Attachment J-17 Past Performance Questionnaire.xls
XLS spreadsheet 41 KB Posted
- Attached to
- CREDENTIAL AUTHENTICATION TECHNOLOGY-BOARDING PASS SCANNING SYSTEM (CAT/BPSS) Federal contract opportunity
- Solicitation number
- HSTS04-11-R-CT2042
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Attachment J-17 Past Performance Data
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Sheet1
| CAT/BPSS Solicitation - HSTS04-11-R-CT2042 | |||
| Past Performance Questionnaire (Attachment J.17) | |||
| OFFEROR FILLS OUT THESE BLOCKS (GREEN) | |||
| OFFEROR'S REFERENCE FILLS OUT THESE BLOCKS (YELLOW), THEN EMAILS FORM DIRECTLY TO MARGARET.COSTA@DHS.GOV AND LANCE.NYMAN@DHS.GOV | |||
| 1. Name/Address of Contractor: | |||
| Company Name: | |||
| Division Name: | |||
| Street Address: | |||
| City, State, Zip Code: | |||
| Province/Country: | |||
| CAGE Code: | |||
| DUNS+4 Number: | |||
| FSC: | |||
| NAICS Code: | |||
| 2. N/A | |||
| 3. Period of Performance Being Assessed: | |||
| 4. Contract Number: | |||
| 5. Contracting Office: | |||
| 6. Location of Contract Performance: | |||
| 7a. Contracting Officer: | |||
| 7b. Phone Number: | |||
| 8a. Contract Award Date: | |||
| 8b. Contract Effective Date: | |||
| 9. Contract Completion Date: | |||
| 10. N/A | |||
| 11. Awarded Dollar Value: | |||
| 12. Current Contract Dollar Value: | |||
| 13. _ _Competitive ___Non-Competitive | |||
| 14. Contract Type: ___FFP ___FPI ___FPR ___CPFF ___CPIF ___CPAF _ _ OTHER MIXED/OTHER: | |||
| 15. Key Subcontractors and Effort Performed: | |||
| Subcontractor name and CAGE: | |||
| 16. Program Title and Phase of Acquisition: | |||
| 17. Contract Effort Description: | |||
| Small Business Utilization | |||
| Does this contract include a subcontracting plan? | |||
| Is small business subcontracting under this contract included in a comprehensive small business subcontracting plan? | |||
| Is small business subcontracting under this contract included in a commercial small business subcontracting plan? | |||
| Date of last Individual Subcontracting Report (ISR) / Summary Subcontracting Report (SSR): | |||
| 18. Evaluate the following Areas: | Past Rating | Current Rating | Trend |
| Exceptional, Very Good, Satisfactory, Marginal or Unsatisfactory | Exceptional, Very Good, Satisfactory, Marginal or Unsatisfactory | N/A, + or - | |
| a. Quality of Product or Service | |||
| b. Schedule | |||
| c. Cost Control | |||
| d. Business Relations | |||
| e. Management of Key Personnel | |||
| f. Utilization of Small Business | |||
| g. Other Areas: | |||
| (1): | |||
| (2): | |||
| (3): | |||
| (4): | |||
| (5): | |||
| (6): | |||
| (7): | |||
| (8): | |||
| 19. N/A | |||
| 20. Assessing Official Narrative: | |||
| QUALITY OF PRODUCT OR SERVICE: | |||
| SCHEDULE: | |||
| COST CONTROL: | |||
| BUSINESS RELATIONS: | |||
| MANAGEMENT OF KEY PERSONNEL: | |||
| RECOMMENDATION: Given what I know today about the Contractor's ability to execute what they promised in their proposal, I [FILL IN THE BLANK FROM THE CHOICES BELOW*] award to them today given that I had a choice | |||
| * - Definitely Would Not, Probobaly Would Not, Might or Might Not, Probably Would, Probably Would Not | |||
| Utilization of Small Business: | |||
| Other Areas: | |||
| (1) | |||
| (2) | |||
| (3) | |||
| (4) | |||
| Assessing Official Name | |||
| Assessing Official Title | |||
| Assessing Official Phone # | |||
| Assessing Official Email Address |
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