Attachment_4_Past_Peformance_Questionnaire.doc

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Detention Management, Transportation and Food Services - El Paso Service Processing Center
Solicitation number
HSCEDM-15-R-00003
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Attachment 4 - Past Performance Questionnaire

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Text version

HSCEDM-15-R-00003

Attachment 4

PAST PERFORMANCE QUESTIONNAIRE

REF: HSCEDM-15-R-00003 Detention Management, Transportation and Food Services

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on an Immigration and Customs Enforcement (ICE) Request for Proposal (RFP) for Detention Management Services to include Detention Management and Food Services at the El Paso Service Processing Center (SPC). Past Performance is an important part of the evaluation criteria for this acquisition, so your input is equally important.

Please provide an honest assessment and return the questionnaire to the Vendor or to the ICE POC (Tara Murphy, Contract Specialist) via email at Tara.Murphy@ice.dhs.gov no later than noon EST July 224, 2015. If you have any questions, please contact Tara Murphy at 202-732-2387 no later than COB July 17, 2015.

PART TWO: GENERAL INFORMATION

1. VENDOR’S NAME AND ADDRESS

2. CUSTOMER AGENCY

3. CONTRACT NUMBER:

2a. EVALUATOR

4. CONTRACT VALUE: $______________________

NAME:

5. CONTRACT AWARD DATE: ________________

TITLE:

6. CONTRACT COMPLETION DATE: ___________

PHONE NO:

7. CONTRACT TYPE (Circle All That Apply): FP

CPFF

CPAF OTHER

8. COMPLEXITY OF WORK (Circle One Response): DIFFICULT ROUTINE

9. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS:

PART THREE: VENDOR PERFORMANCE RATING

On the following pages, please summarize the vendor’s performance. Each section has a set of questions with five possible adjectival ratings. Determine the adjectival rating that most nearly represents your experience with this vendor and indicate your assessment by placing an “X” under the appropriate heading. These sections are:

A. QUALITY OF SERVICE

B. CONTRACT PERFORMANCE

C. TIMELINESS OF PERFORMANCE

Also, it is very important (and beneficial to our evaluation) if you submit examples and/or comments as to why they were rated as such in the sections herein.

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

Exceptional
Contractor’s performance significantly exceeded most or all contract requirements. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.
Very Good
Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.
Satisfactory
Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.
Neutral
In the case of a vendor without a record of relevant past performance or for whom information on past performance is not available, the vendor may not be evaluated favorably or unfavorably on past performance.
MARGINAL
Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginally effective or were not fully implemented.
UNSATISFACTORY
Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problems(s) for which the Contractor’s corrective actions appear or were ineffective.
A
QUALITY OF GOODS/SERVICES
E
VG
S
N
M
U
1
Rate the overall quality of the services received.
2
Company’s handling of issues or problems.

COMMENTS:

B
CONTRACT PERFORMANCE
E
VG
S
N
M
U
1
Was the contractor able to solve contract performance problems without extensive guidance from counterparts?
2
How effective has the contractor been in understanding and responding to additional user requirements?
C
TIMELINESS OF PERFORMANCE
E
VG
S
N
M
U
1
Were the services provided according to contract requirements?
2
Delivery of reports or other documentation?

PART THREE: VENDOR PERFORMANCE RATING

1.

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

YES

If so, by 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

WHY?

ADDITIONAL 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

DATE

ICE RFP# HSCEDM-15-R-00003

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