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Attaclunent 4

HSCEMS-12-R-00015

CONTRACTOR-PROVIDED LETTER REQUESTING PAST PERFORMANCE EVALUATION HSCEMS-12-R-00015

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 directly to the Contract Specialist, Jude Rubrico at Judejames.Rubrico@ice.dhs.gov, no later than 4:00pm on September 21, 2012. Please provide rationale for the assigned ratings, particularly the ratings of exceptional or unsatisfactory. 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:

Page of6

Name of Proposed Contractor: __ _ _

Contract No.: - ------------

Narne 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.

Attachment

HSCEMS-12

R -00015

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?

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

Narrative Summary:

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:

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

3.c Adequacy of maintaining and controlling Government equipment.

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional Narrative Summary:

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.

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

4.b Completion of major milestones on schedule:

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

4.d Responsiveness to changes in technical direction.

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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.

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

4.1 Effectiveness in interfacing with Government personnel.

I Unsatisfactory I Marginal I Satisfactory I Very Good I Exceptional

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- - - If no, please explain:

No- ----