PPQ_Word_Document.docx

ATTACHMENT A

Past Performance Information Contractor Performance Customer Survey Questionnaire

Customer respondent, please complete the following questionnaire and email to Ronald Jean-Baptiste Ronald.Jean-Baptiste@hq.dhs.gov and Donald Nusbaum at Donald.Nusbaum@hq.dhs.gov, no later than return it to the attention of the individual named below, no later than the date specified in the notification letter. The “subject” line in the submission email shall clearly indicate “[MFR PPQ for HSHQDC-17-R-00052, insert Prime Offeror Name]”. THE PAGE LIMITATION IS FOUR (4) PAGES FOR EACH COMPLETED QUESTIONNAIRE (to exclude Rating Guidelines).

Name

Title

Address

Telephone Number/Fax Number

This survey pertains to: __________________________________________________________

Department/Component: __________________________________________________________

Solicitation Number: _____________________________________________________________

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: _______________________

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:

1 2 3 4 N/A

7. Product performance:

1 2 3 4 N/A

8. Spare parts availability:

1 2 3 4 N/A

9. Ease of use:

1 2 3 4 N/A

10. Quality and timeliness of warranty work:

1 2 3 4 N/A

TIMELINESS OF PERFORMANCE:

1. Reliability:

1 2 3 4 N/A

2. Responsive to technical direction:

1 2 3 4 N/A

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

1 2 3 4 N/A

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:

1 2 3 4 N/A

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:

1 2 3 4 N/A

CUSTOMER SATISFACTION:

1. The contractor is committed to customer satisfaction:

a. Contractor Management Personnel (circle one) Yes No

b. Contractor Onsite Facility Personnel (circle one) Yes No

ADDITIONAL COMMENTS:

Request for Proposal (RFP) HSHQDC-17-R-00052

Modular Firing Ranges Page 99R

Rating Guidelines