confidence (Neutral)

Did the contractor provide quality goods/services?

Did the contractor provide quality reports and documentation (i.e., accurate, current and complete)?

Was the contractor able to solve contract performance problems without extensive guidance from counterparts?

Did the contractor supply professional and qualified personnel?

Did the contractor respond to emergency situations to include staffing and responsiveness?

TIMELINESS OF PERFORMANCE High

Some Confidence

Low Confidence

Unknown Confidence (Neutral)

Did the contractor adhere to contract delivery schedules in the following areas:

(a) Performance of services?

(b) Delivery of reports or other documentation?

(c) Qualified Staffing

1. Has this contract been partially or completely terminated for default? YES NO

If yes, please explain (e.g. inability to meet cost, performance, or delivery schedules - also include contract number, name, address, and phone number of Terminating Contracting Officer - TCO).

2. What was the contractor’s greatest strength in the performance of the contract?

3. What was the contractor’s greatest weakness in the performance of the contract?

4. Would you award another contract to this contractor? YES NO

COMMENTS:

PART THREE: EVALUATOR’S CERTIFICATION

I HEREBY CERTIFY THAT THE INFORMATION IN THIS FORM IS ACCURATE AND COMPLETE TO THE

BEST OF MY KNOWLEDGE.

SIGNATURE OF EVALUATOR

TITLE OF EVALUATOR DATE