Attachment_J.6_Past_Performance_Questionnaire_P00001_clean.docx

Solicitation no. HSHQDC-17-R-00006 P00001 Attachment J-6: Past Performance Questionnaire

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 18, 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

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:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

b. Effectiveness and reliability of Contractor’s Personnel:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

c. Adequacy of maintaining and controlling government equipment:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

b. Completion of major milestones on schedule:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

d. Responsiveness to changes in technical direction:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

e. Timely completion of efforts within period of performance:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

4. Efficiency in meeting cost targets without experiencing overruns:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

8. Effectiveness in interfacing with Government personnel:

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

· Ability to Maintain Staffing Levels

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

· Technical Capability of Staff

Excellent ___ Good ___ Acceptable ___ Marginal ____ Unacceptable___ Neutral ___

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: