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Solicitation No. HSFE02-15-R-6004 Page 1 of 6 Attachment E:1 - Past Performance Questionnaire
(Offeror to complete Part I prior to providing this questionnaire to the Evaluator.)
In order to assess potential vendors under the above-referenced solicitation HSFE02-13-R-1121, the DHS/FEMA contracting office is obtaining past performance information with respect to each offeror. The contract resulting from this procurement will provide DHS/FEMA with support for security guards at the Sandy Recovery Field Office, New Jersey affected by Hurricane Sandy. In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. This is a critical acquisition being conducted by DHS/FEMA and your support is sincerely appreciated. We are thanking you in advance for your time, effort, and cooperation in responding to this questionnaire. This completed Past Performance Questionnaire shall be returned to the offerer by mail or emailed to Contracting Officer Anastasia Freddino, Anastasia.Freddino@fema.dhs.gov , by the due date established by the offeror.
RETURN THIS QUESTIONNAIRE TO THE OFFEROR IN A SEALED ENVELOPE AND SIGNED ACROSS THE SEALED PORTION OF THE ENVELOPE or email directly to Contracting Officer Anastasia Freddino, Anastasia.Freddino@fema.dhs.gov
If you have any questions, please contact Contracting Officer, Anastasia Freddino at: Anastasia.Freddino@fema.dhs.gov .
<insert your company name above>
If you need more space than that provided, attach additional pages. Responses will be treated as source selection sensitive information.
PART I – TO BE COMPLETED BY OFFEROR AND TRANSMITTED TO CLIENT FOR COMPLETION.
A. CONTRACT INFORMATION:
NAME OF CONTRACTOR/OFFEROR:
| 3 |
| Type of Instrument (e.g. Contract/Order/Subcontract/Other): |
| 4 |
| Contract Identification Number: |
| 5 |
| Order Number (If applicable): |
| 6 |
| Project Service Description (Add attachment if necessary): |
| 7 |
| Type of Contract (e.g. Negotiated, Sealed Bid): |
| 8 |
| Pricing Type (e.g. fixed price, cost reimbursement, other): |
| 10 |
| Follow-on Work Available (Y/N): |
Follow-on Work Awarded to Offeror (Y/N):
| 12 |
| Initial Contract Dollar Value (w/Options): |
| 13 |
| Final Contract Dollar Value (w/Options): |
| 14 |
| Period of Performance: |
| 15 |
| Place(s) of Performance: |
| 15 |
| Complexity of Work (e.g. difficult, routine, simple): |
| 16 |
| Type and extent of subcontracting (add rows if needed): |
PART II – TO BE COMPLETED BY OFFEROR’S CLIENT AND E-MAILED TO CONTRACTING OFFICER
A. REFERENCE RESPONDENT INFORMATION
| 4 |
| Phone Number (include area code): |
| 5 |
| Fax Number (include area code): |
| 8 |
| Your Role Relative to the Project/ Contract (e.g., COTR, PM): |
| 9 |
| Length of Involvement in Project/Contract: |
| 10 |
| Questionnaire Completion Date: |
B. PERFORMANCE ASSESSMENT
Please rate the contractor’s performance on the identified program using the following rating scale. Assessments should reflect only contract performance for which the contractor is responsible.
| Superior |
| Exceeds the requirements in a way which yields significant benefits to the Government; weaknesses, if any, are of small impact and NO significant weaknesses or deficiencies |
| Satisfactory |
| Based on an offeror’s past performance record, some doubt exists that the offeror will successfully perform the required effort. |
| Marginal |
| Fails to meet the minimum requirements or has one or more significant weaknesses. Deficiencies and significant weaknesses are correctable without major revisions to the proposals |
| Unsatisfactory |
| Based on an offeror’s past performance record, extreme doubt exists that the offeror will successfully perform the required effort. |
| Neutral |
| No relevant performance record is identifiable upon which to base a meaningful performance rating. A search was unable to identify any relevant past performance information for the offeror or key team members/subcontractors or their key personnel. This is neither a negative or positive assessment. |
C. PAST PERFORMANCE
Rating Scale:
Superior, Satisfactory, Marginal, Unsatisfactory, Neutral
| Quality |
| Superior |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
| 1 |
| Overall quality of the project |
| 2 |
| Qualifications and quality of key personnel to meet the objectives of the project |
| 3 |
| Procedures that ensured the level of quality remained constant throughout the life of the project. |
| 4 |
| Adequacy, relevance and reasonableness of the quality management approach, procedures, documentation and methods |
| 5 |
| Quality of products, materials and services for the price paid |
| 6 |
| Accuracy of the record keeping procedure and ability to prepare accurate and timely reports |
| 7 |
| Ability to implement effective corrective actions and improvements |
Comments:
| Cost Control |
| Superior |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
| 8 |
| Demonstrated a process for management of the program costs and segmentation of costs for improved manageability |
| 9 |
| Demonstrated financial stability during the project performance period |
| 10 |
| Demonstrated effectiveness in reducing project costs from the baseline cost estimates |
| 11 |
| Demonstrated reasonableness of proposed modification costs |
| 12 |
| Demonstrated reasonableness in labor costs |
Superior, Satisfactory, Marginal, Unsatisfactory, Neutral
| Timeliness |
| Superior |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
| 13 |
| Timeliness in completing the overall project. |
| 14 |
| Completion of tasks in accordance with project schedule’s critical milestone dates |
| 15 |
| Timeliness in completing reports |
| 16 |
| Timeliness of responses to client requests and inquiries |
| Business Relations |
| Superior |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
| 17 |
| Demonstrated a business-like concern for your agency’s / company’s interests |
| 18 |
| Relationship with client technical and functional personnel |
| 19 |
| Relationship with contracting office personnel |
| 20 |
| Relationship with subcontractors |
| 21 |
| Cooperation and innovation in problem solving |
| 22 |
| Compliance with the terms of the contract |
Superior, Satisfactory, Marginal, Unsatisfactory, Neutral
| Management |
| Superior |
| Satisfactory |
| Marginal |
| Unsatisfactory |
| Neutral |
| 23 |
| Utilized effective program and project management processes, tools, and reporting |
| 24 |
| Had satisfactory and complete management plan |
| 25 |
| Demonstrated effectiveness in use of risk management to proactively reduce project disruptions |
| 26 |
| Ability to retain key personnel |
| 27 |
| Availability and accessibility of key personnel |
| 28 |
| Flexible in responding to changing needs |
| 29 |
| Adequate processes and metrics for the evaluation of their own overall management performance |
| 30 |
| Adequate subcontractor management procedures |
| 31 |
| Demonstrated effectiveness in risk identification, escalation, response and monitoring procedures |
| 32 |
| Demonstrated effectiveness in capturing incidents and resolving problems |
| 33 |
| Ability to provide a product or service that met your mission requirements |
Based on this Contractor’s overall performance, would you award them another contract? Why or why not? Did the provided solution from this contractor work and how well did it work?
D. ADDITIONAL REMARKS
Thank you for your assistance in supporting this source selection activity.
