TAB 2.2.1_Attachment 3_Past Performance and Delivery Order Experience Questionnaire.pdf

70B03C26Q00000117 – All-Terrain Vehicles (ATVs)

PAST PERFORMANCE AND PRIOR DELIVERY ORDER EXPERIENCE

QUESTIONNAIRE

U.S. Customs and Border Protection (CBP)

All-Terrain Vehicles (ATVs)

The purpose of this questionnaire is to evaluate the offeror’s past performance on projects of similar scope, size, and complexity to the requirements outlined in the Statement of Work (SOW).

The information provided shall be used to assess the offeror’s ability to successfully fulfill the requirements of this effort.

Submit a summary of contracts or orders completed within the past three (3) years that are relevant to the scope of work. For each contract/order, include the following information. Your responses shall remain confidential and shall only be used for evaluation purposes.

Section 1: General Information

1. Name of Offeror (Contractor):

o Name of Individual filling out questionnaire:

o Email of person listed above:

2. Contract Title:

3. Contract Number:

4. Contract Value:

5. Customer Name (Government Agency or Company):

6. Customer Point of Contact (POC):

o Name: ___________________________________________ o Title: ___________________________________________ o Phone: ___________________________________________ o Email: ___________________________________________

Section 2: Product/Supplies Description

1. Provide a brief description of the products/supplies, including its scope, size, and complexity.

2. Describe the offeror’s role and responsibilities in the contract.

3. Did the scope of the contract request component upgrades, attachments, and/or accessories for the units being procured?

o Yes o No o If yes, please describe:

Section 3: Prior Delivery Order Experience relevant to the size/scope of work:

1. Scheduled Delivery Date:

2. Actual Delivery Date:

3. Were the units delivered to multiple shipping addresses?

4. Did the vendor properly offload the units at the delivery locations?

5. Did the vendor encounter issues delivering units safely and free of physical damage:

6. Any instance of late delivery? Please explain:

7. Measures implemented to ensure timely delivery in the future:

Instructions for Submission:

Please include the completed questionnaire to your RFQ response package and send it to the Contract Specialist at the following email address: jesus.solis@cbp.dhs.gov.

Section 3: Past Performance Evaluation (To be completed by Contracting Office) Please rate the offeror’s performance in the following areas using the scale below:

• 1 – Exceptional: Performance EXCEEDS MOST contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns.

• 2 – Very Good: Performance EXCEEDS SOME contractual requirements. The performance of areas being assessed was accomplished with few minor issues or concerns, for which the Contractor’s corrective actions were highly effective.

• 3 - Satisfactory: Performance MEETS contractual requirements. The performance of the areas being assessed contains minor issues or concerns, for which corrective actions taken by the Contractor were effective.

• 4 – Unsatisfactory: Performance DOES NOT MEET contractual requirements. The performance of the areas being assessed includes serious problems, issues, or concerns for which the Contractor’s corrective actions were ineffective.

• 5 – Neutral: No prior relevant past performance or past performance not relevant to the scope of work

Evaluation Components Rating (1–5) Comments

Quality and relevance of past performance

Consistency and reliability of delivery

Quality of deliverables

Customer satisfaction and responsiveness

Ability to resolve issues and implement corrective actions

Overall customer satisfaction

Section 4: Prior Delivery Order Experience on Contracts of Similar Size/Scope (To be completed by Contracting Office) Please rate the offeror’s performance in the following areas using the scale below:

• 1 – High: The offeror has delivery experience of more than 3 contractual agreements of similar size/scope within the last 3 years.

• 2 – Medium: The offeror has delivery experience of at least 1-3 contractual agreements of similar size/scope within the last 3 years.

• 3 – Low/Unfavorable: The offeror has no prior delivery order experience relevant to the size/scope of work.

Evaluation Components Rating (1–3) Comments

Prior Delivery Order Experience

Section 6: Certification I certify that the information provided in this questionnaire is accurate and reflects my honest assessment of the offeror’s performance.

• Name: ___________________________________________

• Title: ___________________________________________

• Organization: ___________________________________________

• Phone: ___________________________________________

• Email: ___________________________________________

• Date: ___________________________________________