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Past Performance
| CAT Solicitation - HSTS04-14-R-ST4000 |
| Past Performance Questionnaire |
| General Instructions: The Offeror shall complete Part I, then provide the document to the Reference to complete Part II |
| The Offeror's Reference shall email the completed questionnaire directly to: Jason.Richards@tsa.dhs.gov and Steven.Santos@tsa.dhs.gov |
Part I
| Part I Instructions: The Offeror shall complete the highlighted areas below before providing this document to the Reference |
| Offeror's Reference Information |
| Company: |
| Division: |
| Street Address: |
| City, State, Zip Code: |
| Province/Country: |
| CAGE Code: |
| DUNS Number: |
| Contract Details |
| Contract Award Date: |
| Contract Completion Date: |
| Contract Dollar Value: |
| Location(s) of Contract Performance: |
| Subcontractor name(s) and CAGE code(s): |
| Contract Description: |
| Subcontracting Information | |
| Contract includes a subcontracting plan? (Yes / No) |
| Subcontracting plan includes small businesses? (Yes / No / Not Applicable) |
| Date of last Individual Subcontracting Report (ISR) / Summary Subcontracting Report (SSR) |
Part II
| Part II Instructions: The Offeror's reference shall complete the highlighted sections below and email directly to: Jason.Richards@tsa.dhs.gov and Steven.Santos@tsa.dhs.gov |
| Using the "Rating Descriptions" below as a guide, select a rating for each applicable area of performance and provide a narrative explaining the rating. |
| Rating Descriptions | |
| Exceptional | Performance meets all contractual requirements and exceeds many. Contract performance was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. To justify an exceptional rating, please identify multiple events that resulted in a beneficial outcome due to the contractor's efforts. There should be no significant weaknesses associated with performance. |
| Very Good | Performance meets contractual requirements and exceeds some. Contract performance was accomplished with some minor problems for which corrective actions taken by the contractor were effective. To justify a very good rating, please identify an event that resulted in a beneficial outcome due to the contractor's effort. There should be no significant weaknesses associated with performance. |
| Satisfactory | Performance meets contractual requirements. Contract performance resulted in some minor problems for which corrective actions taken by the contractor were satisfactory. To justify a satisfactory rating, there should have been only minor problems, or major problems that the contractor recovered from without significant impact to the contract. There should be no significant weaknesses associated with performance. |
| Marginal | Performance does not meet some contractual requirements. Contract performance reflects problems for which the contractor's corrective actions have had little impact. To justify a marginal rating, please identify a signficant event that the contractor had trouble overcoming and state the impact. |
| Unsatsifactory | Performance does not meet most contractual requirements, and corrective actions are either not taken or ineffective. To justify an unsatisfactory rating, please identify multiple events or a single event of significant magnitude that the contractor could not overcome and negatively impacted performance. |
| N/A | Not applicable, section does not apply to this contract effort. |
| POC Information |
| Assessor's Name |
| Assessor's Title |
| Assessor's Phone Number |
| Assessor's Email Address |
| Quality of Product or Service |
| Rating |
| Narrative |
| Schedule |
| Rating |
| Narrative |
| Cost Control |
| Rating |
| Narrative |
| Business Relations |
| Rating |
| Narrative |
| Management of Key Personnel |
| Rating |
| Narrative |
