Attachment_4_-_Past_Performance_Questionaire.pdf

HSBP1016R0004 – Attachment 4

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company (i.e., the Offeror) who has provided you with this form is responding to a U.S. Customs and Border Protection (CBP) solicitation to provide Personal Body Armor for law enforcement officers. Past Performance is an extremely important part of the evaluation criteria for this acquisition, so your input is very important. The information is to be provided directly to Matt Korn, the CBP Contract Specialist. Please provide a candid assessment and return the questionnaire to CBP by email (preferred), fax or mail, to the address shown below, so that it is received no later than June 08, 2016.

U.S. Customs and Border Protection Attn: Matt Korn, Contract Specialist

Matthew.a.korn@cbp.dhs.gov 6650 Telecom Drive

Indianapolis, IN

(317) 614-4546

Fax: (317) 298-1344

PART TWO: GENERAL INFORMATION

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

3. CONTRACT NUMBER: 4. EVALUATOR

5. CONTRACT VALUE (INCLUSIVE NAME:

OF OPTION PERIODS):

TITLE:

PHONE:

6. CONTRACT AWARD DATE: 7. CONTRACT COMPLETION DATE

mailto:Matthew.a.korn@cbp.dhs.gov

8. CONTRACT TYPE (Circle All That Apply): 9. COMPLEXITY OF WORK (Circle One Response):

FFP CPFF CPAF OTHER DIFFICULT ROUTINE

10. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS (BODY ARMOR

TYPE/LEVEL):

PART THREE: OFFEROR PERFORMANCE RATING

On the following pages, please summarize the offeror’s performance in each rating factor. Each factor has a set of subfactors with five possible point ratings. Determine the point score rating that most nearly represents your experience with this offeror and indicate your assessment by placing an “X” under the appropriate heading.

Offeror performance factors are:

A. QUALITY OF BODY ARMOR (FIT, FINISH)

B. RESPONSIVENESS TO CUSTOMER REQUIREMENTS (TIMELINESS OF

PERFORMANCE)

C. REPLACEMENT OF BODY ARMOR (FIT ISSUES)

D. CONTRACT COMPLIANCE

Adjective Ratings are defined below and should be used as a reference in assessing performance:

Exceptional Offeror’s performance significantly exceeded most or all contract requirements.

Furthermore, the offeror provided significant, unusual, unique, or worthwhile features or benefits and performance was of the highest quality. No risk anticipated with performance or customer satisfaction.

Very Good Offeror’s performance fully exceeded many of the contract requirements.

Offeror’s performance has resulted in a high level of efficiency and productivity and quality. Very little risk anticipated with performance or lack of customer satisfaction.

Satisfactory Offeror’s performance met contract requirements. Some potential risk and lack of customer satisfaction could be anticipated based upon the offeror’s past performance.

Marginal Offeror’s performance was less than satisfactory and should have been better. Significant potential risk and degradation of performance could be anticipated based upon the offeror’s past performance.

No Rating Insufficient information is available for a rating in this area.

A QUALITY OF BODY ARMOR

(FIT/FINISH/COMFORT) E VG S M N/R

1 Rate the overall fit, finish and comfort of body armor received.

B

RESPONSIVENESS TO CUSTOMER

REQUIREMENTS (TIMELINESS OF

PERFORMANCE)

E VG S M N/R

1 Did the Offeror meet/exceed the delivery requirements established in the contract?

2 Was the Offeror able to respond to urgent requirements in a timely manner?

3 Was the Offeror proactive in notification of delivery problems?

C REPLACEMENT OF BODY ARMOR

(FIT ISSUES) E VG S M N/R

1 When required, was the Offeror responsive to requests for replacement of body armor if fit, finish and comfort issues were involved?

2 Was the Offeror responsive to warranty or warranty replacement issues?

3 Did the Offeror proactively try to minimize problems with fitting issues?

D CONTRACT COMPLIANCE E VG S M N/R

1 Was the Offeror able to solve contract performance problems without extensive guidance from counterparts?

2 How effective was the Offeror in understanding and responding to additional user requirements?

3 Did the Offeror establish and maintain effective quality control standards and procedures?

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

(Circle the appropriate answer.)

YES 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. What was the Offeror’s greatest strength in the performance of the contract?

3. What was the Offeror’s greatest weakness in the performance of the contract?

4. Would you award another contract to the Offeror?

YES NO

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 EVALUATOR DATE

D