Attachment_3-_Past_Performance_Questionaire.doc

U.S. Department of Homeland Security

Washington, DC 20528

ATTACHMENT 3

PAST PERFORMANCE QUESTIONNAIRE

Solicitation: HSHQEC-12-R-00006

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 furnishing various types of security equipment in the National Capital Region (NCR). 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 katelyn.mccullough@dhs.gov . If you have any questions, please call Katelyn McCullough at (215) 521-3101. We appreciate your efforts on our behalf.

CONTRACT NO. OR PROJECT TITLE: ______________________________________

EQUIPMENT FURNISHED: _______________________________________________

SERVICE(S) FURNISHED: ________________________________________________

PERFORMANCE DATE(S): _______________________________________________

TOTAL PERFORMANCE HOURS: _________________________________________

TOTAL PROJECT VALUE: _____________________________________________

Please provide a brief description of the scope of this project so that we can 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/was the Contractor in punctually beginning and ending the daily performance of the contract duties?

2. How consistent is/was the Contractor in communicating with the agency/company?

3. How effectively does/did the Contractor respond to problems presented by the owner and tenant(s)? Did/does the Contractor identify and resolve problems on their own?

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

5. How effective is/was the Contractor at maintaining a tidy worksite and removing debris and equipment throughout the performance of the contract duties?

6. Describe the quality of the Contractor’s workmanship.

7. If the project has been completed:

A) Did the Contractor furnish technically acceptable equipment/services?

B) Did the Contractor complete the overall project within a reasonably anticipated period of time?

C) How well did the Contractor’s work-product integrate into existing facility systems and equipment?

D) Did the Contractor’s work-product comply with all relevant government and industry standards?

E) Did the Contractor furnish the government’s representative with all necessary manuals, warranties, as-built drawing, technical schematics, etc.?

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

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

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