Attachment_C_-_PPQ_(final).pdf

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on a Department of Homeland Security, Customs and Border Protection solicitation. Past Performance is an important part of the evaluation criteria for this acquisition, so your input is very important. Please provide an honest assessment and return the questionnaire directly to the Contracting Officer: Nathan Briggs at nathan.p.briggs@cbp.dhs.gov.

PART TWO: GENERAL INFORMATION

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

3. CONTRACT NUMBER: 2a. EVALUATOR

4. CONTRACT VALUE: $______________________ NAME:

TITLE:

PHONE NO:

5. CONTRACT AWARD DATE: 6. CONTRACT COMPLETION DATE:

7. CONTRACT TYPE: 8. COMPLEXITY OF WORK (Circle One Response):

DIFFICULT ROUTINE

9. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS:

PART THREE: OFFEROR PERFORMANCE RATING

On the following pages, please summarize the offeror’s performance in each rating factors. Each factor has a set of sub-factors with four possible adjectival ratings. Determine the adjectival rating that most nearly represents experience with this offeror and indicate assessment by placing an “X” under the appropriate heading. Offeror performance factors are:

A. QUALITY OF SERVICES/REPORTS

B. PROJECT MANAGEMENT - RESOURCE ALLOCATION

C. TIMELINESS OF PERFORMANCE

Adjectival ratings are defined below and should be used as a reference in assessing performance:

Very Good The contractor demonstrated good understanding of requirements and approach that exceeded performance or capability standards.

Satisfactory The contractor demonstrates acceptable understanding of requirements and approach that met performance or capability standards required in achieving the proposed level of performance

Marginal The contractor demonstrated shallow understanding of requirements and approach that only marginally met performance or capability standards necessary for minimal but acceptable contract performance.

Unacceptable The contractor failed to meet the requirement; one or more deficiencies for which correction required (or would have required) a major revision or redirection of the project.

PART THREE: OFFEROR PERFORMANCE RATING (CONTINUED)

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

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 contractor’s greatest strength in the performance of the contract?

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

4. Would you award another contract to this contractor?

YES No

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