RFP_Attachment_B_(PPQ).pdf

PAST PERFORMANCE QUESTIONNAIRE

____________________________ is interested in fulfilling a requirement for U.S. Customs and Border Protection (CBP). As part of the evaluation process, CBP is required to examine relevant past performance of interested vendors. To that end, CBP has requested that questionnaires be sent to customers.

Your organization has been selected for a questionnaire. Past Performance is an important part of the evaluation process for this acquisition, so your input is very important. The information should be provided directly to Nathan Briggs, the U.S. Customs and Border Protection contract specialist conducting this acquisition. Please provide an honest assessment and return the questionnaire to CBP, Attn: Nathan Briggs, Contract Specialist, by fax at (317) 298-1344, or by e-mail at nathan.p.briggs@cbp.dhs.gov.

Please provide the following information:

Organizational Information Point of Contact:

Company Name:

Address:

POC Phone No.:

POC Fax No.:

E-Mail Address:

Contract Information

Contract No. (if federal contract):

Total Value of Contract (w/ options):

Period Of Performance:

Type of Contract: Firm- Fixed Price Cost Reimbursable Other: _______

Performance Evaluation Factor – Schedule Performance

Please evaluate the vendor’s ability to meet the following items in a timely fashion:

Ability to meet scheduled milestones: Excellent Good Fair Poor N/A Responsiveness to maintenance requests: Excellent Good Fair Poor N/A Delivery of goods or services on the contract: Excellent Good Fair Poor N/A Products or services were delivered timely: 100% >75% >50% >25% Never Overall, the schedule performance has been: Excellent Good Fair Poor N/A

Performance Evaluation Factor – Project Management Please evaluate the vendor’s ability to execute the project:

The vendor’s use/supervision of subcontractors: Excellent Good Fair Poor N/A Ability to respond to changes/modifications: Excellent Good Fair Poor N/A Overall, the vendor’s project management was: Excellent Good Fair Poor N/A

Performance Evaluation Factor – Mission Requirements Please evaluate the vendor’s ability to meet its contractual requirements:

The product/service conformed to requirement: Excellent Good Fair Poor N/A Quality control during the contract was: Excellent Good Fair Poor N/A Overall fashion that the vendor met requirements: Excellent Good Fair Poor N/A mailto:nathan.p.briggs@cbp.dhs.gov

HSBP1016R0026 Past Performance Questionnaire Attachment B

Additional Comments Please use the space below to comment on any of the questions above or on any other relevant performance issue.

You may attach additional sheets, if needed.

Final Evaluation If you had the same or similar requirement, would you use this vendor again?

Yes, certainly Probably No

Overall, how would you rate your experience with this vendor?

Excellent Good Fair Poor N/A

Thank you for your valuable assistance in evaluating this vendor. Please sign and return this document to Nathan Briggs (contact information above).

Point of Contact Name (printed)

Signature Date