Attach 2 PPQ.doc

Request for Proposal – SharePoint

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on a Department of Homeland Security (DHS) solicitation to provide a full range of [insert purpose of requirements] to meet the mission needs of DHS. 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 DHS Contract Specialist. This information will not be disclosed to the offeror. Please provide an honest assessment and return the questionnaire to DHS, by e-mail, to the address shown below, no later than the time and date the solicitation closes ___________________. If you have questions, please contact: ________________________________.

Completed questionnaires should be emailed to the following address: ________________________

GENERAL INFORMATION

1. OFFEROR’S NAME AND ADDRESS

2. CUSTOMER ORGANIZATION

3. CONTRACT NUMBER:

2a. EVALUATOR

4. CONTRACT VALUE: _________

NAME:

TITLE:

PHONE NO:

5. CONTRACT AWARD DATE:

6. CONTRACT COMPLETION DATE:

7. CONTRACT TYPE (Circle All That Apply):

8. COMPLEXITY OF WORK (Circle One Response):

Fixed Price Cost-Plus Fixed Price Cost-Plus Award Fee

DIFFICULT ROUTINE

T & M OTHER

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 four 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. CORPORATE COMMITMENT

B. QUALITY OF SERVICE

C. TIMELINESS OF PERFORMANCE

D. TEAMING ARRANGEMENTS

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

OUTSTANDING

Contractors performance significantly exceeded the contract requirements.

GOOD

Contractors performance exceeded the contract requirements.

ACCEPTABLE

Contractors performance met contract requirements.

UNSATISFACTORY

UNSATISFACTORY

Contractors performance was less than acceptable and was unable to perform contract requirements successfully.

N/A

Not applicable.

B

Did the contractor supply professional and qualified personnel?

TIMELINESS OF PERFORMANCE

(a) Performance of services?

(b) Delivery of reports or other documentation?

(c) Qualified Staffing

Did the contractor have an effective partnership with its team members?

GENERAL TOPICS

Did the contractor perform EVM?

Did the contractor comply with 508 requirements?

(when applicable)

1. Has this contract been partially or completely terminated for default? YES

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

SOURCE OF SELECTION SENSITIVE INFORAMATION

ATTACHMENT 2