STGDS_Past_Performance_Reference_Form.doc

DHS/FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA)

PAST PERFORMANCE REFERENCE FORM

PROJECT TITLE: SEISMIC TECHNICAL GUIDANCE DEVELOPMENT SUPPORT (STGDS)

RFQ F2017036352 ATTACHMENT 2

5/22/17

Project Description: The Federal Emergency Management Agency (FEMA) has the goal of reducing the ever-increasing cost that disasters inflict on our country. Preventing losses before they happen by designing and building a community’s structures to withstand anticipated forces from these hazards is one of the key components of mitigation. Mitigation is the only truly effective way of reducing the cost of these disasters and advance the whole of community concept. As part of its responsibilities mandated under the National Earthquake Hazards Reduction Program (NEHRP), and in accordance with the National Earthquake Hazards Reduction Act of 1977 (PL 94-125 as amended), FEMA is charged with identifying and promoting mitigation activities necessary to improve technical quality in the field of earthquake engineering. The primary methods used to address this charge include:

a. The investigation of seismic issues identified by FEMA;

b. Problem-focused study of seismic technical issues as they are identified by academic research and/or post-disaster field studies;

c. The development and publication of technical design and construction guidance products;

d. The dissemination of these products, and the support of various related training and/or outreach efforts.

The technical guidance products present criteria for the design, construction, upgrade, and function of buildings subject to earthquake ground motions in order to minimize the hazard to life for all buildings, increase the expected performance of higher occupancy structures, and improve the capability of essential facilities to function during and after earthquakes anywhere in the United States. The guidance products ultimately serve as the basis for voluntary implementation at the State and local government level to improve building codes and consensus standards to improve the nation’s resiliency in reducing future earthquake losses.

Offerors were asked to provide information on contracts similar in scope, size and complexity to the present requirement on which they had performed in the past. An offeror submitted you as a reference for past performance. We need your opinion on how well the contractor performed on this contract. Please fill out this past performance reference form and return via email to directly the DHS/FEMA Contract Specialist, Renee Gardner via email at renee.gardner@fema.dhs.gov. To be considered your response must be received by 6-30-2017; 2:00PM EST.

Your input will be confidential. Please note your comments will be used to form the basis for evaluation of this offeror. Thank you in advance for your assistance. If you have any questions please contact Renee Gardner at (202) 714-5465.

CERTIFICATION

By law, the Government will not disclose the names of individuals providing reference information during discussions with the contractor identified in Block 1 below.

Page 1 of 4 Pages

DHS/FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA)

PAST PERFORMANCE REFERENCE FORM

PROJECT TITLE: SEISMIC TECHNICAL GUIDANCE DEVELOPMENT SUPPORT (STGDS)

Block 1. Contractor/Reference |

Block 2. Contract Name/Identifier (being rated) |

I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS QUESTIONNAIRE IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

Evaluator’s Printed Name

Title

Evaluator’s Mailing Address (Agency, Bldg/Room, Street, City, State, and Zip)

Evaluator’s Signature Date

Phone

Fax

INSTRUCTIONS

Two forms are provided to document your opinion: 1) Performance Rating Form; and 2) Supplemental Comment Form. Please fill out each form in accordance with the instructions provided on each. Please use the following standards in arriving at your rating:

Outstanding - Contractor, on balance, exceeded client expectations and requirements, Satisfactory - Contractor, on balance, met customer expectations and requirements, Unsatisfactory - Contractor, on balance, was either marginal or did not meet customer expectations

Requirements, Other - The element is not applicable, no data has been obtained, or additional comments are provided.

Page 2 of 4 Pages

DHS/FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA)

PAST PERFORMANCE REFERENCE FORM

PROJECT TITLE: SEISMIC TECHNICAL GUIDANCE DEVELOPMENT SUPPORT (STGDS)

Performance Rating Form

1. TECHINCAL QUALITY OF SERVICES: The contractor provided high quality of service and performed successfully.

2. COST CONTROL AND EFFECTIVE AND EFFICIENT USE OF RESOURCES: The contractor deployed, in a timely manner, the proper amount and type of personnel, facilities and other resources to support the project. Use of subcontractors was appropriate in supporting the project. The contractor successfully planned and proposed realistic costs and monitored performance, and consistently operated at or below budget.

3. SCHEDULE/TIMELINESS OF PERFORMANCE: The contractor planned and proposed realistic schedules, successfully monitored performance and completed work on time.

4. BUSINESS RELATIONS, CUSTOMER SATISFACTION: The contractor exhibited a commitment to customer satisfaction and achieved customer satisfaction. The contractor exhibited reasonable and cooperative behavior in response to client changes, criticism/rejection of contract deliverables and in detecting and correcting errors, poor performance, and other problems.

5. SMALL BUSINESS SUBCONTRACTING: The contractor complied with small business subcontract plan requirements and strived to meet small business subtracting goals in good faith.

6. Given the choice would you do business with this contractor again?

Page 3 of 4 Pages

DHS/FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA)

PAST PERFORMANCE REFERENCE FORM

PROJECT TITLE: SEISMIC TECHNICAL GUIDANCE DEVELOPMENT SUPPORT (STGDS)

Supplemental Comment Form

Please provide any additional comments regarding your performance element ratings in the appropriate spaces below. Please add additional pages as necessary.

Performance Element #1, Technical Quality of Services:

Performance Element #2, Cost Control and Effective and Efficient Use of Resources:

Performance Element #3, Schedule/Timeliness of Performance:

Performance Element #4, Business Relations, Customer Satisfaction

Performance Element #5, Small Business Subcontracting Page 4 of 4 Pages