Attachment 2 Past Performance Questionnair Final.pdf

HSFE90-12-R-0040

PAST PERFORMANCE QUESTIONNAIRE

PLEASE RETURN THIS PACKAGE TO THE CONTERACT SPECIALIST BY __July 17, 2012 - 8:00 am____

The Department of Homeland Security (DHS)/Federal Emergency Management Agency (FEMA) recently released a solicitation for a contractor to provide exercise support services for the FEMA Exercise Unit. Offerors were asked to provide information on contracts similar in size and complexity to the requirement on which they had performed in the past.

An offeror may submit you as a reference for past performance. (See blocks 1 & 2 below).

We need your opinion on how well the contractor performed on your contract. Please fill out the attached questionnaire and email it to the Contract Specialist, Claudia.Mejia-Forte@fema.dhs.gov. FEMA may contact you to clarify or verify any information provided.

Your input will be confidential. Please note your comments will be used to form the basis for evaluation of this offeror.

Thank you in advance for your assistance. If you have any questions please contact Contract Specialist, Claudia Mejia Forte on (202) 646-3760 or by email at Claudia.Mejia-Forte@fema.dhs.gov.

CERTIFICATION

By law, the Government will not disclose the names of individuals providing reference information during discussions with the contractor identified in Block 1 below.

Block 1. Contractor to be evaluated | Block 2. Contract Name/Identifier to be evaluated|

Block 3. Description of contract and services received

I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS QUESTIONNAIRE IS ACCURATE AND

COMPLETE TO THE BEST OF MY KNOWLEDGE.

Evaluator’s Printed Name Title/Role Agency/Organization(e.g. Program Manager, Contracting Officer) Evaluator’s Mailing Address (Agency, Bldg/Room, Street, City, State, Zip) Evaluator’s Signature Date Phone Fax

INSTRUCTIONS

Two forms are provided to document your opinion: 1) Performance Rating Form; and 2) Supplemental Comment Form.

Please fill out each form in accordance with the instructions provided on each. Please use the following standards in arriving at your rating:

Outstanding - Contractor, on balance, exceeded client expectations and requirements Good – Contractor primarily met and on occasion exceeded client expectations Satisfactory - Contractor, on balance, met customer expectations and requirements Unsatisfactory - Contractor, on balance, was either marginal or did not meet customer expectations and requirements Neutral - The element is not applicable, no data has been obtained, or additional comments are provided

Performance Element Outstanding Good Satisfactory Unsatisfactory Neutral/Comments

1. QUALITY OF SOLUTION: The contractor comprehended the goals, thoroughly researched the problem, and presented a comprehensive, complete, feasible, and effective solution. (Met the needs and performed successfully).

2. EFFECTIVE AND EFFICIENT USE

OF RESOURCES: The contractor deployed, in a timely manner, the proper amount and type of personnel, facilities and other resources to support the project.

Use of subcontractors was appropriate in supporting the project.

3. COMMUNICATION: The contractor worked and communicated well with client management, staff, and contracting officials as well as with his or her own staff and subcontractors.

4. TIMELINESS OF PERFORMANCE:

The contractor planned and proposed realistic schedules, successfully monitored performance and completed work on time.

5. CUSTOMER SATISFACTION: The contractor exhibited a commitment to customer satisfaction and achieved customer satisfaction.

6. RESPONSIVENESS AND

ATTENTIVESNESS: The contractor exhibited reasonable and cooperative behavior in response to client changes, criticism/rejection of contract deliverables and in detecting and correcting errors, poor performance, and other problems.

7. COST CONTROL: The contractor successfully planned and proposed realistic costs and monitored performance, and consistently operated at or below budget.

For #8 and #9 please answer "Yes" or "No" as appropriate

YES NO

8. Given the choice would you do business with this contractor again?

9. Did either you or the contractor have to resort to litigation to resolve problems?

Supplemental Comment Form

Please provide any additional comments regarding your performance element ratings in the appropriate spaces below.

Please add additional pages as necessary.

Performance Element #1, Quality of Solution:

Performance Element #2, Effective and Efficient Use of Resources:

Performance Element #3, Communication:

Performance Element #4, Timeliness of Performance:

Performance Element #5, Customer Satisfaction:

Supplemental Comment Form (continued)

Performance Element #6, Responsiveness and Attentiveness:

Performance Element #7, Cost Control:

Question #8, Given the choice would you do business with this contractor again?:

Question #9, Did either you or the contractor have to resort to litigation to resolve problems?:

Additional Comments: