LEP Past Performance Quetionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

PART ONE: INSTRUCTIONS

The company who has provided you with this form is proposing on a Department of Homeland Security, Customs and Border Protection solicitation. Past Performance is an important part of the evaluation criteria for this acquisition, so your input is very important. Please provide an honest assessment and return the questionnaire to the Contracting Officer.

PART TWO: GENERAL INFORMATION

1. OFFEROR’S NAME AND ADDRESS 2. CUSTOMER ORGANIZATION

3. CONTRACT NUMBER: 2a. EVALUATOR

4. CONTRACT VALUE: $______________________ NAME:

TITLE:

PHONE NO:

5. CONTRACT AWARD DATE: 6. CONTRACT COMPLETION DATE:

7. CONTRACT TYPE: 8. COMPLEXITY OF WORK (Circle One)

DIFFICULT ROUTINE

9. BRIEF DESCRIPTION OF YOUR CONTRACT REQUIREMENTS:

PART THREE: OFFEROR PERFORMANCE RATING

On the following pages, please summarize the offeror’s performance in each rating factors. Each factor has a set of sub-factors with four possible confidence ratings. Determine the adjectival rating that most nearly represents experience with this offeror and indicate assessment by placing an “X” under the appropriate heading. Offeror performance factors are:

A. QUALITY OF SERVICES/REPORTS

B. PROJECT MANAGEMENT - RESOURCE ALLOCATION

C. TIMELINESS OF PERFORMANCE

D. COST EFFECTIVENESS

Adjectival ratings are defined below and should be used as a reference in assessing performance:

Rating Definition

Superior Based on the offeror’s past performance record, it is highly likely that the offeror will successfully perform the required effort.

Satisfactory

Based on the offeror’s past performance record, it is likely that the offeror will successfully perform the required effort.

Unsatisfactory

Based on the offeror’s past performance record, it is not likely that the offeror will successfully perform the required effort.

Neutral No relevant performance record is identifiable upon which to base a meaningful performance rating. A search was unable to identify any relevant past performance information for the offeror, key personnel, or subcontractors. This is neither a negative or positive assessment.

A QUALITY OF SERVICE Exceptional Very Good Satisfactory Unsatisfactory Not

Applicable

1 How was the overall value of services provided?

2 Did the contractor provide quality reports and documentation (i.e., accurate, current and complete)?

B PROJECT MANAGEMENT Exceptional Very Good Satisfactory Unsatisfactory Not

1 Did the contractor provide effective contract and project management?

2 Was the contractor able to solve contract performance problems without extensive guidance from counterparts?

3 Did the contractor supply adequate and qualified replacement personnel?

4 How effective has the contractor been in understanding and responding to user requirements?

5 Did the contractor establish and maintain effective quality control standards and procedures?

C TIMELINESS OF

PERFORMANCE

Exceptional Very Good Satisfactory Unsatisfactory Not Applicable

1 Did the contractor adhere to contract delivery schedules in the following areas:

(a) Performance of services?

(b) Delivery of goods?

(c) Delivery of reports or other documentation?

2 Were replacement personnel identified and assigned to the project in a timely manner?

D COST EFFECTIVENESS Exceptional Very Good Satisfactory Unsatisfactory Not

1 To what extent did the contractor meet the cost estimate?

2 Did the contractor effectively plan work to ensure maximum effective utilization of resources?

PART THREE: OFFEROR PERFORMANCE RATING CONTINUED

1. Has this contract been partially or completely terminated for default or convenience?

YES Default___ or Convenience ___

NO

If yes, please explain (e.g. inability to meet cost, performance, or delivery schedules - also include contract number, name, address, and phone number of Terminating Contracting Officer - TCO).

2. What was the contractor’s greatest strength in the performance of the contract?

3. What was the contractor’s greatest weakness in the performance of the contract?

4. Would you award another contract to this contractor?

YES No

COMMENTS:

PART FOUR: EVALUATOR’S CERTIFICATION

I HEREBY CERTIFY THAT THE INFORMATION IN THIS FORM IS ACCURATE AND COMPLETE TO THE BEST OF MY

KNOWLEDGE.

SIGNATURE OF EVALUATOR

TITLE OF EVALUATOR