HSHQDC-13-R-00072_Past_Performance_Questionaire.pdf

J.2 Past Performance Questionnaire

CONTRACTOR PERFORMANCE CUSTOMER SURVEY QUESTIONNAIRE

Please complete the following questionnaire and return it to the attention of the individuals named below, no later than December 13, 2013 at 12:00pm Eastern Time:

Amalia Rodezno Duane Schatz Contract Specialist Contracting Officer Amalia.rodezno@hq.dhs.gov duane.schatz@hq.dhs.gov 202-254-6086 202-254-2417

Offeror: __________________________________________________________

Department/Component: _________________________________________________________

Solicitation Number: HSHQDC-13-R-00072

Date of Survey: ________________________________________________________________

Name of Person Completing Survey: _______________________________________________

Signature of Person Completing Survey: _____________________________________________

Your Company/Agency: _________________________________________________________

Your Role in this Contract: _______________________________________________________

Survey Period of Performance: ____________________________________________________

General description of products/services required under the contract: ______________________ mailto:Amalia.rodezno@hq.dhs.gov mailto:duane.schatz@hq.dhs.gov

RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible.

Assign each area a rating of either 4 (Outstanding), 3 (Good), 2 (Acceptable), or 1 (Unsatisfactory). Use the attached Rating Guidelines as guidance in making these evaluations.

Circle the appropriate rating. Annotate with N/A if not a rating consideration or inapplicable to the contract effort.

QUALITY OF PRODUCT OR SERVICE:

1. Compliance with contract requirements:

1 2 3 4 N/A

2. Accuracy of reports:

1 2 3 4 N/A

3. Level of knowledge, experience, and training of personnel:

1 2 3 4 N/A

4. Capability of personnel to perform required services:

1 2 3 4 N/A

5. Effectiveness of personnel in performing required services:

1 2 3 4 N/A

6. Overall quality of product/service:

TIMELINESS OF PERFORMANCE:

1. Reliability:

2. Responsive to technical direction:

1 2 3 4 N/A

3. Meets contract delivery schedules and/or task deadlines:

BUSINESS RELATIONS:

1. Effective management, including subcontracts:

1 2 3 4 N/A

2. Reasonable/cooperative behavior:

1 2 3 4 N/A

3. Responsive to contract requirements:

1 2 3 4 N/A

4. Notification of problems:

1 2 3 4 N/A

5. Flexibility:

1 2 3 4 N/A

6. Pro-active vs. reactive:

COST CONTROL:

1. Current, accurate and complete billings:

1 2 3 4 N/A

2. Relationship of negotiated costs to actuals:

1 2 3 4 N/A

3. Cost efficiencies:

CUSTOMER SATISFACTION:

1. The contractor is committed to customer satisfaction:

a. Contractor Management Personnel

(circle one) Yes No

b. Contractor Onsite Facility Personnel/Contractor Employees

(circle one) Yes No

ADDITIONAL COMMENTS:

Rating Guidelines

QUALITY OF PRODUCT

OR SERVICE

COST CONTROL TIMELINESS OF

PERFORMANCE

BUSINESS RELATIONS

4-Outstanding There were no quality issues, and the contractor significantly exceeded the contract performance requirements without commensurate additional costs to the customer.

There were no cost management issues, and the contractor significantly exceeded the contract requirements, achieving cost savings to the customer.

There were no delays, and the contractor significantly bettered the agreed upon schedule.

Responses to inquiries, technical/service/administrative issues significantly exceeded customer expectations.

3-Good There were no, or minimal, quality problems, and the contractor exceeded the contract requirements.

There were no, or minimal, cost management issues, and the contractor exceeded the contract requirements.

There were no, or minimal, delays that affected achievement of contract requirements; however, the contractor was still able to better or meet the agreed upon schedule.

Responses to inquiries, technical/service/administrative issues exceeded the contract requirements.

2-Acceptable The contractor met the contract requirements. However, overall compliance required some assistance from the customer.

The contractor met the contract requirements.

However, customer provided some assistance to the contractor to manage costs.

The contractor met the agreed upon schedule. However, customer provided some assistance to ensure the contractor met the agreed upon schedule.

Responses to inquiries, technical/service/administrative issues met the contract requirements.

1-Unacceptable Nonconformances compromised the achievement of contract requirements.

Contractor was unable to manage costs effectively.

Contractor delays jeopardized achievement of contract objectives.

Responses to inquiries, technical/service/administrative issues were not timely or effective.