Attachment C - Past Performance Questionnaire.pdf

U.S. Department of Homeland Security Federal Protective Service 701 Market Street Philadelphia, PA 19106

ATTACHMENT C

PAST PERFORMANCE QUESTIONNAIRE

NAME OF CONTRACTOR REQUESTING THE REFERENCE: __________________

The purpose of this questionnaire is to obtain information regarding the quality of the above named Contractor’s past performance relative to a contract, completed or in progress, at your company/agency. The Federal Protective Service is considering this Contractor for the installation of a new standalone, Network Video Management System (NVMS), fixed/panoramic/multi sensor, PTZ, fisheye, IP cameras, client workstations, control center flat panel monitors, and all additional equipment and appurtenances necessary to provide a fully functional IP Video Surveillance System (VSS), located at the Whipple Federal Building, 1 Federal Drive, Fort Snelling, Minnesota, 55417. We would greatly appreciate your input regarding the quality of the Contractor’s past performance.

Handwritten responses are sufficient. It is requested that the individual(s) responsible for the administrative oversight of the project (e.g. security specialist, COR, COTR, etc.) respond to this questionnaire. More than one copy of the questionnaire may be submitted if responses from more than one individual are appropriate.

Upon completion of the survey, please email to Stacy.a.powell@fps.dhs.gov . If you have any questions, please call Stacy Powell at 215-521-2287. We appreciate your efforts on our behalf.

Contract No. or Project Title: _____________________________________

Period of Performance: ________________________________________

Total Project Value: _________________________________________

Number of Square Feet at Facility: ___________________________________________

Video Management System Used: ____________________________________________ Number of Cameras/Type of Cameras: ________________________________________

Did the project include any type of maintenance agreement and if so, what was included in the maintenance agreement?

701 Market Street Philadelphia, PA 19106

Please provide a brief description of the scope of this project so that we determine any similarities to this contract:

QUESTIONS

PERFORMANCE:

Please provide your comments on the Contractor’s performance in the following areas:

1. How consistent is the Contractor in installing the countermeasures at this facility? Was the project staffed appropriately? Was the project completed on time? Were there any issues with change orders?

Comments:

2. Discuss the overall level of professionalism of the Contractor’s workforce.

Comments:

701 Market Street Philadelphia, PA 19106

3. Discuss the overall quality of performance as it relates to: compliance with contract requirements, accuracy of documentation, the level of experience, capabilities, and effectiveness of contractor personnel in performing required services.

Comments:

4. Discuss the timeliness of performance as it relates to the contractor’s response to technical direction, meeting delivery schedules or task deadlines.

Comments:

5. How effective is the Contractor in identifying potential problems and resolving them on their own?

Comments:

6. Discuss the Contractor’s quality control of the project. Were there any negative performance issues or trends identified through the Contractor’s QC?

701 Market Street Philadelphia, PA 19106

Comments:

7. Discuss the Contractor’s overall management of the project

Comments:

8. If you had a choice, would you hire this Contractor again? Why or why not?

9. In summary, would you describe the quality of the Contractor's services and overall performance as:

a. _____ Highly Acceptable – Based on the contractor’s performance under this project, the level of risk associated with this vendor is substantially less than the level expected from a competent vendor.

b. _____ Acceptable – Based on the contractor’s performance under this project, the level of risk associated with this vendor is no more than the level expected from a competent vendor.

701 Market Street Philadelphia, PA 19106

c. _____ Unacceptable – Based on the contractor’s performance under this project, the level of risk associated with this vendor is greater than the level normally expected from a competent vendor.

Your Name: ______________________________

Your Position: ______________________________

Company: ______________________________

Telephone No: ______________________________

E-mail address: ______________________________