Attachment C PP questionnaire.docx
DOCX document 24 KB Posted
- Solicitation number
- HSFE01-12-R-0016
About this file
Past performance questionnaire to be sent to POCs for past projects.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment D RFI_s answered.docx | DOCX document | |
| Attachment A mgmt-directive-023-02-environmental-compliance.pdf | ||
| HSFE01-12-R-0018.pdf | ||
| Attachment B RFI Form.docx | DOCX document |
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Text version
RATING DESCRIPTIONS: Use the following descriptions as guidance in providing ratings.
| RATING |
| DEFINITION |
| Outstandting (O) |
| Indicates the contractor’s performance record within the area of evaluation Exceeded that required by the contract. |
| Above Average (AA) |
| Indicates the contractor’s performance record within the area of evaluation Met All contractual requirements. |
| Satisfactory (S) |
| Indicates the contractor’s performance record within the area of evaluation Met Essentially All contractual requirements. |
| Marginal (M) |
| Indicates the contractor’s performance record within the area of evaluation Met Some of the contractual requirements. However, changes to the contractor’s existing processes may be necessary in order to achieve contract requirements. |
| Unsatisfactory (U) |
| Indicates the contractor’s performance record within the area of evaluation Failed to Meet the minimum Government requirements. |
| Unknown or Not Applicable (N/A) |
| The question does not apply. No performance record identifiable within the area of evaluation. |
To obtain an electronic version of the form please contact: Carol.Domingue@fema.dhs.gov
THE QUESTIONNAIRE SHOULD BE SUBMITTED BY THE FOLLOWING MEANS:
Return via email to the address shown above or mail forms to:
Carol Domingue Contracting Officer DHS/FEMA Region 1 99 High Street, 6th floor Boston, MA 02110
Mark cover sheet: Attention: RFP HSFE01-12-R-0018 Fire Suppression System at the Facility Regional Center (FRC) “Source Selection Sensitive Information”
SOURCE SELECTION SENSITIVE WHEN COMPLETED
*****NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNELS*****
RESPONDENT IDENTIFICATION AND RATINGS
(Part 1 Contractor submitting Proposal fill-in) Reference is provided for: ____________________________________
Contract Number or Project Title______________________________________________________
Date of Award/Completion Date______________________________________________________
Location_________________________________________________________________________
Dollar Amount____________________________________________________________________
Brief Description of work and your role in the referenced contract: ___________________________
(Part 2 Person providing Reference) Reference is provided by: ___________________________
Company/Agency: _________________________________________________________________
Business Address; ________________________________________________________________
Telephone Number: _______________________________________________________________
E-Mail Address: __________________________________________________________________
Relationship to Contract: ___________________________________________________________
If information above (Part 1) is not accurate, please indicate.
OFFEROR Name___________________________
Please check the appropriate rating.
| (1) How responsive was the contractor’s quality program in identifying, correcting, and preventing initial and recurring problems? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (2) How complete were the contractor’s quality procedures and how well did employees follow them? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (3) Overall, how would you rate the quality of service? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (4) Rate timeliness in meeting requirements and adhering to contract schedules and/or deadlines. |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (5) Rate the contractor’s response to unanticipated or emergency service requirements. |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (6) Rate the effectiveness, capability, and level of knowledge and experience of personnel performing required services. |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (7) Did the contractor provide adequate, competent and qualified management, key personnel and technical personnel capable of meeting contract requirements? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
OFFEROR Name______________________
| (8) How effectively did your contractor’s key management personnel support the initial contract startup, management of contingency situation, provide a quality plan, and respond to problems and changes? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (9) Rate the contractor’s compliance with contract requirements and accuracay of reports. |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (10) How timely and effective were the contractor’s responses to and resolution of technical problems? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (11) Overall, how would you rate this contractor’s business practices, customer relationship, and ability to successfully perform? Did the contractor demonstrate a reasonable and cooperative business relationship with the Government’s contract management personnel? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS:_________________________________________________________________________________
| (12) How effective was the contractor’s safety program to ensure compliance with federal, state and local regulations? Did the contractor implement and follow their safety plan? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (13) How innovative was the contractor in performing the technical aspects of this contract and resolving problems? How well did the contractor respond to and act on customer feedback? (Customer Satisfaction) |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
| (14) How would you rate the Contractor’s overall performance? |
| O |
| AA |
| S |
| M |
| U |
| NA |
REMARKS: ____________________________________________________________________________________
OFFEROR Name______________________
SOURCE SELECTION SENSITIVE WHEN COMPLETED
(15) What were the contractor’s top documented strengths, if any, in performing the contract requirements?
REMARKS: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(16) What were the contractor’s top documented weaknesses, if any, in performing the contract requirements?
REMARKS: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(17) Please Provide Any Additional Information You Feel Is Important Not Covered Elsewhere:
REMARKS: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank you for your remarks. Please ensure that you return this questionnaire to the Contracting Agency. Do NOT return to the evaluated contractor.
NAME OF PERSON SUBMITTING REFERENCE DATE
CONTACT PHONE NUMBER:____________________________
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