693KA8-24-R-00012 - Section J Attachment J.10 Past Performance Questionnaire.pdf

693KA8-24-R-00012

PART III - SECTION J

ATTACHMENT J.10 - CONTRACT PERFORMANCE CUSTOMER SURVEY

ENGINE GENERATOR (EG) SIR

I. Your Company Information (to be completed by Offeror)

Name: ________________________________________________

Address ________________________________________________

City/State/Zip ________________________________________________

II. Size, Scope and Complexity (to be completed by Offeror)

A. The Contract for this past performance is experience of support same or similar size (contracts no less than $50,000,000), scope (SOW Section’s C.3.1 Program Management, Section C.3.3 Commercial Off-the-Shelf (COTS) Equipment Section C.3.4 Logistics, Section C.3.5 Contractor Depot Logistics Support, and Section C.3.6 Training and Training Support), and complexity (in this instance, providing EGS equipment simultaneously at multiple facilities throughout CONUS and OCONUS; this includes but is not limited to: The states of Alaska, Hawaii, Puerto Rico, the Northern Mariana Islands, the Bahamas, American Samoa, Guam, and the US Virgin Islands, while maintaining warehousing and CDLS operations (as of the release date of the SIR)

Yes No

III. Customer Company Information (to be completed by customer)

Client Name ________________________________________________

Address ________________________________________________

City/State/Zip ________________________________________________

Point of Contact: ________________________________________________

Telephone No: ________________________________________________

Email Address: ________________________________________________

Description of Work:

Contract Term & Value: ________________________________________________

IV. Past Performance Business Practice (to be completed by customer) With regard to the above referenced contract, please select one rating, which best describes the Contractor’s ability.

EXCELLENT: Performance meets contractual requirements and exceeds many requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

GOOD: Performance meets contractual requirements and exceeds some requirements to the benefit of the Government/Customer. The contractual performance of the factors being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

SATISFACTORY: Performance meets contractual requirements. The contractual performance of the factors contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

MARGINAL: Performance does not meet some contractual requirements. The contractual performance of the factors being assessed reflects a serious problem for which the contractor has not yet identified corrective actions or the contractor’s proposed actions appear only marginally effective or were not fully implemented.

POOR: Performance does not meet most contractual requirements and corrections are not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

1. Quality: Complies with contract requirement, technical excellence and appropriateness of delivered services and Innovative approaches and solutions to accomplish assigned task/service

_____Excellent _____ Good _____ Satisfactory _____ Marginal _____ Poor

Additional Comments: __________________________________________________

2. Timeliness: Reliability, Meeting delivery schedule/milestones and Ability to identify, analyze, and establish course of successful corrective action in the case of negative schedule variances

Additional Comments: __________________________________________________

3. Program Management: Effectively achieved results of project(s) and Effectively communicated, reasonable/cooperative, and efficient

_____Excellent _____ Good _____ Satisfactory _____ Marginal _____ Poor

Additional Comments: ___________________________________________________

4. Cost Control: Within budget and cost efficiencies

Additional Comments: ___________________________________________________

5. Customer Satisfaction and Administration: Satisfactory of end users contractor requirements, promptness of contractor notification as to problems and whether the contractor was reasonable, cooperative & flexible

Additional Comments: ___________________________________________________

6. Would you recommend award to this contractor?

_______Yes ______No ________Yes, with reservation

If yes with reservation, please summarize your reservations.

Print Name Signature Date

THIS FORM IS TO BE COMPLETED BY THE CUSTOMER

REFERENCE AND EMAILED DIRECTLY BY THE CUSTOMER

TO: Stephen.Mostow@faa.gov