Attachment_E_Past_Performance_Survey.doc

ATTACHMENT E

PAST PERFORMANCE SURVEY

One (1) copy of this survey shall be submitted via email, no later than February 05, 2014.

CONTACT NAME/ATTENTION TO:

Kimberly Coakley

E-MAIL ADDRESS

Kimberly.Coakley@FEMA.DHS.GOV

REFERENCE:

HSFE90-13-R-0013

The Federal Emergency Management Agency (FEMA) is conducting an acquisition for the purchase of Evacuation Planning and Operational Support for Motor Coaches Services. You have been listed by [insert Contractor being evaluated] as a past performance customer reference who can assist us in determining the past performance history of this company. I request your assistance in responding to the following questions concerning their work performance. When responding to the questions, select the letter that most accurately describes the Contractor's performance. If the Contractor has no record of past performance relevant to a particular question, select “Neutral”.

**Please Use the Comments Section on the last page to elaborate on any answer.** Quality of Service

1. How would you rate the Contractor’s capability to provide the client with a quality service?

E ____ G ____ M ____ P ____ N ____

2. How would you rate the Contractor’s management of multiple delivery orders/requirements and subcontractors simultaneously?

E ____ G ____ M ____ P ____ N ____

3. How would you rate the Contractor’s capability to maintain current/up-to-date services on the contract?

E ____ G ____ M ____ P ____ N ____

4. How would you rate the Contractor’s technical and management performance (also, in the comments section include any recognition, awards, and/or acknowledgements if applicable)?

E ____ G ____ M ____ P ____ N ____

Cost Control

5. How would you rate the Contractor’s efforts to maintain competitive prices on the contract?

E ____ G ____ M ____ P ____ N ____

6. How would you rate the Contractor’s submission of reasonably priced change proposals?

E ____ G ____ M ____ P ____ N ____

7. How would you rate the Contractor’s Financial, Administrative and Billing Capacity?

E ____ G ____ M ____ P ____ N ____

Timeliness of Performance

8. How would you rate the Contractor’s ability to adhere to contract schedules, including response times and reliability?

E ____ G ____ M ____ P ____ N ____

Business Relations

9. How would you rate the Contractor’s responsiveness to inquiries, problem resolution, and ensuring customer satisfaction?

E ____ G ____ M ____ P ____ N ____ Overall Assessment

13. How would you rate the overall past performance of the services provided by this Contractor?

E ____ G ____ M ____ P ____ N ____

14. Would you use the contractor again? Yes_______ No_______

Explain No Answer

Please provide any other information and comments relating to this organization’s performance in the space provided below.

COMMENTS:

Contract Name: ______________________________________________________________ Contract Value: ______________________________________________________________

Contract Period of Performance: _________________________________________________ Name of Person Responding: ___________________________________________________ Title of Person Responding: ____________________________________________________ Telephone Number: __________________________________________________________ E-mail Address: _____________________________________________________________

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