Attachment C Draft RFQ 20156753 Past Performance Questionaire.pdf
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- Solicitation number
- 20156753
About this file
This is a Past Performance Questionnaire template used by U.S. Customs and Border Protection (CBP) to evaluate contractor capability and capacity for pending solicitations. The questionnaire is divided into three sections: Section A collects basic contractor/offeror information including company name, division, address, and NAICS code; Section B gathers contract details such as period of performance, contract number, contracting office, performance location, contracting officer contact information, contract dates, awarded and current dollar values, competitive status, contract type (FFP, FPI, FPR, CPFF, CPIF, CPAF, or other), key subcontractors with DUNS and CAGE codes, and small business utilization information including subcontracting plan details and Individual Subcontracting Report (ISR) or Summary Subcontracting Report (SSR) submission dates.
Section C contains the Past Performance Survey to be completed by the offeror's reference and submitted directly to richard.m.kirby@cbp.dhs.gov no later than Mid-March 2026 at 9:00 AM Eastern Time. This section evaluates contractor performance across eight criteria using a six-point rating scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, or Unknown/N/A): Quality of Service, Schedule Control, Cost Control, Federal Information Security Controls (including FISMA compliance and Authorization to Operate), Management of Key Personnel, Utilization of Small Business Concerns, Adapting to Change, and Transition-in/Transition-out activities. Each rating requires supporting narrative comments. The survey concludes with a final recommendation section where the assessing official indicates whether they would "Definitely Would," "Probably Would," "Probably Would Not," or "Definitely Would Not" award to the contractor, along with the assessing official's contact information and signature.
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CBP Fingerprinting Requirement Attachment C Past Performance Questionnaire
The offeror shall complete Sections A and B of the questionnaire below. The Offeror’s reference shall complete Section C of the questionnaire below and submit directly to richard.m.kirby@cbp.dhs.gov no-later-than Mid March, 2026 at 9:00 AM Eastern Time.
A. Contractor/Offeror Information:
Company Name:
Division Name:
Street Address:
City, State, Zip Code:
NAICS Code:
B. Contract/Project/Task Order Information: Complete the general contract information below.
1. Period of Performance Being Assessed (contracts ongoing or completed within last three years):
2. Contract Number:
3. Contracting Office:
4. Location of Contract Performance:
5a. Contracting Officer:
5b. Phone Number:
6a. Contract Award Date:
6b. Contract Effective Date:
7. Contract Completion Date:
8. Awarded Dollar Value:
9. Current Contract Dollar Value:
10. __Competitive ___Non-Competitive
11. Contract Type: ___FFP ___FPI ___FPR ___CPFF ___CPIF ___CPAF __ OTHER
MIXED/OTHER:
mailto:richard.m.kirby@cbp.dhs.gov
12. Key Subcontractors (with DUNS and CAGE) and Effort Performed:
13. Small Business Utilization:
13a. Does this contract include a subcontracting plan?
13b. Is small business subcontracting under this contract included in a comprehensive small business subcontracting plan?
13c. Is small business subcontracting under this contract included in a commercial small business subcontracting plan?
13d. Date of last Individual Subcontracting Report (ISR) / Summary Subcontracting Report
(SSR):
C. Past Performance Survey: In connection with a pending solicitation, the Government must evaluate the above-listed contractor’s capability and capacity to successfully perform certain requirements. To assist this evaluation, please assess the contractor’s performance on your contract, task order or project using the following ratings in your assessment. Please include comments in the “Narrative” space provided to explain each rating given. You may be contacted to clarify comments and/or ratings:
Exceptional – Performance exceeded the contract requirements in most cases. No problems were encountered.
Very Good - Performance met, and in some cases exceeded the contract requirements. If there were any problems they were minor in nature, which the contractor resolved in a timely, effective manner.
Satisfactory – Performance met the contract requirements. There were some minor problems which the contractor resolved in a timely, effective manner.
Marginal - Performance did not meet some contractual requirements. There were problems, some of a serious nature, for which corrective action was only marginally effective.
Unsatisfactory - Performance did not meet most of the contractual requirements. There were numerous problems of a serious nature, for which corrective action was ineffective.
Unknown - No record of past performance or the record is inconclusive.
1. Quality of Service
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory
Unknown or N/A
NARRATIVE:
2. Schedule Control
3. Cost Control
4. Federal Information Security Controls (i.e., successfully completing a Federal Security Authorization process leading to an Authorization to Operate (ATO), as governed by the Federal Information Security Management Act (FISMA)) and/or related Federal requirements.
5. Management of Key Personnel
6. Utilization of Small Business Concerns
7. Adapting to Change
8. Transition-in / Transition-out (i.e., the efficiency and effectiveness of beginning and ending a contractual engagement, and level of cooperation with the government and/or other service providers).
RECOMMENDATION: Given what I know today about the Contractor's ability to execute what they promised in their proposal, I (choose from an option below) award to them given that I had a choice.
Definitely Would
Probably Would
Probably Would Not
Definitely Would Not
Assessing Official Name:
Assessing Official Title:
Assessing Official Phone #:
Assessing Official Email Address:
Assessing Officials Agency:
Assessing Official’s Signature:
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