Attachment_F_Past_Performance_Questionairre.pdf

Attachment F

HSCEMR-14-R-00002

CONTRACTOR-PROVIDED LETTER

REQUESTING PAST PERFORMANCE EVALUATION

DATE: ____________________

Company Name/Address

FAX: ____________________

PHONE: ____________________

SUBJECT: Past Performance of _____________________________________ Contract No. _____________________________

Mr./Ms.____________________:

__________________________ recently completed (or is currently engaged under) the above contract, which we provided (include a brief description of project) for your (Agency/Firm). The requirements of this contract were similar to the requirements of a solicitation for which ________________________________ has submitted a proposal to the U.S. Department of Homeland Security (DHS), Immigration and Custom 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 to Jaime.Morrison@ice.dhs.gov by 2 p.m. (Eastern Daylight Time), August 15, 2014. 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 and to (Your Company Name)________________________ for comments during the source selection process.

Your cooperation and expeditious attention in this matter is greatly appreciated.

Sincerely

Your Name Title Company

Name of Proposed Contractor: ____________________

Contract No.: __________________

Name of Rater: _______________________

Phone No.: ________________

Contract Type: _______________________

Place of Performance: ________________

Performance Period: __________________

Contract Dollar Amount: ___________________

1. Performance Ratings:

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.

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?

Unsatisfactory Marginal Satisfactory Very Good Exceptional

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 quality of service and compliance with the PWS.

3.b Company’s handling of issues or problems.

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

4. Timeliness of Performance: This is the area that deals with the contractor’s ability to complete the contract requirements on schedule.

5. 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:

6. Based on this Contractor’s overall performance, would you award this Contractor another Government contract?

Yes________ No___________

If no, please explain:

Date and Signature of Evaluator