Attachment_5-_Past_Performance_Questionaire.doc

U.S. Department of Homeland Security

Washington, DC 20528

ATTACHMENT 5

PAST PERFORMANCE QUESTIONNAIRE

Solicitation: HSHQE3-11-R-00004

NAME OF CONTRACTOR REQUESTING THE REFERENCE: __________________

The purpose of this questionnaire is to obtain information regarding the quality of the above named Contractor’s past performance relative to a contract, completed or in progress, at your company/agency. The Federal Protective Service is considering this Contractor for Protective Security Officer services at various Federal buildings located throughout the Commonwealth of Pennsylvania. We would greatly appreciate your input regarding the quality of the Contractor’s past performance.

Handwritten responses are sufficient. It is requested that the individual(s) responsible for the administrative oversight of the project (e.g. security specialist, COR, COTR, etc.) respond to this questionnaire. More than one copy of the questionnaire may be submitted if responses from more than one individual are appropriate.

Upon completion of the survey, please email to todd.m.wanner@dhs.gov . If you have any questions, please call Todd Wanner at 215-521-2251. We appreciate your efforts on our behalf.

CONTRACT NO. OR PROJECT TITLE: _____________________________________

PERIOD OF PERFORMANCE TO

INCLUDE ALL OPTION PERIODS:_________________________________________

TOTAL PROJECT VALUE TO

INCLUDE ALL OPTION PERIODS: _________________________________________

ANNUAL NO. OF PROTECTIVE SECURITY OFFICER HOURS:_________________________________________ Please provide a brief description of the scope of this project so that we determine any similarities to this contract:

QUESTIONS

PERFORMANCE:

Please provide your comments on the Contractor’s performance in the following areas:

1. How consistent is the Contractor in providing required staffing at each post of duty?

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. How consistent is the Contractor in providing employees who report to duty properly groomed, uniformed, and equipped?

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. How consistent is the Contractor in keeping training records, certifications, and related documentation complete, accurate, and current?

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Discuss the overall level of professionalism, attentiveness, and bearing of the Contractor's workforce.

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. How effective is the Contractor in identifying potential problems and resolving them on his own?

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. How effectively does the Contractor respond to problems presented to him by owner and tenant representatives?

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Discuss the Contractor’s quality control of the project.

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Discuss the Contractor’s overall management of the project Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Discuss the Contractor’s ability to seamlessly transition or phase-in under a newly awarded contract (if applicable):

Comments:

10. Discuss the Contactor’s ability to provide the level of supervision sufficient to ensure effective performance by the productive Protective Security Officers over the course of the Contract.

Comments:

11. Did this contract require the contractor to submit a subcontracting plan? If so, has the contractor been making a good faith effort to meet the subcontracting goals contained within the plan? (NOTE: The individual completing this questionnaire may need to contact the cognizant contracting officer in order to ascertain whether the contractor is meeting subcontracting goals.)

12. If you had a choice, would you hire this Contractor again? Why or why not?

13. In summary, would you describe the quality of the Contractor's services and overall performance as:

a. _____ Highly Acceptable – Based on the contractor’s performance under this project, the level of risk associated with this vendor is substantially less than the level expected from a competent vendor.

b. _____ Acceptable – Based on the contractor’s performance under this project, the level of risk associated with this vendor is no more than the level expected from a competent vendor.

c. _____ Unacceptable – Based on the contractor’s performance under this project, the level of risk associated with this vendor is greater than the level normally expected from a competent vendor.

Your Name:

Your Position:

Company:

Telephone No:

Fax:

E-mail address:

August 2010 Version

Attachment 5