Attachment J.5 - Past Performance Questionnaire.xls

XLS spreadsheet 41 KB Posted

Attached to
Advanced Imaging Technology - Second Generation (AIT-2) Federal contract opportunity
Solicitation number
HSTS04-12-R-CT2011
Issued by
Department of Homeland Security Transportation Security Administration

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Attachment J.5 - Past Performance Questionnaire

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Other files for this federal contract opportunity

Other files attached to Advanced Imaging Technology - Second Generation (AIT-2), newest first.
File Type Posted
HSTS04-12-R-CT2011 AIT-2 Amendment 0005.pdf PDF
Attachment_J.3_Price_Evaluation_Template_29_March_2012.xls XLS spreadsheet
HSTS04-12-R-CT2011 Amendment 0004.pdf PDF
HSTS04-12-R-CT2011 Amendment 0003 - AIT-2.pdf PDF
HSTS04-12-R-CT2011 Amendment 0002.pdf PDF
HSTS04-12-R-CT2011 AIT 2 RFP - Amendment 0002.pdf PDF
Attachment J.1 - CDRLs and DIDs.zip ZIP file
Attachment J.3 Price Evaluation Template 14 March 2012.xls XLS spreadsheet
Attachment J.4 - Past Performance Data.pdf PDF
Attachment J.8 TSA RMA Guide for OST Version 1.0.pdf PDF
Attachment J.1 CDRLs and DIDs.zip ZIP file
Attachment J.6 AIT-2 Self Certification Checklist.xlsx XLSX spreadsheet
Attachment J.7 Labor Qualifications.pdf PDF
HSTS04-12-R-CT2011 Amendment 0001.pdf PDF
HSTS04-12-R-CT2011 AIT-2 RFP 02.21.12.pdf PDF
Attachment J.3 Price Evaluation Template.xls XLS spreadsheet
Attachment J.1 CDRLs and DIDs.zip ZIP file
Attachment J-7 Labor Qualifications.pdf PDF
Attachment J.5 - Past Performance Questionnaire.xls XLS spreadsheet
Attachment J.4 - Past Performance Data.pdf PDF
HSTS04-12-R-CT2011 AIT-2 RFP 02.21.12.pdf PDF
Attachment J.8 TSA RMA Guide for OST Version 1.0.pdf PDF
Attachment J.3 Price Evaluation Template.xls XLS spreadsheet
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Sheet1

AIT-2 Solicitation - HSTS04-12-R-CT2011
Past Performance Questionnaire (Attachment J.5)
OFFEROR FILLS OUT THESE BLOCKS (GREEN)
OFFEROR'S REFERENCE FILLS OUT THESE BLOCKS (YELLOW), THEN EMAILS FORM DIRECTLY TO
POLLY.HALL@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 RatingCurrent RatingTrend
Exceptional, Very Good, Satisfactory, Marginal or UnsatisfactoryExceptional, Very Good, Satisfactory, Marginal or UnsatisfactoryN/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

Sheet2

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