Attachment_J.6_Past_Performance_Questionnaire.pdf

Solicitation no. HSHQDC-17-R-00006

Attachment J-6: Past Performance Questionnaire

This Past Performance Questionnaire must be sent to three of your current or previous government or commercial customers for whom you have performed relevant, comparable work within the last three years.

The Department of Homeland Security (DHS) is conducting an acquisition to acquire operations and requirements analysis support services on behalf of the DHS Joint Requirements Council.

You have been listed by (name of offeror) __________________________________________ as a current or past customer reference who can serve as a past performance reference. The following information is being collected to help DHS evaluate past performance during the evaluation of quotations.

I request your assistance in responding to the following questions concerning their work performance. When responding to the questions, please 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 “No Rating.”

Please complete the following questionnaire and e-mail your responses to Robin Jones at robin.jones@hq.dhs.gov, no later than January 9, 2017 at 9:00 AM Eastern Time.

Date of Survey: ________________________________________________________________

Name of Person Completing Survey:________________________________________________

Title of the Person Completing Survey:______________________________________________

Telephone and Fax Number:_______________________________________________________

Email Address:_________________________________________________________________

Your Company/Agency:__________________________________________________________

Contract Name:_________________________________________________________________

Contract Number: _______________________________________________________________

Period of Contract Performance: ___________________________________________________

Total Dollar Amount of Contract: __________________________________________________

Your Role in this Contract: _______________________________________________________

General description of products/services required under the contract:_______________________

RATINGS

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

Evaluation Ratings

Rating Definition

Excellent Performance meets contractual requirements and exceeds many to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Good Performance meets contractual requirements and exceeds some to the

Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Acceptable Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unacceptable Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Neutral No relevant past performance record is identifiable upon which to base a meaningful rating. This is neither a negative nor a positive rating.

1. Customer Satisfaction Commitment: To what degree was the contractor considered responsive to and cooperative with customer personnel?

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

2. Quality of Service: This area of the questionnaire deals with compliance of contract requirements, to include appropriateness of personnel and technical excellence.

a. Overall compliance with contract terms and conditions:

b. Effectiveness and reliability of Contractor’s Personnel:

c. Adequacy of maintaining and controlling government equipment:

3. Timeliness of Performance: This is the area that deals with contractor’s ability to meet milestones and delivery schedule, to include responsiveness to technical direction, completion of efforts on time and wrap-up and contract administration.

a. Overall performance in planning, scheduling and monitoring:

b. Completion of major milestones on schedule:

c. Responsiveness to contract changes from a contract administration perspective:

d. Responsiveness to changes in technical direction:

e. Timely completion of efforts within period of performance:

f. Responsiveness/capability to respond to urgent/short term requirements:

4. Efficiency in meeting cost targets without experiencing overruns:

5. Effectively assess impacts of changes on other associated projects, tasks and efforts:

6. Appropriately choose effective teaming partners and maintained good business relationships:

7. Ability to solve contract performance problems without extensive guidance from

Government personnel:

8. Effectiveness in interfacing with Government personnel:

9. Has the Contractor ever been given a cure notice, a show notice, suspension of progress payments, or other letters directing the correction of a performance problem?

Yes _______ No _______

If yes, please explain:

10. Changes in contract dollar value throughout the life of the contractor are/were attributable, for the most part, to ( ) Government-issued change orders ( ) claims submitted by the Contractor ( ) other Government actions ( ) Other Contractor actions.

Please explain:

11. How would you rate the Contractor’s performance in the following areas?

Management Capability

Ability to Maintain Staffing Levels

Technical Capability of Staff

Based on this Contractor’s overall performance, would you award this Contractor another

Government contract?

Yes _______ No _______

If no, please explain:

12. If you have any other comments regarding the past performance of this offeror, please provide them below: