B1a_-_Attachment_2B_-_RFP_PP.doc

HSBP1016R0031 - ATTACHMENT 2B

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is responding to a 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 Contracting Officer. 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 30 June 2016.

Customs and Border Protection

Attn: John Crockett, Contracting Officer 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 (Supplied Item/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

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

5.

What was the contractor’s greatest weakness in the performance of the contract?

6.

Would you award another contract to this contractor?

7.

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