PAST PERFORMANCE.doc

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SOURCE SELECTION INFORMATION – PAST PERFORMANCE

Please Return FAX or EMAIL to Joseph Laughlin, Contract Specialist

Tel: 510-437-5347, fax: 510-437-3014, email address: Joseph.N.Laughlin@uscg.mil

U.S. COAST GUARD

MAINTENANCE & LOGISTIC COMMAND PACIFIC

PAST PERFORMANCE SURVEY

Armed Guard Services at ISC Alameda, Coast Guard Island, Alameda, CA

SOLICITATION NUMBER: HSCG89-09-R-68A014

Name of firm to be evaluated: ___________________________________ The above contractor has identified you or your (Agency) company as a reference for past performance information for the above referenced solicitation. Please complete this survey, evaluating the contractor’s performance under your contract and return it to the above fax or email address. The Performance Work Statement requires the successful offeror to provide Armed Guard Services during the period of 01 October 2008 through 30 September 2009 with four option years, if exercised. The successful offeror is required to provide all labor, materials, consumable supplies and equipment (other than government furnished property), and supervision, and other items or services necessary in performing the contract requirements at ISC Alameda, Coast Guard Island, Alameda, CA.

It is requested that you complete the following information and provide your assessment.

( Thank you for your assistance in the Past Performance evaluation process.

Organization Name:

Phone Number:

Name & Title of Evaluator:

Evaluation Scoring Definitions:

5 EXCELLENT: No negative responses to evaluation factors. The contractor receives high praise and strong recommendations.

4 VERY GOOD: No negative responses to evaluation factors. The contractor received an overall good appraisal and performed above average services.

3 SATISFACTORY: Offeror has some minor weaknesses, but none with serious affect on the performance quality. Weaknesses are offset by several strengths.

2 MARGINAL: Some negative responses to evaluation factors. The contractor received overall satisfactory appraisal. Performed services in an average manner.

1 UNACCEPTABLE Many negative responses to evaluation factors. The contractor received an overall unsatisfactory appraisal and performance was below average.

NOTE: When indicated please circle the appropriate number associated with the above adjective, for ratings below satisfactory, please comment.

1. Relevancy: Contract of similar type, service, and dollar value

a. Type of Services Provided:

b. Contract Number: ________________________________________

c. Total contract amount: ________________________________________

d. Period of Performance Including Option Years: ___________________________

COMMENTS:

2. Responsiveness: Promptness.

a. Prompt action to address complaints:

5 4 3 2 1 n/a

b. Response to suggestions reasonably considered:

3. Timeliness: Services performed timely.

a. Contractor’s invoices submitted on time:

b. Extent of Contractor’s adherence to schedules:

c. Liquidated damages assessed, or deductions taken for late or nonperformance of services: Yes No ** If yes, please insert comment below:

4. Resources: Adequate personnel, training, equipment, and supplies.

a. Contractor’s personnel were trained and possessed expertise necessary for successful contract performance:

b. Adequacy of On-site supervisor’s authority:

c. Adequacy of equipment/supplies provided:

5. Quality Control/Consistency and Quality of Services:

a. Contractor compliance with Work Statement:

b. Overall quality of services: 5 4 3 2 1 n/a

c. Contractor performance without repeated attempts to perform work correctly:

5 4 3 2 1 n/a

d. Management responded to problems and concerns, taking action to ensure no repeat occurrences:

6. Customer Satisfaction:

a. Overall customer satisfaction:

b. Options not exercised due to poor performance:

Yes No If yes, please insert comment below.

c. 1) Contract Discrepancy Reports issued:

2) Discrepancies were corrected satisfactorily:

If no, please insert comment below.

d. Recommend doing business with this contractor:

ATTACHMENT 5