Attachment 1-Contractor Performance Evaluation Survey.pdf

Attachment 1 HSCETC-11-R-00001

Contractor Performance Evaluation Survey

CONTRACTOR PERFORMANCE EVALUATION SURVEY

The Past Performance reference shall complete and return this survey directly to: Bethany

Stutler, Contract Specialist, via scanned emailed copy to cableocio@dhs.gov . Survey shall be returned not later than the exact date and time of the solicitation closing date and time to the POC noted above. Your support in this matter is greatly appreciate.

I. CONTRACT IDENTIFICATION

A. CONTRACTOR _____________________________________________

B. CONTRACT NO. _____________________________________________

C. CONTRACT TYPE _____________________________________________

D. PERIOD OF PERFORMANCE _____________________________________

E. ACTUAL OR ESTIMATED

CONTRACT TOTAL _____________________________________________

(Including all possible option periods)

F. DESCRIPTION OF REQUIREMENT ________________________________

II. IDENTIFICATION OF PARTY PROVIDING INFORMATION

NAME OF ACTIVITY ___________________________________

(Include point of contact/phone #/ ___________________________________ e-mail/address) ___________________________________

III. ASSESSMENT OF CONTRACTOR PERFORMANCE

Please rate the contractor’s performance in the following categories on a scale of 1 to 4 as follows:

1 = Exceptional

2 = Good

3 = Satisfactory

4 = Unsatisfactory

Also, please provide an explanation in support of each rating in the space provided.

.A. QUALITY OF PERFORMANCE: Please rate/explain the quality of the contractor’s performance; conformance to contract requirements and statement of work; and, quality of products, services, reports and documentation.

1 2 3 4 (Circle one)

B. TIMELINESS OF PERFORMANCE: Please rate/explain the timeliness of the contractor’s performance, adherence to contract schedules, including meeting interim project milestones; completing work efforts on time; and, submission of reports and documentation response to requests for information.

1 2 3 4 (Circle one)

C. WARRANTY: Please rate/explain the contractor’s ability to comply with applicable warranties including warranties on labor and warranties on parts.

1 2 3 4 (Circle one)

D. BUSINESS RELATIONS: Please rate/explain the contractor’s management abilities relative to its use of personnel and subcontractors to meet the requirement, cooperation of personnel and subcontractors during performance, turnover of personnel and subcontractors, ability to solve performance problems.

1 2 3 4 (Circle one)

E. COMMITMENT TO CUSTOMER SATISFACTION: Please rate/explain the contractor’s communications with the Government staff, response to technical directions, maintenance and reporting of problems, effectiveness of contractor interface with Government staff. 1 2 3 4 (Circle one)

F. COST CONTROL: Please rate/explain the contractor’s cost control capabilities and accuracy of any projected cost changes. 1 2 3 4 (Circle one)

G. INNOVATION: Did this contract require the contractor to use innovative technical approaches? YES NO (Circle)

Additional information or comments: _________________________________

H. PROGRAM MANAGEMENT: Please rate/discuss the overarching management as related to: Management of personnel, subcontractors, afterhours support and communications, meeting contract requirements, timely communication with all parties.

Additional information or comments: _________________________________

I. Would you recommend selection of this contractor again? YES NO

(Circle)

Additional information or comments: _________________________________