Attachment_E_-_DTS_Past_Performance_HSCECR-15-R-00001.rtf

Attachment E Solicitation Number HSCECR-15-R-00001

Contractor Performance Evaluation Survey Page 1of 3

CONTRACTOR PERFORMANCE EVALUATION SURVEY

The Past Performance reference shall complete and return this survey directly to: Alejandro Bulux via facsimile at 202-732-7446 or via a scanned electronic copy to alejandro.bulux@ice.dhs.gov" alejandro.bulux@ice.dhs.gov. Surveys shall be returned no later than the exact date and time of the solicitation closing date and time to the POC noted above.

I. CONTRACT IDENTIFICATION

A. PRIME/SUBCONTRACTOR _______________________________________

B. CONTRACTOR _____________________________________________

C. CONTRACT NO. _____________________________________________

D. CONTRACT TYPE _____________________________________________

E. PERIOD OF PERFORMANCE _____________________________________

F. ACTUAL OR ESTIMATED

CONTRACT TOTAL _____________________________________________

(Including all possible option periods)

G. DESCRIPTION OF REQUIREMENT ________________________________

II. IDENTIFICATION OF PARTY PROVIDING INFORMATION

NAME OF ACTIVITY ___________________________________

(Include point of contact/phone #/ ___________________________________ fax #/address) ___________________________________

III. ASSESSMENT OF CONTRACTOR PERFORMANCE

Please rate the contractor’s performance in the following categories on a scale of 1 to 5 as follows:

1 = Substantial Confidence 2 = Satisfactory Confidence 3 = Limited Confidence 4 = No Confidence 5 = Unknown Confidence (Neutral)

Also, please provide an explanation in support of each rating in the space provided.

C. BUSINESS RELATIONS: Please rate/explain the contractor’s management abilities relative to its use of personnel and subcontractors to meet the requirement, cooperation of personnel and subcontractors during performance, turnover of personnel and subcontractors, ability to solve performance problems.

1 2 3 4 (Circle one)

D. COMMITMENT TO CUSTOMER SATISFACTION: Please rate/explain the contractor’s communications with the Government staff, response to technical directions, maintenance and reporting of problems, effectiveness of contractor interface with Government staff. 1 2 3 4 (Circle one)

E. COST CONTROL: Please rate/explain the contractor’s cost control capabilities and accuracy of any projected cost changes. 1 2 3 4 (Circle one)

F. INNOVATION: Did this contract require the contractor to use innovative technical approaches? YES NO (Circle) Additional information or comments: _________________________________

G. Would you recommend selection of this contractor again? YES NO (Circle) Additional information or comments: _________________________________