Attachment_C-_Past_Performance_Questionaire.pdf

ATTACHMENT C

RFP: HSCEMS-17-R-00008

Body Armor for Special Response Teams

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is responding to an Immigration and Customs Enforcement (ICE) RFP No. HSCEMS-17-R-00008 for Body Armor for Special Response Teams. Past Performance is an extremely important part of the evaluation criteria for this acquisition, so your input is very important. The information is to be provided directly to the Contract Specialist, identified below. This information will not be disclosed to another offeror.

Please provide an honest assessment and return the questionnaire to ICE by email to the address shown below, no later than July 31, 2017, 2017 at 11:00 a.m. Eastern Time.

Immigration and Customs Enforcement Attn: Rachel Ali, Contract Specialist

Rachel.Ali@ice.dhs.gov Phone: (202) 732-2622

PART TWO: GENERAL INFORMATION

1. OFFEROR’S NAME AND ADDRESS 2. CUSTOMER

ORGANIZATION

3. CONTRACT NUMBER: 2a. EVALUATOR

4. CONTRACT VALUE (Circle One): NAME:

<$25K $25K - $100K >$500K TITLE:

PHONE NO:

Body Armor for Special Response Teams

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

PART TWO: GENERAL INFORMATION CONTINUED

9. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS:

PART THREE: OFFEROR PERFORMANCE RATING

On the following pages, please summarize the offeror’s performance in each rating factors. Each factor has a set of sub factors with five possible adjectival ratings. Determine the adjectival rating that most nearly represents your experience with this offeror and indicate your assessment by placing an “X” under the appropriate heading. Offeror performance factors are:

A. QUALITY OF SERVICE

B. CONTRACT PERFORMANCE

C. TIMELINESS OF PERFORMANCE

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.

In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available, the offeror 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 M U

1 Rate the overall quality of the services received.

2 Company’s handling of issues or problems.

Body Armor for Special Response Teams

B CONTRACT PERFORMANCE E VG S 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?

3 Did the contractor establish and maintain effective quality control standards and procedures?

C TIMELINESS OF PERFORMANCE E VG S M U

1 Were the services provided according to contract requirements?

2 Delivery of reports or other documentation?

PART THREE: OFFEROR PERFORMANCE RATING

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. Would you award another contract to this contractor?

YES No

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

Body Armor for Special Response Teams

ATTACHMENT C-1

*To be completed by the Offeror NOT Evaluator

INSTRUCTIONS: Offerors responding to the Solicitation No. HSCEMS-11-Q-00016 must provide the following information with the applicable proposal submittals. This form is not applicable to the said Evaluator(s).

List of each of the agencies/companies that will be receiving the “PAST PERFORMANCE

QUESTIONNAIRE”.

AGENCIES/COMPANIES

POC

PHONE

NUMBER

FAX

NUMBER

E-MAIL

ADDRESS

1.

2.

3.

4.

5.