10. Past Performance Survey.docx
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- Attached to
- 6973GH-23-R-00143; 20-042069 Mobile Test Bed Facility Federal contract opportunity
- Solicitation number
- 6973GH-23-R-00143
About this file
This document is a past performance survey for solicitation number 6973GH-23-R-00143 from the Department of Transportation Federal Aviation Administration Franchise Acquisition Services. The survey collects feedback on a contractor's past performance on a referenced contract and must be completed and returned by August 3, 2023 at 4:00 p.m. CT. The solicitation is for a Mobile Test Bed Facility and requests information about the contractor's experience with projects of similar size and scope like multi-story office buildings, hospitals, or warehouses. It inquires about contract details including pricing, schedules, and performance issues in order to evaluate the contractor for future work. Respondents are asked to provide ratings and comments on quality, scheduling, cost control, and subcontractor management using a five-level assessment scale.
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Text version
PROCUREMENT SENSITIVE WHEN COMPLETED
FOR OFFICIAL USE ONLY
SIR/RFO No. 6973GH-23-R-00143 20-042069 Mobile Test Bed Facility
PAST PERFORMANCE SURVEY
To: _______________________________________________________________________ NAME Title
Organization:_____________________________________________________________
Fax No.: _________________________ E-mail Address:_________________________
Phone No.:________________________
Date: __________________________ Number of Pages (including this sheet): 5 in total
Your name was provided as a point of contact for the following:
Contractor Name:_______________________________________________________
Contract Number: _______________________________
Project Title: ___________________________________________________________
In regard to the above contractor’s performance on the referenced contract, please complete the attached Past Performance Survey and return as follows:
Send to: Elizabeth Fikes, Contracting Officer
E-mail Address: Elizabeth.A.Fikes@faa.gov
For questions, please contact me at telephone 405-954-7869.
Please provide your response no later than August 3, 2023 at 4:00 p.m. CT
Thank you!
Offeror to complete this page:
1. Name of Contractor: ____________________________________________________
2. Provide a brief description of the renovation project and how it is relevant to the HQB Building Lobby Remodel; e.g., multi-story office, single story office building, hospital, school, warehouse, square footage?
3. Type of contract; e.g., firm fixed-price, cost-reimbursable: __________________________________________
4. Contractor Role (circle one):
Prime Contractor, Mechanical Subcontractor, Electrical Subcontractor, Pool Subcontractor
5. Contract Number (if applicable): _______________________________________________
6. Total Contract Amount - Original contract amount: $____________ Final Contract Amount: $_____________ Provide rationale for the difference________________________________________________________
7. Date of Contract Award: ______________________________________________________
8. Contract Period of Performance: Start Complete _________________
9. Was project completion date consistent with the contract completion date? ___________ If no, explain why___________________________________________________________________________________.
10. Was a deficiency notice issued? ___________ If so, was the issue successfully resolved? ___________
11. Was a Cure Notice issued? _____________ If so, was the issue successfully resolved? _____________
12. Was a Show Cause issued? _____________ If so, was the issue successfully resolved? _____________
Name of Responding Point of Contact: _____________________________________________________
Agency/Organization: _________________________________________________________________
Mailing Address: __________________________________________________________
Telephone Number: __________________________________
E-mail Address: __________________________________ Customer to complete the following pages:
A five level assessment rating system will be used for the following questions as defined below:
| Rating |
| Definition |
| Exceptional |
| Performance meets contractual requirements and exceeds many to the Government’s/Owner’s benefit. The category being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The category being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance meets contractual requirements. The category being assessed contains some minor problems for which corrective actions taken by the contractor appear to be or were satisfactory. |
| Marginal |
| Performance does not meet some contractual requirements. The category being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. |
| Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The category being assessed contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
1. Quality of Project.
a. How would you rate the quality of the project?
| Exceptional | ( ) |
| Very Good | ( ) |
| Satisfactory | ( ) |
| Marginal | ( ) |
| Unsatisfactory | ( ) |
NOTE: If you provide a rating above or below “Satisfactory” you will need to document your rationale for the use of your rating.
2. Scheduling of Project.
a. How would you rate the scheduling of the project?
| Exceptional | ( ) |
| Very Good | ( ) |
| Satisfactory | ( ) |
| Marginal | ( ) |
| Unsatisfactory | ( ) |
NOTE: If you provide a rating above or below “Satisfactory” you will need to document your rationale for the use of your rating.
3. Cost Control of Project Modifications.
a. How would you rate the contractor’s cost control of project modifications?
| Exceptional | ( ) |
| Very Good | ( ) |
| Satisfactory | ( ) |
| Marginal | ( ) |
| Unsatisfactory | ( ) |
NOTE: If you provide a rating above or below “Satisfactory” you will need to document your rationale for the use of your rating.
4. Management of Subcontractors. (Only answer this question if the contractor being evaluated is the general contractor and not a subcontractor)
a. How would you rate the subcontract management demonstrated by the general contractor
| Exceptional | ( ) |
| Very Good | ( ) |
| Satisfactory | ( ) |
| Marginal | ( ) |
| Unsatisfactory | ( ) |
NOTE: If you provide a rating above or below “Satisfactory” you will need to document your rationale for the use of your rating.
5. Would you recommend awarding similar contracts or using the offeror again for future work?
| ( ) Yes |
| ( ) No |
6. Please provide any other comments you may have.
Attachment 10
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