Attachment_5_-_PP_Quest.doc

ATTACHMENT 5

PAST PERFORMANCE QUESTIONNAIRE

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 supplies of uniform items and associated services in support of its Uniform Operation Division. 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 melissa.weindel@dhs.gov. If you have any questions, please call Melissa Weindel at 215-521-2266. 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: _________________________________________

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:

Does the contractor show commitment to quality performance and customer satisfaction?

Do you feel the contractor has performance with an overall technical competence?

Is the contractor compliant with contractual requirements and/or scope of the project?

How does the contractor respond to changes in the contract, program, or schedule?

Were the supplies provided of the quality requested?

Does the contractor meet deadlines and delivery work on time?

Would you hire this contractor to again?

In summary, would you describe the quality of the Contractor's supplies/ 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:

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