Attachment L-2 Past Performance Questionnaire.doc

EAGLE II Request For Proposals Part III – List of Documents, Exhibits and Other Attachments

RFP No. HSHQDC-11-R-10001 Section J – Attachment L-2- Past Performance Questionnaire

PAST PERFORMANCE EVALUATION QUESTIONNAIRE

INSTRUCTIONS TO OFFERORS SENDING REFERENCE QUESTIONNAIRE FORMS:

Section A (Part I and Part II) shall be completed by the Offeror (the firm requesting the reference) prior to issuing the questionnaires. The Offeror shall send the questionnaires for relevant projects that are in progress or completed in the past three (3) years to the individuals who will provide the reference. For Government contracts, send to the Contracting Officer or Technical Representative. For commercial references, send to personnel with duties similar to those for Government contracts. It is the responsibility of the Offeror to follow-up and encourage references to submit the questionnaire. The completed questionnaire shall be submitted via e-mail directly from the person providing the reference.

INSTRUCTIONS TO PERSON PROVIDING REFERENCE:

In order to assess potential vendors under the Department of Homeland Security (DHS) Enterprise Acquisition Gateway for Leading Edge Solutions (EAGLE) II procurement (HSHQDC-10-R-00032), the DHS contracting office is obtaining past performance information with respect to each Offeror. As a reference for work performed by the firm identified in Section A of this questionnaire, your candid response will assist in the evaluation process. Please complete Section B (Part I and Part II) of the questionnaire as thoroughly as possible. The Unrestricted track proposals must be submitted to EAGLEII UNR@DHS.GOV no later than January 11, 2011. The Small Business track proposals must be submitted to EAGLEII SB@DHS.GOV no later than January 18, 2011. The subject line in the submission e-mail shall clearly indicate: EAGLE II Past Performance Questionnaire Submission for <Company Name> and the message shall originate from the reference’s government or commercial e-mail system.

In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. This is a major DHS acquisition and your input into this evaluation is greatly appreciated. If you have questions regarding this questionnaire or require assistance, please submit inquiries to EAGLEIIOutreach@DHS.GOV.

Sincerely, Holly Donawa, Contracting Officer

SECTION A

To be completed by Offeror (the firm requesting the reference)

PART I: EAGLE II OFFEROR INFORMATION

COMPANY NAME AND DIVISION NAME OF EAGLE II OFFEROR:

EAGLE II OFFEROR ADDRESS:

EAGLE II OFFEROR DUNS:

THIS SURVEY PERTAINS TO (Please check the appropriate box(es)):

FORMCHECKBOX

UNRESTRICTED FORMCHECKBOX

SMALL BUSINESS SET-ASIDE

PROPOSED FUNCTIONAL CATEGORY:

FORMCHECKBOX

FC1 – SERVICE DELIVERY

FORMCHECKBOX

FC2 – INFORMATION TECHNOLOGY (IT) PROGRAM SUPPORT SERVICES

FORMCHECKBOX

FC3 – INDEPENDENT VERFICATION & VALIDATION (IV&V)

PART II: PAST PERFORMANCE INFORMATION

TITLE OF PROJECT/CONTRACT NUMBER FOR WHICH REFERENCE IS REQUESTED:

PROCUREMENT VEHICLE (e.g. CONTRACT/ORDER/SUBCONTRACT/OTHER):

TYPE OF CONTRACT (e.g. NEGOTIATED, SEALED BID):

PRICING TYPE: (Check all that apply)

FORMCHECKBOX

FP FORMCHECKBOX

FP-EAP FORMCHECKBOX

CPFF-Completion FORMCHECKBOX CPFF-Term FORMCHECKBOX

CPIF FORMCHECKBOX

CPAF FORMCHECKBOX

ID/IA FORMCHECKBOX

BOA

Requirements FORMCHECKBOX Labor-Hour FORMCHECKBOX

T&M FORMCHECKBOX

CR FORMCHECKBOX

Other (Specify) _______________

DATE OF AWARD:

PERIOD OF PERFORMANCE (INCLUDING OPTIONS):

CONTRACT AMOUNT:

· INITIAL CONTRACT DOLLAR VALUE (W/OPTIONS): _________________

· FINAL CONTRACT DOLLAR VALUE (W/OPTIONS): _________________

ROLE ON PROJECT:

PRIME

FORMCHECKBOX

SUBCONTRACTOR (EXPLAIN TYPE AND EXTENT OF SUBCONTRACTING, IF APPLICABLE):

FORMCHECKBOX

OTHER (EXPLAIN)

GENERAL DESCRIPTION OF TYPE OF SERVICES/PRODUCTS REQUIRED UNDER THE CONTRACT:

DESCRIBE COMPLEXITY OF WORK:

SECTION B

TO BE COMPLETED BY EVALUATOR (PERSON PROVIDING REFERENCE)

PART I: REFERENCE INFORMATION

NAME & TITLE:

ORGANIZATION (INCLUDING AGENCYAND/OR COMPANY):

CONTRACT ROLE (e.g. CO, COTR, PM):

ADDRESS:

PHONE NUMBER:

FAX NUMBER:

E-MAIL:

PART II: INFORMATION ABOUT PROJECT/CONTRACT FOR WHICH REFERENCE IS REQUESTED

Please identify and correct any information that is not accurate in Section A.

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating:

· Superior (Based on an offeror’s past performance record, essentially no doubt exists that the offeror will successfully perform the required effort.)

· Satisfactory (Based on an offeror’s past performance record, some doubt exists that the offeror will successfully perform the required effort.)

· Unsatisfactory (Based on an offeror’s past performance record, extreme doubt exists that the offeror will successfully perform the required effort.)

· Neutral (No relevant performance record is identifiable upon which to base a meaningful performance rating. This is neither a negative or positive assessment.)

1. QUALITY OF PRODUCT OR SERVICE

Assess the contractor’s performance to contract requirements, specifications, and standards of good workmanship (e.g. commonly accepted technical, professional, environmental, or safety and health standards).

2. SCHEDULE

Assess the timeliness of the Contractor against the completion of the contract, task orders, milestones, delivery schedules, and administrative requirements (e.g. efforts that contribute to or effect the schedule variance).

3. COST CONTROL

Assess the contractor’s effectiveness in forecasting, managing, and controlling cost.*

*Cost Control – not required for Firm Fixed Price or Firm Fixed Price with economic adjustment.

4. BUISNESS RELATIONS

Assess the integration and coordination of all activities needed to execute the contract, 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 subcontractors.

5. MANAGEMENT OF KEY PERSONNEL

Assess the contractor’s performance in selecting, retaining, supporting, and replacing, when necessary, key personnel.

6. UTILIZATION OF SMALL BUSINESS

FAR Subpart 19.7 and 15 U.S.C. 637 contains statutory requirements for complying with the Small Business subcontracting Program. Assess whether the contractor provided maximum practicable opportunity for small business to participate in contract performance consistent with efficient performance of the contract.

FOR #7, PLEASE ANSWER “Yes” or “No”, as appropriate

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

8. Additional comments you would like to share

Signature

DATE:

PAGE

Attachment L-2 – Page 1