2 L001 PPQ.pdf

SIR 693KA9-25-R-00011 AST Safety Engineering Services

Attachment L001– Page 1

PAST PERFORMANCE EVALUATION QUESTIONNAIRE (L001)

INSTRUCTIONS TO OFFERORS SENDING REFERENCE QUESTIONNAIRE FORMS:

Section A (Part I and Part II) shall be completed by the Offeror (the firm requesting the reference) prior to issuing the questionnaires. The Offeror shall send the questionnaires for three (3) relevant projects that are in progress or completed in the past three (3) years to the individuals who will provide the reference. For Government contracts, send to the Contracting Officer (CO) or CO’s Technical Representative. For commercial references, send to personnel with duties similar to those for Government contracts. It is the responsibility of the Offeror to follow-up and encourage references to submit the questionnaire. The completed questionnaire shall be submitted via e-mail directly from the person providing the reference. In addition, copies of all requested questionnaire forms by the Offeror to the Reference source must be included with the Offeror’s proposal due 2PM EST, on ___________.

INSTRUCTIONS TO PERSON PROVIDING REFERENCE:

In order to assess potential vendors under SIR No. 693KA9-24-R-000xx, the FAA contracting office is obtaining past performance information with respect to each Offeror. As a reference for work performed by the firm identified in Section A of this questionnaire, your candid response will assist in the evaluation process. Please complete Section B (Part I and Part II) of the questionnaire as thoroughly as possible and submit to 9-AFN-AWA-AAQ460-Contracting-Team@faa.gov no later than 2PM EST, TBD. The subject line in the submission e-mail shall clearly indicate: SIR No. 693KA9-25-R-00011 Past Performance Questionnaire Submission for <Company Name> and the message shall originate from the reference’s government or commercial e-mail system.

In addition to this questionnaire, you may receive a follow-up phone call to confirm or clarify information.

This is a major FAA acquisition and your input into this evaluation is greatly appreciated. If you have questions regarding this questionnaire or require assistance, please submit inquiries to: 9-AFN-AWA- AAQ460-Contracting-Team@faa.gov.

Attachment L001– Page 2

SECTION A

TO BE COMPLETED BY OFFEROR (THE FIRM REQUESTING THE REFERENCE)

PART I: PROGRAM OFFEROR INFORMATION

COMPANY NAME OF OFFEROR:

OFFEROR ADDRESS:

COMPANY NAME OF FAA FLIGHT SERVICES PERFORMING TEAM MEMBER FOR THIS REFERENCE (IF

APPLICABLE):

TEAM MEMBER ADDRESS:

PART II: PAST PERFORMANCE INFORMATION

TITLE OF PROJECT/CONTRACT NUMBER FOR WHICH REFERENCE IS REQUESTED:

AGENCY/CUSTOMER

CONTRACT/ORDER/SUBCONTRACT/OTHER:

CONTRACT TYPE: (Check all that apply)

FP CPFF-Completion CPFF-Term CPIF CPAF IDIQ/Task Order

Requirements Labor-Hour T&M CR Other (Specify) _______________

DATE OF AWARD:

PERIOD OF PERFORMANCE (INCLUDING OPTIONS):

CONTRACT AMOUNT:

INITIAL CONTRACT DOLLAR VALUE (W/OPTIONS): _________________

FINAL CONTRACT DOLLAR VALUE (W/OPTIONS): _________________

ROLE ON PROJECT:

PRIME

SUBCONTRACTOR (EXPLAIN TYPE AND EXTENT OF SUBCONTRACTING, IF APPLICABLE):

OTHER (EXPLAIN)

Attachment L001– Page 3

GENERAL DESCRIPTION OF TYPE OF SERVICES/PRODUCTS REQUIRED UNDER THE CONTRACT:

NOTE: These two sections are limited to two (2) pages.

DESCRIBE COMPLEXITY OF WORK:

Attachment L001– Page 4

SECTION B

TO BE COMPLETED BY EVALUATOR (PERSON PROVIDING REFERENCE)

PART I: REFERENCE INFORMATION

NAME & TITLE:

ORGANIZATION (INCLUDING AGENCY AND/OR COMPANY):

CONTRACT ROLE (e.g. CO, COTR):

ADDRESS:

PHONE NUMBER:

FAX NUMBER:

E-MAIL:

PART II: INFORMATION ABOUT PROJECT/CONTRACT FOR WHICH REFERENCE IS REQUESTED

Please identify and correct any information that is not accurate in Section A.

Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating as described below:

Performance Element

Exceptional

Very Good

Satisfactory

Marginal

Unsatisfactory

1. Technical Performance / Quality of Service

· Met all performance requirements / Exceeded 20 % or more

· Minor problems / Highly effective corrective actions / Improved performance/qual ity results requirements / Exceeded 5% or more

· Minor problems / Effective corrective actions requirements

· Minor problems / Satisfactory

· Some requirements not met

· Performance reflects serious problem / Ineffective corrective actions

· Most performance requirements are not met

· Recovery not likely

Assessment (Check Box)

2. Cost Control

· Significant reductions while having met all contract requirements

· Use of value engineering or other innovative management techniques

· Quickly resolved

· Reduction in overall cost/price while having met all contract requirements

· Use of value engineering or other innovative management techniques

· Quickly resolved

· Met overall cost/price estimates while having met all contract requirements

· Do not meet cost/price estimates

· Inadequate corrective action plans / No innovative techniques to bring overall expenditures within limits

· Significant cost overruns

· Not likely to recovery cost control

Attachment L001– Page 5 cost issues / Effective corrective actions facilitated cost reductions cost/price issues / corrective actions to facilitate overall cost/price reductions

3. Schedule

(Timeliness)

· Significantly exceeded delivery requirements (All on-time with many early deliveries to the Government’s benefit)

· Quickly resolved delivery issues / Highly effective

· On-Time deliveries / Some early deliveries to the Government’s benefit

· Quickly resolved delivery issues /

· On-time deliveries

· Minor problems / Did not effect delivery schedule

· Some late

· No corrective actions

· Many late

· Negative cost impact / Loss of capability for Government

· Ineffective corrective actions / Not likely to recover

4. Business

Relations

· Highly professional / Responsive / Proactive

· Significantly exceeded expectations

· High user satisfaction

· Significantly exceeded

SB/SDB

subcontractor goals

· Minor changes implemented without cost impact / Limited change proposals / Timely definitization of change proposals

· Professional / Responsive

· Exceeded expectations

· User satisfaction

· Exceeded subcontractor goals

· Limited change proposals / Timely definitization of change proposals

· Professional / Reasonably responsive

· Met expectations

· Adequate user satisfaction

· Met subcontractor goals

· Reasonable change proposals / Reasonable definitization cycle

· Less Professionalism and Responsiveness

· Low user satisfaction / No attempts to improve relations

· Unsuccessful in meeting subcontractor goals

· Unnecessary change proposals / Untimely definitization of change proposals

· Delinquent responses / Lack of cooperative spirit

· Unsatisfied user / Unable to improve relations

· Significantly under subcontractor goals

· Excessive unnecessary change proposals to correct poor management

· Significantly untimely definitization of change proposals

Attachment L001– Page 6

FOR #5, PLEASE ANSWER “Yes” or “No”, as appropriate

5. Given the choice, would you do business with this contractor again?

YES NO

6. Additional comments you would like to share

SIGNATURE DATE: