Attachment_2B_-_RFP_1013R0023_PP.pdf

HSBP1013R0023 - ATTACHMENT 2B

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is responding to a U.S. Customs and Border Protection (CBP) solicitation to provide training ammunition for law enforcement officers. Past Performance is an important part of the evaluation criteria for this acquisition, so your input is very important. The information is to be provided directly to John Crockett, the CBP Contract Specialist. This information will not be disclosed to the offeror. Please provide an honest assessment and return the questionnaire to CBP by fax or mail, to the address shown below, no later than 28 May 2014.

U.S. Customs and Border Protection Attn: John Crockett, Contract Specialist

6650 Telecom Drive Indianapolis, IN

(317) 614-4969

Fax: (317) 298-1344

PART TWO: GENERAL INFORMATION

1. OFFEROR’S NAME AND ADDRESS 2. CUSTOMER ORGANIZATION

3. CONTRACT NUMBER: 2a. EVALUATOR

4. CONTRACT VALUE (Circle One) NAME:

(<$25K) ( $25K - $100K) (>$500K) TITLE:

PHONE:

5. CONTRACT AWARD DATE: 6. CONTRACT COMPLETION DATE

PART TWO: GENERAL INFORMATION CONTINUED

7. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS (Ammunition Type/Delivery

Schedule/Quantities):

PART THREE: OFFEROR PERFORMANCE RATING

1. Has this contract been partially or completely terminated for default or convenience?

(Circle the appropriate answer.)

Default Convenience NO

If yes, please explain (e.g. inability to meet cost, performance, or delivery schedules – also include contract number, name, address, and phone number of Terminating Contracting Officer – TCO).

2. Did contractor meet delivery schedule?

YES NO

If no, please explain (e.g. consistently missed delivery dates, missed a few delivery dates, etc.).

PART THREE: OFFEROR PERFORMANCE RATING (CONTINUED)

3. Did contractor meet quality standards?

If no, please explain (e.g. number rejected deliveries, areas(s) failed to meet).

4. Would you award another contract to this contractor?

5. COMMENTS:

PART FOUR: EVALUATOR’S CERTIFICATION

I HEREBY CERTIFY THAT THE INFORMATION IN THIS FORM IS ACCURATE AND

COMPLETE TO THE BEST OF MY KNOWLEDGE.

SIGNATURE OF EVALUATOR

TITLE OF EVALUATION DATE