Attachment_10_HSSCCG-15-R-00012.pdf

Solicitation HSSCCG-15-R-00012 Attachment 10 Next Generation Card Consumables Past Performance Questionnaire

Next Generation Card Consumables Past Performance Questionnaire

In accordance with Federal Acquisition Regulation (FAR) Part 15.304, past performance is an evaluation factor in solicitations. Your organization has been identified for participation in the past performance evaluation on a current solicitation by the US Citizenship and Immigration Service (USCIS). This survey will be used to evaluate the past performance for the contractor and contracting action identified below.

Your candid responses to the questions below are important to our evaluation effort and may affect the award outcome. Please indicate “N/A” in any area which was not applicable to work performed on your requirement. The names of the individuals supplying past performance information will remain confidential.

Please email or mail the completed survey on or before March 18, 2015 to the addresses below.

Email: timothy.l.simmons@uscis.dhs.gov

FAX: 802-860-6906

Mail: US Citizenship and Immigration Service Office of Contracting ATTN: Timothy Simmons 70 Kimball Avenue South Burlington, VT 05403

If you have questions or concerns pertaining to this survey or any of the requested information, please contact the contract specialist using the contact information above. Any information provided will not be provided to the contractor.

Thank you for your time and effort in completing this survey.

BACKGROUND INFORMATION

1. Respondent Information

Company Name:

Address:

2. Name, Title, Email Address, and Telephone Number of the individual completing this survey:

Name:

Title:

Email:

Telephone Number:

a. Contract Number (if applicable):

b. Contract type (if applicable):

c. Award Amount:

d. Period of Performance:

e. Brief description of the deliverables or services performed under this contract:

SCALE: A = Acceptable: Performance met contract requirements B = Unacceptable: Performance did not meet contract Requirements

Using the scale above, please answer the following questions. Please provide further explanation as needed.

1. What was the quality of the overall service provided?

Comments:

2. What was the quality of deliverables (reports, commodities, etc.) provided?

3. How successful was the contractor in performing innovative or highly complex tasks?

4. How would you rate the contractor’s communication with their customer?

5. How satisfied were you with the quality of the overall management support assigned to the project?