Attachment III - Past Performance Questionnaire

Attachment III – Past Performance Questionnaire
Past Performance Questionnaire
The Department of Homeland Security (DHS), Federal Emergency Management Agency (FEMA), recently released a Request for Proposal for Disaster Overseas Transportation Support. Offerors were asked to provide information contracts similar in nature, size and complexity to the present requirement on which they performed in the past. An Offeror has submitted this to you as a reference for past performance (see Sections B and C below).
FEMA is requesting your opinion on how well the contractor performed on your contract(s). Please fill out the questionnaire and send an electronic copy to the Contracting Officer, Karley Hoyt at [email protected] and Contract Specialist, Jason Rivers at [email protected] .
To be considered, this form must completed in its entirety and received by the Contracting Officer no later than the closing date and time of the solicitation. FEMA may contact you to clarify or verify any information provided. For purposes of confidentiality, only send the completed questionnaire to the FEMA Contracting Officer and Contract Specialist identified above. Your input will remain confidential. Please note, your comments will be used to form the basis of evaluation of the requesting Offeror.
Thank you in advance for your assistance. If you have any questions, please contact the Contracting Officer or Contract Specialist identified above.

A. Instructions

Two forms are provided to document your opinion: 1) Performance Rating Form; and 2) Supplemental Comment Form. Please fill out both forms in accordance with the instructions provided on each. Please use the following standards in terms of your rating:
1. Satisfactory: Based on the offeror’s relevant past performance record, it is likely that the offeror will successfully perform the required effort. 2. Unsatisfactory: Based on the offeror’s past performance record, which is deemed not relevant, it is not likely that the offeror will successfully perform the required effort.
3. 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 or subcontractors. This is neither a negative nor positive assessment.

Attachment III – Past Performance Questionnaire

B. Certification

By law, the Government will not disclose the names of individuals providing reference information during discussions with the contractor identified in Block 1 below.