Attach 14_Past Performance Questionnaire.pdf

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ATTACHMENT 14

PAST PERFORMANCE QUESTIONNAIRE

NAME OF CONTRACTOR REQUESTING THE REFERENCE:________________________

The company who has provided you with this form is proposing on a Department of Homeland Security, Immigration and Customs Enforcement Request for Proposal to provide Contractor-Operated, Contractor-Owned Detention and Transportation Services in the Denver Metro, Colorado area.

The purpose of this questionnaire is to obtain information regarding the past performance for the above named Contractor relative to a contract, completed or in progress, with your company/agency. It is requested that the individual(s) responsible for the administrative oversight of the project (e.g. Contract Specialist, Contract Administrator, COTR, COR, etc) to respond on this questionnaire. More than one copy of the questionnaire may be submitted if responses from more than one individual are appropriate. Handwritten responses are sufficient.

We would greatly appreciate your input regarding the Contractor’s Past Performance. This information will not be disclosed to the offeror/contractor.

Upon completion of the questionnaire, please email the completed form directly to monica.king@dhs.gov or fax to 949-360-3013, ATTN: Monica King, no later than TBD at NOON (Pacific Time). If you have any questions, please call Monica King at 949-360-2260.

We appreciate your efforts on our behalf.

mailto:monica.king@dhs.gov

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: GENERAL INFORMATION

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

3. CONTRACT NUMBER: 2a. EVALUATOR

NAME:

TITLE:

PHONE NO:

4. TOTAL CONTRACT VALUE: ___________________________

(INCLUDING ALL OPTIONS)

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

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

FP CPFF CPAF OTHER DIFFICULT ROUTINE

9. BRIEF DESCRIPTION OF THE CONTRACT IN THE WORK PERFORMED:

10. HOW MANY BUILDINGS AND/OR POSTS WERE REQUIRED TO BE STAFFED?

PART TWO: OFFEROR PERFORMANCE RATING

Offeror performance factors are:

A. RECENT EXPERIENCE

B. CORPORATE COMMITTMENT

C. QUALITY OF SERVICE

D. TIMELINESS

E. EFFECTIVE UTILIZATION OF RESOURCES

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

Rating Definition

Neutral (N)

No past performance or experience is available for evaluation. The Offeror has asserted that it has no directly related or similar relevant past performance experience. The proposal receives no merit or demerit for this factor.

Outstanding (O)

Based on the Offeror’s record of past performance, no issues, concerns, or risks are associated with receiving timely services and contract performance. Past performance surveys and the Offeror’s experiences indicate that the Offeror will exceed the requirements of the RFP.

Good (G)

Based on the Offeror’s record of past performance, there is little risk associated with receiving timely services and contract performance. Past performance surveys and the Offeror’s experience indicate the Offeror will meet or sometimes exceed the requirements of the RFP.

Acceptable (A)

Based on the Offeror’s record of past performance, there is an acceptable amount of risk associated with receiving timely services and contract performance. Past performance surveys and the Offeror’s experience indicate the Offeror will meet the requirements of the RFP.

Unacceptable (U)

The Offeror’s record of past performance indicates it will be unable to meet the requirements of the RFP.

A DEMONSTRATED CORPORATE COMMITTMENT N O G A U

1 Was the contractor able to solve contract performance problems without extensive guidance from the customer?

2 Did the contractor supply adequate, timely and qualified replacement personnel for all positions?

3 How effective has the contractor been in understanding and responding to client problems?

4 What is the contractor’s history on actually using key personnel proposed in the offer as key personnel under the contract?

B QUALITY OF SERVICE N O G A U

1 Did the contractor provide quality services?

2 Did the contractor provide quality reports and documentation (i.e., accurate, current and complete)?

C TIMELINESS OF PERFORMANCE N O G A U

1 Did the contractor adhere to contract delivery schedules in the following areas:

(a) Performance of services?

(b) Delivery of reports or other documentation?

2 Were replacement personnel identified and assigned to the project in a timely manner?

3 To what extent did the contractor submit required proposals and invoices for temporary services in a timely manner?

4 How would you rate the contractor’s responsiveness to emergency situations?

D EFFECTIVE UTILIZATION OF RESOURCES N O G A U

1 To what extent did the contractor meet the cost estimate?

2 Did the contractor effectively plan work to ensure maximum effective utilization of resources?

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. How did the contractor communicate with you, the client agency, and contracting personnel to address issues and correct problems?

5. Would you award another contract to this contractor?

YES No

COMMENTS:

PART THREE: 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 DATE