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PAST PERFORMANCE QUESTIONNAIRE
(Offeror to complete item II A. and II B. prior to issuing this questionnaire to the Evaluator.)
In order to assess potential vendors, the Transportation Security Administration (TSA) contracting office is obtaining past performance information with respect to each Offeror. The contract resulting from this procurement will provide TSA a wide range of information technology services. In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information. This is a critical acquisition being conducted by TSA and your support is sincerely appreciated. We thank you in advance for your time, effort, and cooperation in responding to this questionnaire. The completed Questionnaire shall be submitted directly via email from the customer reference to TSATEDS@tsa.dhs.gov by the due date established for receipt of offers. The “subject” line in the submission email shall clearly indicate: “Company’s Past Performance” and the message shall originate from the Evaluator’s corporate or government email system.
1. GENERAL GUIDANCE
Please use the following rating in scoring the performance elements below (assessments should reflect only contractor-liable performance):
| Excellent |
| The Offeror's past performance far exceeds the customer's expectations and provided significant, unusual or worthwhile features or benefits. |
| Satisfactory |
| The Offeror's past performance met the customer's expectations and contract requirements |
| Marginal |
| The Offeror's past performance could have been improved. The Offeror required major agency resources to ensure achievement of contract requirements. |
| Unsatisfactory |
| The Offeror's past performance did not meet customer’s expectations and/or contract requirements. |
1. GENERAL INFORMATION
A. ORGANIZATION/AGENCY & RESPONDENT IDENTIFICATION:
B. CONTRACT IDENTIFICATION:
| 1 |
| Type of Instrument (e.g. Contract/Order/Subcontract/Other): |
| 2 |
| Contract Identification Number: |
| 3 |
| Order Number (If applicable): |
| 4 |
| Project Title and Service Description (Add rows if needed): |
| 5 |
| Type of Contract (e.g. Negotiated, Sealed Bid): |
| 6 |
| Pricing Type (e.g. fixed price, cost reimbursement, other): |
| 10 |
| Initial Contract Dollar Value (w/Options): |
| 11 |
| Final Contract Dollar Value (w/Options): |
| 12 |
| Period of Performance: |
| 13 |
| Place(s) of Performance: |
| 14 |
| Complexity of Work (e.g. difficult, routine): |
| 15 |
| Type and extent of subcontracting (add rows if needed): |
C. GENERAL INFORMATION:
| 1 |
| Has the Contractor ever been given a cure notice, show cause notice, suspension of progress payments, etc.? If yes, explain. |
| 2 |
| Has this contract been partially or completely terminated? If yes, explain and identify type of termination (e.g. default, convenience). |
| 3 |
| Changes in contract dollar amounts throughout the life of the contract are/were generally attributable to customer-issued Change Orders, Contractor-submitted claims, other Customer actions (please explain): |
1. EVALUATION: How Would You Rate This Contractor With Respect To:
1. Compliance with the SOW/PWS/SOO and specifications; conformance to standards of good workmanship, and responsiveness to technical direction:
| Rating |
| Excellent |
| Satisfactory |
| Marginal |
| Unsat |
Check
Comment: ___________________________________________________________________
1. Adherence to the contract delivery schedule:
| Rating |
| Excellent |
| Satisfactory |
| Marginal |
| Unsat |
Check
1. Adherence to task order estimates; reasonableness of change order proposals; and completeness of billing:
| Rating |
| Excellent |
| Satisfactory |
| Marginal |
| Unsat |
Check
1. Working relationship with Contracting Officer, COTR, and other points of contact:
| Rating |
| Excellent |
| Satisfactory |
| Marginal |
| Unsat |
Check
1. Relationship with and satisfaction level of agency end-user of product or service required:
| Rating |
| Excellent |
| Satisfactory |
| Marginal |
| Unsat |
Check
In summary, if you care to, please give your overall assessment of this contractor.
RFP HSTS04-14-R-CT4049
Attachment J.8 Page 1