HSBP1017Q0014_Attachment_4_-_Past_Performance_Questionnaire.docx

HSBP1017Q0014 Attachment 4 Past Performance Questionnaire

1. The contractor ___________________ (submitting the Quote) is being considered for award of a solicitation for maintenance of existing installed DSX Physical Access Control Systems (PACS), Closed Circuit Television (CCTV) systems, and Intrusion Detection Systems (IDS).

2. A primary consideration in our selection process is the contractor’s performance on recent and relevant projects consisting of maintenance of physical security systems.

After completing the Past Performance Questionnaire we ask that you e-mail it to the contracting office at cynthia.c.young@cbp.dhs.gov before the closing date of the solicitation (currently February 14th, 2017 at 3:00pm Eastern time).

3. RESPONDENT INFORMATION (The Reference who is preparing this questionnaire) Name: _________________________________ Title: __________________________________________ Organization & Address: ____________________________________________________________________ Telephone: _______________ Fax: ___________________ Email: __________________________________

4. PERFORMANCE INFORMATION BEING EVALUATED:

Contract Number/Title: ______________________________________________________________________ Period of Performance: ______________________________________________________________________ Dollar Amount of Contract: __________________________________________________________________ The contractor was ( ) was not ( ) the prime.

Scope of work performed: ___________________________________________________________________

5. PERFORMANCE INFORMATION: When responding to the following questions, choose the adjectival rating as defined below that most accurately describes the contractor’s performance. If the question is not applicable, choose "N/A". Comments are encouraged for all questions; however, if you respond with either “OUTSTANDING” or “UNSATISFACTORY”, please explain in the lines below the question.

· OUTSTANDING: Contractors performance significantly exceeded the contract requirements.

· GOOD: Contractors performance exceeded the contract requirements.

· ACCEPTABLE: Contractors performance met contract requirements.

· UNSATISFACTORY: Contractors performance was less than acceptable and was unable to perform contract requirements successfully.

· N/A: Not applicable.

1. Did the contractor demonstrate the ability to hire, maintain and replace, if necessary, qualified personnel during the contract period?

RATING: OUTSTANDING GOOD ACCEPTABLE UNSATISFACTORY N/A

COMMENTS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Did the contractor provide experienced technicians with the technical abilities needed to meet contract requirements?

RATING: OUTSTANDING GOOD ACCEPTABLE UNSATISFACTORY N/A

COMMENTS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Did contractor provide reports and documentation required according to requirements?

RATING: OUTSTANDING GOOD ACCEPTABLE UNSATISFACTORY N/A

COMMENTS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Did the contractor respond to emergencies in timely manner?

RATING: OUTSTANDING GOOD ACCEPTABLE UNSATISFACTORY N/A

COMMENTS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Did contractor resolve service/maintenance calls in a timely manner according to contract requirements?

RATING: OUTSTANDING GOOD ACCEPTABLE UNSATISFACTORY N/A

COMMENTS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Did the contractor keep the system software up to date according to contract requirements?

RATING: OUTSTANDING GOOD ACCEPTABLE UNSATISFACTORY N/A

COMMENTS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Did the contractor provide new or like new parts for defective equipment covered by maintenance contract?

RATING: OUTSTANDING GOOD ACCEPTABLE UNSATISFACTORY N/A

COMMENTS:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Would this company be the first company you would select to do the work on a similar project? Please explain why or why not?

Please Sign and Date