CTPASTPERFORMANCEQUESTIONNAIRE.doc

PAST PERFORMANCE QUESTIONNAIRE

ARMED AND UNARMED GUARD SERVICES

CONNECTICUT

Solicitation: HSCEE1-08-R-00001

NAME OF CONTRACTOR REQUESTING THE REFERENCE: _____________________________

The purpose of this questionnaire is to obtain information regarding the quality of the above named Contractor’s past performance relative to a contract, completed or in progress, at your company/agency. The Federal Protective Service is considering this Contractor for armed and unarmed Guard Services at various Federal buildings located in the State of Connecticut. We would greatly appreciate your input regarding the quality of the Contractor’s past performance.

Handwritten responses are sufficient. It is requested that the individual(s) responsible for the administrative oversight of the project (e.g. security specialist, COR, COTR, etc.) respond to this questionnaire. More than one copy of the questionnaire may be submitted if responses from more than one individual are appropriate.

Upon completion of the survey, please email to Bethany.McLaughlin@dhs.gov or FAX to 215-521-2297. If you have any questions, please call Bethany McLaughlin at 215-521-2269. We appreciate your efforts on our behalf.

PROJECT TITLE AND LOCATION:

AWARD DATE:

ESTIMATED/FINAL COMPLETION DATE:

ORIGINAL COMPLETION DATE:

CONTRACT COST PER YEAR

WAS THIS CONTRACT FOR A SINGLE OR MULTIPLE LOCATIONS: ( ) Single ( ) Multiple Please provide a brief description of the scope of this project so that we determine any similarities to this contract:

1. How consistent is the Contractor in providing the required staffing at each post of duty? For example, are Posts consistently fully staffed in a timely manner? Are Posts frequently lacking the assigned number of staffing? Is staffing frequently late in reporting, etc.

Reply:__________________________________________________________________

2. How consistent is the Contractor in providing employees who report to duty properly groomed, uniformed and equipped? For example, are Contractor employees consistently sloppy in appearance? Is the cleanliness and operating condition of equipment and weapons often deficient, etc?

Reply:__________________________________________________________________

3. How consistent is the Contractor in keeping training records, certifications and related documentation complete, accurate and current?

Reply:__________________________________________________________________

4. How is the overall level of professionalism, attentiveness and bearing of the

Contractor's workforce. For example, do the contract Guards demonstrate that they fully understanding of their assignments, are they fully attentive to their duties, do they engage in unauthorized activities?

Reply:__________________________________________________________________

5. How effective is the Contractor in identifying and communicating potential problems, and resolving them on his own, including problems presented to him by owner and tenant representatives?

Reply:__________________________________________________________________

6. Did the Contractor provide a level of supervision sufficient to ensure effective performance by the productive security guards over the course of the Contract?

Reply:__________________________________________________________________

7. Please discuss the Contractor’s quality control of the overall contract.

Reply:__________________________________________________________________

8. Are subcontracts involved?

__Yes __No (Check one) If yes did the contractor adequately manage the subcontracts? __Yes __No (Check one) Government Comment on subcontracts

Reply:__________________________________________________________________

9. On a scale of 0 to 10, please rate the Contractor on following areas of performance (scale is defined with each factor).

How smooth and orderly was the transition/start-up between the contractor and the predecessor contractor/contract. How much disruption was involved in this transition?

0- Transition was difficult, much disruption was caused by the transition.

to 10-Transition was smooth and orderly, minimal disruption was involved during the transition.

Rating: ___ Comments::__________________________________________________________________

10. How well did the contractor accommodate last minute requests for extra guards at a location or the extension of guard service requirements?

0 – Contractor did not accommodate these requests

10- Contractor always accommodated these requests

Rating: ___

Comments::__________________________________________________________________

11. Would you recommend this firm to other agencies?

Check one:

[ ] Highly Recommend

[ ] Recommend

[ ] Would Not Recommend

12. Overall how would you rate the Contractor’s Quality of Performance?

Please check one

[ ] Outstanding – Requirements are consistently being exceeded and performance is consistently of high quality. The contractor has demonstrated an outstanding performance level that was significantly in excess of anticipated achievements and is commendable as an example for others, so that it justifies adding a point to the score. It is expected that this rating will be used in those rare circumstances where contractor performance clearly exceeds the performance levels described as "Excellent".

[ ] Excellent - There are no quality issues, and the Contractor has substantially exceeded the contract performance requirements without commensurate additional costs to the Government or your company [ ] Good - Requirements are consistently being met and performance is generally adequate or better. There are no, or very minimal, quality problems, and the Contractor has met the contract requirements.

[ ] Fair - Overall compliance requires minor Agency/Company resources to ensure achievement of contract requirements.

[ ] Poor - Requirements are generally met, however sometimes performance is less than adequate. Overall compliance requires significant Agency resources to ensure achievement of contract requirements.

[ ] Unsatisfactory – Requirements are generally not being met or performance is consistently of poor quality. Non-conformances are jeopardizing the achievement of contract requirements, despite use of Agency resources. Recovery is not likely. If performance cannot be substantially corrected, it constitutes a significant impediment in consideration for future awards containing similar requirements.

Once again, thank you for you taking the time to provide this reference information. In closing, we ask that you provide the information below in case we need to contact you to clarify a response.

Your Name: ______________________________

Your Position: ____________________________

Company: ________________________________

Telephone No: ____________________________

E-mail Address: _______________________________ Past Project Form NOTE: THIS FORM SHALL BE COMPLETED AND SUBMITTED WITH THE OFFERORS PROPOSAL FOR EACH PREVIOUS PROJECT.

OFFEROR: ______________________________________________________

CUSTOMER: _____________________________________________________

CONTRACT/PROJECT NUMBER OR IDENTIFIER: ______________________

ROJECT TITLE: ___________________________________________________

PLACE OF PERFORMANCE: ______________________________________

PERIOD OF PERFORMANCE: _______________________________________

TOTAL CONTRACT/PROJECT DOLLAR VALUE: ________________________

Number of Guards EMPLOYED ON CONTRACt/PROJECT:____________

Customer Point of CONTACT: ___________________________________

POC Phone: _______________________

POC E-MAIL: _______________________

Include a narrative, one page or less, of the description of the work performed and similarities to the proposed contract in the RFP. Indicate if the experience was as a prime or subcontractor. If experience was as a subcontractor, give name, telephone number and point of contact of the prime contractor as well as the customer. Provide a brief description of problems encountered on the project and your corrective action.

PAGE

Solicitation HSCEE1-08-R-00001

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 3.104

PAST PERFORMANCE QUESTIONNAIRE.doc