HSHQDC-17-R-00020_ATTACHMENT_D_Past_Performance_Questionnaire.doc

SOLICITATION HSHQDC-17-R-00020: ATTACHMENT D

Past Performance Questionnaire (PPQ)

Message to the Assessor: Feedback is requested by the DHS in order to establish a performance history for the Contractor named below. Responses are requested from Contracting Officer/Specialist, Contracting Officer Representative/Program Manager or other Government personnel who has the most knowledge about the performance of the Contractor. Please e-mail the completed PPQ questionnaire(s) directly to Jennifer.Koons@hq.dhs.gov and Astrine.Etheridge@hq.dhs.gov with courtesy copy to Jigisha.Patel@hq.dhs.gov no later than Wednesday, February 21, 2018. We thank you in advance for your time and assistance.

I. Responses to questionnaire being gathered for:

Solicitation Number: HSHQDC-17-R-00020 Solicitation Title: Systems Engineering Technical Assistance (SETA) Contract III

Agency: Department of Homeland Security Scope of Requirement:

The scope of this requirement is to provide the DHS S&T, currently and as it expands and reorganizes, with professional, scientific and technical assistance and corresponding administrative assistance services to support efforts in research, development, test and evaluation (RDT&E). Scientific and technical services may include advisory assistance support in technology scouting; vulnerability and risk assessment and mitigation; project justification and defense; program planning; evaluation and analyses of programs, projects, budgets and performance; and project execution, transition and commercialization. This also includes providing programmatic support in the development and preparing of acquisition and procurement documents. Administrative assistance may include providing ancillary support to further the overall mission of the program office, project objectives, and conducting support activities and functions in order to sustain the day-to-day business practices of an organization. These services are comprehensively categorized as Systems Engineering and Technical Assistance (SETA) support services. As such, SETA support must expeditiously acquire the fundamental understanding of the department’s (DHS), and S&T’s overall and respective program offices’ mission, practices, policies, and procedures; and respond professionally and promptly to mission needs within a demanding, challenging and evolving environment.

II. Current or Historical Contract Information (to be filled out by the proposing firm)

a. Name of Firm:

b. Address of Firm:

c. Contract No. & Contract Type:

d. Contractor Role (Prim or Sub):

e. Contract Value Initial & Final:

f. Contract Description:

[type here] III. Assessing Official’s Information (to be filled out by the authorized assessor (e.g. Contracting Officer Representative)) Assessor’s Name & Title:

Assessor’s Agency:

Assessor’s Email & Phone:

1. Please verify information in section II. Please correct any incorrect information.

2. The services provided on this contract is within the scope of this contract (Y or N):

3. Please provide below a brief description of type of services received:

[type here] IV. Ratings & Evaluation

How satisfied were you with the Contractor’s:

(Check a box per question, as appropriate.)

Very satisfied

Please add other thoughtful comments (e.g. example(s) of successful or unsuccessful performance):

Assessor’s Signature (electronic signature accepted) & Date

Source Selection Information – See FAR 2.101 and FAR 3.104 For Official Use Only