Exhibit 19 - Past Performance Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

The non-price factor, directly related past performance, is an integral part of the evaluation of this RFP. Offerors must provide to the Government customer-completed past performance questionnaires. Questionnaires shall be forwarded from the offeror’s customer directly to DHS FLETC, PRO, B93, Attn: Maureen Corpus/Sheryle Wood, 1131 Chapel Crossing Rd, Brunswick (Glynco), GA 31524.

Questionnaires may be faxed to 912-280-3132 or e-mailed to maureen.corpus@fletc.dhs.gov or sheryle.wood@fletc.dhs.gov If receipt of your email or fax is not acknowledged, please call Ms Corpus at 912-267-2021 or Ms Sheryle Wood at 912-267-3590. Your completed questionnaire will become a part of the official source selection records. We appreciate your help. Your prompt response will be one of the keys to the successful and timely completion of the source selection.

INSTRUCTIONS

The contractor listed below is being considered in a Source Selection by the Department of Homeland Security, Federal Law Enforcement Training Center, Glynco, GA. Any comments you could provide regarding the past performance of the contractor providing this form is extremely an important part of the evaluation criteria of this RFP; therefore, your response is very important and is greatly appreciated. Your comments are considered Source Selection Sensitive and please be advised that the Federal Acquisition Regulation (FAR 15.1004) prohibits the release of the names of individuals providing reference information about an offeror’s past performance. In order to maintain the integrity of the source selection process, please do not divulge the name of the contractor nor discuss your comments on this questionnaire with any other individuals.

WHEN FILLED IN, THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:

B. Cage Code of contractor contract was awarded to:

C. Contract number:

D. Contract type:

E. Was this a competitive contract? Yes No

F. Period of performance:

G. Initial contract cost:

H. Current/final contract cost:

I. Reasons for differences between initial contract cost and final contract costs:

SECTION J - EXHIBIT 19

HSFLGL-09-R-00004

mailto:maureen.corpus@fletc.dhs.gov� mailto:sheryle.wood@fletc.dhs.gov�

J. Description of service provided:

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, e.g. local, nationwide, worldwide, other Commands:

SECTION 3: EVALUATOR IDENTIFICATION

A. Evaluator's name:

B. Evaluator's title:

C. Evaluator's phone/fax number:

D. Number of years evaluator worked on subject contract:

SECTION 4: EVALUATION

Please indicate your satisfaction with the contractor’s performance by placing an “X” in the appropriate block using the scale provided to the right of each question. This scale is defined as follows:

CODE PERFORMANCE LEVEL

E EXCEPTIONAL - The contractor’s performance meets contractual requirements and exceeds many

(requirements) to the Government’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VG VERY GOOD- The contractor’s performance meets contractual requirements and exceeds some (requirements) to the Government’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

S SATISFACTORY – The contractor’s performance meets contractual requirements. The contractual performances contained some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

M MARGINAL – Performance does not meet some contractual requirements. The contractual performance reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

U/S UNSATISFACTORY – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

N/A

NOT APPLICABLE - Unable to provide a score.

Please discuss each and every response for which you indicated E (Exceptional), M (Marginal) or U (Unsatisfactory) in response to the questions below (use additional sheets, if necessary).

Program Management E VG S M US N/A

1. Effectiveness of overall contract management (including ability to effectively lead, manage and control the program)

2. Ability to hire/apply a qualified workforce to this effort.

3. Ability to retain a qualified workforce on this effort.

4. Effectiveness of employee compensation towards quality of work.

5. Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes)

6. Timeliness/effectiveness of contract problem resolution without extensive customer guidance

7. Understood/complied with customer objectives and technical requirements

8. Successfully responded to emergency and/or surge situations

9. Accuracy in forecasting contract costs

10. Ability to meet forecasted costs and perform within contract costs

11. Ability to alert Government of unforeseen costs before they occur and follow through to resolve problems

12. Sufficiency and timeliness of cost reporting

13. Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements

Explanation:

Quality Control E VG S M US N/A

1. Quality/effectiveness of contractor’s management and execution effort in meeting mission requirements and established goals

2. Quality/effectiveness of contractor’s response times in accordance with contract requirements

3. Timeliness and accuracy of contractor’s reporting documentation and status updates

4. Contractor proposed alternative methods/processes that reduced cost, improved operation or other factors that benefited the customer

5. Ability to effectively manage multiple schedules simultaneously, to include both initial scheduling and rotation of personnel with minimal mission impact

6. Ability to effectively manage a dynamic organizational level (or similar) roleplayer services operation

7. Ability to accurately forecast scheduling of roleplayer requirements and balance them against contract requirements

SECTION J - EXHIBIT 19

Quality Control (Con’t) E VG S M US N/A

8. Effectiveness of management practices to maintain equipment on a continuous level of readiness necessary to meet contract requirements

9. Ability to effectively identify and correct shortcomings in management practices

10. Ability to handle personnel problem issues and resolve whereas not affecting scheduling of roleplayers services

11. Effectiveness of material management (including Government Furnished Property or Material)

Transition/Phase-in

E VG S M US N/A

1. Ability to smoothly transition resources and personnel

2. Effectiveness of maintaining continuity of services support while transitioning/phasing in resources and personnel to support other efforts

3. Effectiveness of adapting to unforeseen situations during transition

4. Effectiveness of contractor’s interface with the customer

2. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

YES Default Convenience Pending Terminations

NO

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

SECTION 5: NARRATIVE SUMMARY

What were the contractor’s most positive aspects in the performance of the contract?

What was/were the contractor’s most negative aspect in the performance of the contract?

Would you have any reservations about soliciting this contractor in the future or having them perform one of your critical and demanding programs?

Please provide any additional comments concerning this contractor’s performance, as desired.

EVALUATOR SIGNATURE TITLE

PRINTED NAME DATE

Thank you for your prompt response and assistance!