Attachment 2 - Past Performance Questionnaire - NII MEMS - 70B03C26R00000030.pdf

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Attached to
Medium Energy Mobile Systems (MEMS) Federal contract opportunity
Solicitation number
70B03C26R00000030
Issued by
Department of Homeland Security Customs and Border Protection

About this file

This is a Past Performance Questionnaire for the U.S. Customs and Border Protection (CBP) Medium Energy Mobile Systems Contract (Contract Number 70B03C26R000000301). The questionnaire is a template designed to evaluate offerors' past performance on projects of similar scope, size, and complexity to support the contract evaluation process.

The questionnaire consists of six sections requiring offerors to provide: general information about their company, past contract references (including project title, contract number, contract value, period of performance, and customer point of contact details); project descriptions detailing scope, size, complexity, and the offeror's role and responsibilities; specific information regarding Medium Energy Mobile Systems experience and involvement with Non-Intrusive Inspection (NII) or Biometrics Entry/Exit (BEE) technologies; performance ratings across ten evaluation areas using a five-point scale (Excellent, Very Good, Satisfactory, Marginal, Unsatisfactory, or Not Applicable), including adherence to schedule and budget, quality of deliverables, technical expertise, subcontractor management, communication, responsiveness, problem-solving, and compliance with codes and standards; identification of strengths and weaknesses during project performance; and a recommendation assessment for future similar work. The questionnaire requires certification by the respondent and must be submitted to the CBP Contract Specialist at starla.r.vanwinkle@cbp.dhs.gov. Responses are treated as confidential and used solely for evaluation purposes.

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Past Performance Questionnaire

U.S. Customs and Border Protection (CBP) Medium Energy Mobile Systems 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):

o Name: ___________________________________________ o Title: ___________________________________________ o Phone: ___________________________________________ o 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.

Attachment 2 - Past Performance Questionnaire - 70B03C26R00000030

3. Was the project related to Medium Energy Mobile Systems? (Check all that apply):

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

o Yes o No o 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.

Evaluation Area Rating (1–5 or N/A) Comments 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?

o Yes o No o 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: starla.r.vanwinkle@cbp.dhs.gov.

File details come from the government source that posted it. Updated .