PP_Questionnaire.doc

PAST PERFORMANCE QUESTIONNAIRE

HSBP1015Q0105

Your company:

has been identified by:

an offeror to RFQ HSBP1015Q0105 as a Reference to provide Past Performance information to ascertain a past performance rating in providing Installation of Audio Visual Surveillance Systems. 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 Vivienne Alonso, the U.S. Customs and Border Protection (CBP) Contract Specialist. This information will not be disclosed to the contractor. Please provide an honest assessment and return the questionnaire to Vivienne Alonso via e-mail Vivienne.C.Alonso@cbp.dhs.gov.

Company Name:

Address:

POC: Contact Phone & Fax No.:

E-Mail Address:

Performance Period:

4. Ratings: #1 through #5, with #5 being Outstanding.

1. Rate the overall service:

2. Did the contractor meet/exceed the requirements established in the contract?

3. When required, need contractor make changes in a timely manner when performing poorly?

4. Was the contractor able to solve contract performance problems without extensive guidance from customer?

5. Did the employees perform their jobs in a professional manner?

6. Did the contractor establish and maintain effective quality control standards and procedures?

7. Would you award another contract to this contractor?

5.

Comments (Please discuss the ratings above to allow for a better analysis of the specific offeror’s strengths and weaknesses.):

Point of Contact Name

Signature Date