Attachment 4 - Past Performance Questionnaires Final.doc

Attachment 4

HSCEMS-12-R-00002

CONTRACTOR-PROVIDED LETTER

REQUESTING PAST PERFORMANCE EVALUATION

HSCEMS-12-R-00002

DATE:

Company Name/Address

FAX:

PHONE:

SUBJECT:

Past Performance of Contract No.

Mr./Ms.:

Our company recently completed or is currently engaged under the above contract, which we provided ammunition for your Agency. The requirements of this contract were similar to the requirements of a solicitation for which we have submitted a proposal to the U.S. Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE).

As part of the proposal evaluation, I ask that you evaluate our performance under the subject contract by completing the attached questionnaire form and emailing or faxing directly to the Contract Specialist, Troy Teachey at troy.teachey@dhs.gov (202) 732-2592 no later than 4:00pm on March 12, 2012. The completed form will be marked and treated as “Source Selection Information” in accordance with Federal Acquisition Regulation 3.104, Procurement Integrity, and it will not be released except to Government personnel needing the information for source selection purposes or to your Agency for comments during the source selection process.

Your cooperation and expeditious attention in this matter is greatly appreciated.

Sincerely

Title:

Company:

Name of Proposed Contractor: ____________________

Contract No.:

Name of Rater: _______________________

Phone No.: ________________

Contract Type: _______________________

Place of Performance: ________________

Performance Period: __________________

Contract Dollar Amount:

1. Performance Grades:

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.

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.

Please circle each of the areas below of the contractor’s past performance based on the comments provided by the customer.

2. Customer Satisfaction Commitment: To what degree was the Contractor considered responsive to and cooperative with customer personnel?

3. Quality of Service: This area of the questionnaire deals with compliance of contract requirements, to include appropriateness of personnel and technical excellence.

3.a Overall compliance with contract terms and conditions:

3.b Effectiveness and reliability of Contractor’s Key Personnel.

3.c Adequacy of maintaining and controlling Government equipment.

4. Timeliness of Performance: This is the area that deals with the contractor’s ability to meet milestones and delivery schedule, to include responsiveness to technical direction, completion of efforts on time including wrap-up and contract administration.

4.a Overall performance in planning, schedule, and monitoring.

4.b Completion of major milestones on schedule:

4.c Responsiveness to contract changes from a contract administration perspective.

4.d Responsiveness to changes in technical direction.

4.e Timely completion of efforts within period of performance.

4.f Responsiveness/capability to respond to urgent/short term requirements.

4.g Efficiency in meeting cost targets without experiencing overruns.

4.h Ability to control costs through use of evolving technology and Commercial Off-The-Shelf technology, and such efficiency are share with the Government.

4.i Effectively assess impacts of changes on other associated projects, task and efforts.

4.j Appropriately choose effective subcontractors and teaming partners and maintain good business relationships.

4.k Ability to solve contract performance problems without extensive guidance from Government personnel.

4.l Effectiveness in interfacing with Government personnel.

4.m Has the Contractor ever been given a cure notice, a show cause notice, suspension of progress payments, or other letters directing the correction of a performance problem?

Yes_________

No____________

If yes, please explain:

4.n Changes in contract dollars value throughout the life of the contract are/were attributable, for the most part, to:

( ) Government-issued change orders

( ) claims submitted by the Contractor

( ) other Government actions

( ) other contractor actions.

Please explain:

4.o Based on this Contractor’s overall performance, would you award this Contractor another Government contract?

Yes________

No___________

If no, please explain: