Attachment 3 - Past performance questionnaire.pdf
PDF 897 KB Posted
- Attached to
- Portable Toilet Rental and Service
- Solicitation number
- 70B03C22Q00000273
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| File | Type | Posted |
|---|---|---|
| Questions and Answers.pdf | ||
| RFQ No. 70B03C22Q00000273.pdf |
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Text version
ATTACHMENT 3: PAST PERFORMANCE QUESTIONNAIRE
PAST PERFORMANCE INSTRUCTIONS:
The U.S. Customs and Border Protection Border Enforcement Contracting Division has issued Request for Quotations No. 70B03C22Q00000273 for the rental and servicing of portable toilets and hand-washing stations for two of its facilities.
Past performance information will be used to evaluate quotes received. The vendor/quoter that sent you this questionnaire identified you as a source to evaluate their past performance.
The quoter must provide this entire document to each of its assessors. An individual assessor knowledgeable about the quoter’s performance is requested to complete the attached questionnaire and submit it directly to the contracting officer listed below. If evaluating more than one contract for the same quoter, use a separate questionnaire for each contract being evaluated.
Your time and effort in providing your assessment is greatly appreciated.
The questionnaire must be submitted no later than the due date for quotations, which at time of RFQ issuance is August 29, 2022 by 11:00 a.m. Eastern. The due date is subject to change. The quoter is responsible for notifying its past performance references of any change to the due date.
Please submit your completed questionnaire directly to the contracting officer, Eric Neckel, at eric.r.neckel@cbp.dhs.gov. Please do not send this information to the quoter being evaluated.
In your e-mail, please enter “Past performance questionnaire – RFQ #70B03C22Q00000273” in the subject line.
Thank you in advance for your cooperation and response to this request.
RFQ No. 70B03C22Q00000273 Portable Toilet Rental 1 of 2 mailto:eric.r.neckel@cbp.dhs.gov
Past Performance Questionnaire
1. NAME OF FIRM/AGENCY PROVIDING FEEDBACK:
PROJECT NAME:
PERIOD OF PERFORMANCE: CONTRACT TYPE (if applicable):
CONTRACT AWARD DATE: CONTRACT COMPLETION DATE:
AWARDED VALUE: CURRENT CONTRACT DOLLAR VALUE:
2. NAME OF ASSESSING OFFICIAL:
EMAIL: PHONE NUMBER:
ASSOCIATION WITH FIRM BEING RATED (including role):
CONTRACT OR ORDER NUMBER (if applicable):
3. ASSESS THE FOLLOWING AREAS: (Check the appropriate box for each assessment category)
4 ADDITIONAL COMMENTS:
Assessment Categories Unsatisfactory Marginal Satisfactory Very Good Exceptional N/A
a. QUALITY OF PRODUCT OR SERVICE
b. SCHEDULE
c. COST CONTROL
d. BUSINESS RELATIONS
e. MANAGEMENT OF KEY PERSONNEL
f. RELIABILITY
g. CUSTOMER SUPPORT
h. OVERALL PERFORMANCE
i. OTHER AREAS:
(1)
(2)
Name of Company Being Evaluated:
Date:
RFQ No. 70B03C22Q00000273 Portable Toilet Rental 2 of 2
| 1 NAME OF FIRMAGENCY PROVIDING FEEDBACK: |
| PROJECT NAME: |
| PERIOD OF PERFORMANCE: |
| CONTRACT TYPE if applicable: |
| CONTRACT AWARD DATE: |
| CONTRACT COMPLETION DATE: |
| AWARDED VALUE: |
| CURRENT CONTRACT DOLLAR VALUE: |
| 2 NAME OF ASSESSING OFFICIAL: |
| EMAIL: |
| PHONE NUMBER: |
| ASSOCIATION WITH FIRM BEING RATED including role: |
| CONTRACT OR ORDER NUMBER if applicable: |
| Assessment Categories: |
| Unsatisfactorya QUALITY OF PRODUCT OR SERVICE: |
| Marginala QUALITY OF PRODUCT OR SERVICE: |
| Satisfactorya QUALITY OF PRODUCT OR SERVICE: |
| Very Gooda QUALITY OF PRODUCT OR SERVICE: |
| Exceptionala QUALITY OF PRODUCT OR SERVICE: |
| NAa QUALITY OF PRODUCT OR SERVICE: |
| Unsatisfactoryb SCHEDULE: |
| Marginalb SCHEDULE: |
| Satisfactoryb SCHEDULE: |
| Very Goodb SCHEDULE: |
| Exceptionalb SCHEDULE: |
| NAb SCHEDULE: |
| Unsatisfactoryc COST CONTROL: |
| Marginalc COST CONTROL: |
| Satisfactoryc COST CONTROL: |
| Very Goodc COST CONTROL: |
| Exceptionalc COST CONTROL: |
| NAc COST CONTROL: |
| Unsatisfactoryd BUSINESS RELATIONS: |
| Marginald BUSINESS RELATIONS: |
| Satisfactoryd BUSINESS RELATIONS: |
| Very Goodd BUSINESS RELATIONS: |
| Exceptionald BUSINESS RELATIONS: |
| NAd BUSINESS RELATIONS: |
| Unsatisfactorye MANAGEMENT OF KEY PERSONNEL: |
| Marginale MANAGEMENT OF KEY PERSONNEL: |
| Satisfactorye MANAGEMENT OF KEY PERSONNEL: |
| Very Goode MANAGEMENT OF KEY PERSONNEL: |
| Exceptionale MANAGEMENT OF KEY PERSONNEL: |
| NAe MANAGEMENT OF KEY PERSONNEL: |
| Unsatisfactoryf RELIABILITY: |
| Marginalf RELIABILITY: |
| Satisfactoryf RELIABILITY: |
| Very Goodf RELIABILITY: |
| Exceptionalf RELIABILITY: |
| NAf RELIABILITY: |
| Unsatisfactoryg CUSTOMER SUPPORT: |
| Marginalg CUSTOMER SUPPORT: |
| Satisfactoryg CUSTOMER SUPPORT: |
| Very Goodg CUSTOMER SUPPORT: |
| Exceptionalg CUSTOMER SUPPORT: |
| NAg CUSTOMER SUPPORT: |
| Unsatisfactoryh OVERALL PERFORMANCE: |
| Marginalh OVERALL PERFORMANCE: |
| Satisfactoryh OVERALL PERFORMANCE: |
| Very Goodh OVERALL PERFORMANCE: |
| Exceptionalh OVERALL PERFORMANCE: |
| NAh OVERALL PERFORMANCE: |
| Unsatisfactoryi OTHER AREAS: |
| Marginali OTHER AREAS: |
| Satisfactoryi OTHER AREAS: |
| Very Goodi OTHER AREAS: |
| Exceptionali OTHER AREAS: |
| NAi OTHER AREAS: |
| 1: Integrity & Business Ethics |
| Unsatisfactory1: |
| Marginal1: |
| Satisfactory1: |
| Very Good1: |
| Exceptional1: |
| NA1: |
| 2: Conforming to contract requirements |
| Unsatisfactory2: |
| Marginal2: |
| Satisfactory2: |
| Very Good2: |
| Exceptional2: |
| NA2: |
| 4 ADDITIONAL COMMENTS: |
| Text2: |
| Text3: |
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