ATTACHMENT_C_past_performance_questionaire.pdf

FEMA CBRNE Expertise and Technical Support Request For Proposal

ATTACHMENT C

RFP No. HSFE50-15-R-0018 Past Performance Questionnaire

ATTACHMENT C – PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE INFORMATION

CONTRACTOR PERFORMANCE CUSTOMER SURVEY QUESTIONNAIRE

PART 1 INSTRUCTIONS: THE OFFEROR SHALL COMPLETE PART 1 BEFORE

SENDING THE QUESTIONNAIRE TO THE GOVERNMENT.

Questionnaire provided for FEMA CBRNE Expertise and Technical Support (Insert concern Name):

Is this concern a SB? (select one): Yes __ No ___

FEMA CBRNE Expertise and Technical Support concern proposed as (select one):

Prime Offeror; SB Joint Venture Partner; or Subcontractor to Prime

FEMA CBRNE Expertise and Technical Support Prime Offeror Name:

Factor 3 Past Performance: Experience Form No.:______ of ______

Contract Title: __________________________________________________ Contract Number: _______________________________________________ Project Name: ___________________________________________________ The company designation under the referenced Contract:

Prime Offeror;

Joint Venture Component of Prime Offeror; or Subcontractor

If Prime Contractor, list Major Subcontractor(s), if applicable:

Customer Type: Federal Agency Commercial Organization Customer Name:

Contract’s Contracting Officer (CO) Contact information:

Name & Title:

Phone No.:

Email:

Address:

City, State & Zip:

Contract’s Contracting Officer Representative (COR) Contact information:

Email:

Address:

City, State & Zip:

DHS/FEMA Page 1 of 7 April 03, 2015

RFP No. HSFE50-15-R-0018 Past Performance Questionnaire

Contract Title: __________________________________________________ Contract Number: _______________________________________________ Project Name: ___________________________________________________ Other Contract’s Technical POC(s) Contact information:

Email:

Address:

City, State & Zip:

Contract’s Period of Performance:

Contract Type: FP; FFP; T&M; CPFF; Other (hybrid) Original Contract’s Total Value:

Current Contract’s Total Value:

PART 2 INSTRUCTIONS:

Customer respondent, please complete this questionnaire and e-mail to christine.todd@fema.dhs.gov, no later than 2:00 P.M. Local Time (Virginia), on 05/01/2015.

The “subject” line in the submission email shall clearly indicate: “FEMA CBRNE Expertise and Technical Support Past Performance Questionnaire Submission for Prime Offeror {Insert Name from PPQ Page 1}”.

Attn: Christine Todd, Contract Specialist

The message shall originate from the reference’s corporate or Government email system.

Date of Survey: ________________________________________________________________

Name of Person Completing Survey: _______________________________________________

Contact information of Person Completing Survey: ___________________________________

Signature of Person Completing Survey: ____________________________________________

Your Role in this Contract: ____________________________________________________

Contract Period of Performance: ___________________________________________________

DHS/FEMA Page 2 of 7 April 03, 2015 mailto:christine.todd@fema.dhs.gov

RFP No. HSFE50-15-R-0018 Past Performance Questionnaire

Detailed Service(s) required under the contract: _______________________________

RATINGS

Please assess each of the five (5) following areas with a rating that is based on the provided objective measurable performance indicators to the maximum extent possible. Commentary to support the rating for the element assessed is requested where indicated at the end of each section.

Assign each a rating among the choices of Exceptional, Very Good, Satisfactory, Marginal, or Unsatisfactory. Use the attached Rating Guidelines as guidance in making these evaluations.

Insert the appropriate rating.

QUALITY OF SERVICE: Rating: _______________________________ Assess the Contractor's conformance to contract/order requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards) considering aspects such as:

• Compliance with contract requirements,

• Accuracy of reports,

• Level of knowledge, experience, and training of personnel,

• Capability of personnel to perform required services,

• Effectiveness of personnel in performing required services, and

• Overall quality of service

SUPPORTING COMMENTS:

TIMELINESS OF PERFORMANCE: Rating: _________________________ Assess the timeliness of the Contractor against the completion of the contract, TOs, milestones, DHS/FEMA Page 3 of 7 April 03, 2015

RFP No. HSFE50-15-R-0018 Past Performance Questionnaire delivery schedules, and administrative requirements (e.g., efforts that contribute to or effect the schedule variance). This assessment of adherence to the required delivery schedule should include the Contractor's efforts during the performance period evaluated that contributes to or effects the schedule variance. This applies to contract/order closeout activities as well as contract performance. Instances of adverse actions such as the assessment of liquidated damages, or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract/order schedule and should therefore be noted in the evaluation.

SUPPORTING COMMENTS:

RESOLUTION/CORRECTION OF PERFORMANCE PROBLEMS:

Rating: _________________________

Assess the integration and coordination of all activity needed to execute the contract/order, specifically the timeliness, completeness and quality of problem identification, corrective action plans, proposal submittals, the Contractor's history of reasonable and cooperative behavior (to include timely identification of issues in controversy), customer satisfaction, timely award and management of subcontracts considering aspects such as:

• Contractor oriented toward the customer,

• Effective management, excluding subcontracts,

• Satisfaction with interaction between the Contractor and the Government,

• Responsive to contract requirements,

• Notification of problems,

• Flexibility,

• Pro-active vs. reactive,

• Adequacy of the Contractor's management of Government Property (GFP) if a substantial amount of GFP has been provided to the Contractor under the contract/order,

• Timeliness of awards to subcontractors and management of subcontractors, including subcontract costs. Consider efforts taken to ensure early identification of subcontract problems and the timely application of corporate resources to preclude subcontract problems from impacting overall prime Contractor performance, and

• Prime Contractor's effort devoted to managing subcontracts where subcontractors were an

DHS/FEMA Page 4 of 7 April 03, 2015

RFP No. HSFE50-15-R-0018 Past Performance Questionnaire integral part of the Contractor's team:

QUALIFICATION OF PERSONNEL: Rating: _________________________

Assess the Contractor's performance in selecting, retaining, supporting, and replacing, when necessary, key personnel. Assess the Contractor’s match of the qualifications of the key position, as described in the contract/order, with the person who filled the key position.

ADDITIONAL COMMENTS:

OVERALL CUSTOMER SATISFACTION: Rating: _________________________

DHS/FEMA Page 5 of 7 April 03, 2015

FEMA CBRNE Expertise and Technical Support Request For Proposal ATTACHMENT C RFP No. HSFE50-15-R-0018 Past Performance Questionnaire

Rating Guidelines to be used by the Person Completing the Past Performance Questionnaire

ELEMENT QUALITY OF

SERVICE

TIMELINESS OF

PERFORMANCE

RESOLUTION/CORRECTION

OF PERFORMANCE

PROBLEMS

QUALIFICATION

OF PERSONNEL

OVERALL

CUSTOMER

SATISFACTION

Rating

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the area being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

There are multiple significant events identified relating to the area being assessed with detail as to how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there have been no significant weaknesses identified.

Very Good Performance under the area being assessed meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the area being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

There is a significant event identified relating to the area being assessed with detail as to how it was a benefit to the Government. There have been no significant weaknesses identified.

Satisfactory Performance under the element being assessed 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.

For the element being assessed, there have been only minor problems, or major problems the contractor recovered from without impact to the contract/order. There have been NO significant weaknesses related to the element being assessed. The contractor has not been assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract/order.

Marginal Performance under the element being assessed 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.

For the element being assessed, a significant event has been identified in each category that the contractor had trouble overcoming and details provided as to how it impacted the Government. A reference to the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter) should also be provided.

DHS/FEMA Page 1 of 2 April 03, 2015

FEMA CBRNE Expertise and Technical Support Request For Proposal ATTACHMENT C RFP No. HSFE50-15-R-0018 Past Performance Questionnaire

ELEMENT QUALITY OF

SERVICE

TIMELINESS OF

PERFORMANCE

RESOLUTION/CORRECTION

OF PERFORMANCE

PROBLEMS

QUALIFICATION

OF PERSONNEL

OVERALL

CUSTOMER

SATISFACTION

Rating

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 a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

For the element being assessed as, multiple significant events have been identified in each category that the contractor had trouble overcoming and details provided as to how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. A reference to the management tools used to notify the contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters) should also be provided.

DHS/FEMA Page 2 of 2 April 03, 2015

ATTACHMENT C – PAST PERFORMANCE QUESTIONNAIRE