Section_J_-_Atch_32_-_PastPerfQues.doc

PRESENT/PAST PERFORMANCE QUESTIONNAIRE

HSLAR-15-R-00001

Student Support Services

The Federal Law Enforcement Training Centers (FLETC) in Artesia, New Mexico recently posted solicitation HSFLAR-15-R-00001 to the FBO website for Student Support Services. Offerors were asked to provide information on contracts similar in nature, size and complexity 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 this contract. Please fill out the attached questionnaire and return it to the Contracting Officer, Cynthia Ybarra by fax (575-748-8002) or email (cynthia.ybarra@fletc.dhs.gov), response is requested no later than the closing date of the solicitation. FLETC 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 the past performance evaluation. Thank you in advance for your assistance. If you have questions, please contact Cynthia Ybarra, Contracting Officer, phone 575-748-8010.

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

Block 2. Contract Name & Number

I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS QUESTIONNAIRE IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

Evaluator’s Printed Name Title/Role (e.g. Program Manager, Contracting Officer, COR)

Evaluator’s Mailing Address (Agency/Company Name, Street, City, State, Zip)

Evaluator’s Signature

Date

Phone

INSTRUCTIONS

Two forms are provided: 1) Performance Rating Form; and 2) Comment Form. Please fill out the Performance Rating Form using the following standards:

Outstanding – Contractor, on balance, exceeded customer expectations and requirements.

Satisfactory – Contractor, on balance, met customer expectations and requirements.

Unsatisfactory – Contractor, on balance, was either marginal or did not meet customer expectations and requirements.

Other – The element is not applicable, no data has been obtained, or additional comments are provided.

For ratings other than Satisfactory, you are requested to provide comments on the Comment Form.

PERFORMANCE RATING FORM

RATINGS

ELEMENT

1. Quality of Product/Service.

Contractor’s conformance to contract requirements, specifications and/or standards (e.g. commonly accepted technical, professional, environmental, or safety and health standards.

2. Schedule.

Timeliness of performance and/or delivery (e.g. excused or unexcused schedule slippage)

3. Resources.

The Contractor’s effective and efficient usage of personnel, facilities/equipment and subcontractors, if any (e.g. contractor’s workforce had the necessary skills/expertise, contractor provided facilities/equipment (if any) is adequate for performance, management and use of subcontractors was appropriate).

4. Responsiveness.

Contractor exhibited reasonable and cooperative behavior in response to customer changes, criticism/rejection of deliverables/performance and in detecting and correcting errors, poor performance and other problems (e.g. completeness and quality of problem identification and corrective actions taken). Contractor

5. Customer Satisfaction & Cost Control.

Contractor exhibited a commitment to customer satisfaction and achieved customer satisfaction; Contractor proposed realistic costs, monitored performance and consistently operated at or below budget.

COMMENT FORM

Please provide comments for your ratings regarding the Performance Elements rated other than Satisfactory.

1. Quality of Product/Service –

2. Schedule –

3. Resources –

4. Responsiveness –

5. Customer Satisfaction & Cost Control –

Please answer the following question “Yes” or “No”, as appropriate and if “No” please provide comments/reasons.

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