DNTS SIR Sect L Att L2_Amend 1.pdf

Dedicated Network Telecommunications System (DNTS) SIR # 693KA8-24-R-00007

Attachment L-2 – Page 1

ATTACHMENT L-2

Past Performance Survey Form

Instructions to Offerors Sending Reference Survey Forms:

All parts of Section A of this attachment must be completed by the Offeror (the firm requesting the reference) prior to issuing the survey. Offerors must include a copy of each requested survey as Volume III, Part A of its proposal.

The Offeror must send the Past Performance Survey in accordance with instructions in SIR Section L.5.3.

The Past Performance Survey must be provided to a customer that represents the Program Office or Contracts organization , i.e. Program Manager, Task Order Lead, Contracting Officer’s Representative, Contracting Officer, Contract Specialist, etc. 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 survey by the due date of the proposal. The completed survey must be submitted to the FAA Contracting Officer by the proposal due date via e-mail directly from the person providing the reference.

Instructions to Person Providing Reference:

In order to assess potential vendors under the Dedicated Network Telecommunications System (DNTS) contract, 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 survey, your candid response will assist in the evaluation process.

Please complete all parts of Section B of the survey as thoroughly as possible. The surveys must be submitted to Austin.W.Francis@faa.gov by January 31, 2024. The subject line in the submission e-mail must clearly indicate: SIR 693KA8-24-R-00007 – Submission of Past Performance Survey [Insert Offeror Name].

The message must originate from the reference’s government or commercial e-mail system.

In addition to this survey, 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 survey or require assistance, please submit inquiries to Austin.W.Francis@faa.gov.

Sincerely, Austin W. Francis FAA Contracting Officer

Deborah CTR Kobernic Highlight

Attachment L-2 – Page 2

To Be Completed By Offeror (The Firm Requesting the Reference)

COMPANY NAME of Teaming Partner for this Reference (if applicable):

Section A.2 Customer Information (persons to whom Offeror sent the survey for this contract) Customer 1 Customer 2 (optional) Full Name and Title (e.g., Ms. Emily Baker, Contracting Officer) Full Name and Title (e.g., Ms. Emily Baker, Contracting Officer)

Company/Agency Name and address Company/Agency Name and address

Phone Email Phone Email

Section A.3 Project/Contract Information Title of Project and Contract Number for which reference is requested

Agency/Customer:

Contract/Order/Subcontractor:

CONTRACT TYPE: (Check all that apply) ☐ Fixed Price ☐ Cost Plus Fixed Fee ☐ Cost Plus Incentive Fee Cost Plus Award Fee

☐ Indefinite delivery, indefinite quantity /Task Order ☐ Requirements ☐ Labor-Hour Ti Time & Material

☐ Cost Reimbursable ☐ Other (Specify)

DATE OF AWARD:

PERIOD OF PERFORMANCE (INCLUDING OPTIONS):

CONTRACT AMOUNT:

• Initial Contract Dollar Value at Award (W/Options):

• Final or Current Contract Dollar Value (W/Options):

ROLE ON PROJECT:

☐ Prime ☐ Subcontractor (Explain Type and Extent Of

Subcontracting, if applicable):

☐ Other (Explain):

Section A.1 Offeror Information

SECTION A

DNTS Prime Offeror Company Name:

Prime Offeror Address:

TEAM MEMBER ADDRESS (if applicable):

Attachment L-2 – Page 3

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

(Offeror’s narrative must describe how the referenced contract meets the evaluation criteria in M.5.3. This section must not exceed two pages.)

Attachment L-2 – Page 4

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

(Continued)

Attachment L-2 – Page 5

SECTION B

(To Be Completed By Evaluator (Person Providing Reference)

PART B.1: REFERENCE INFORMATION

Your Name and Title:

Organization including Agency or Company:

Contract Role (e.g. Contracting Officer, COR, Purchaser):

PART B.2: INFORMATION ABOUT PROJECT/CONTRACT FOR WHICH REFERENCE IS

REQUESTED

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

PART B.3: DEFINITION OF PERFORMANCE LEVELS

Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

Very Good Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor was effective.

Satisfactory Performance meets contractual requirements. The contractual performance of the element or sub- element 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 element or sub- element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory Performance does not meet one or more contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Address:

Phone: Email:

Dedicated Network Telecommunications System (DNTS) SIR # 6693KA8-24-R-00007

Attachment L-2 – Page 6

SECTION B (Continued)

TO BE COMPLETED BY EVALUATOR (PERSON PROVIDING REFERENCE)

Section B.4 Performance Elements Please objectively assess the requesting firm in each performance element below by assigning an “X” to the most appropriate rating as described below. Please provide a narrative explanation to clarify your response.

1. Product and Service Performance – As to the Contractor’s product and/or Contractor’s services meeting or exceeding the requirements in the contract, the Contractor’s Performance was/is:

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal ☐ Unsatisfactory

Explanation of Your Response:

2. Timeliness of Performance – As to the Contractor adhering to contract schedules, including repairs and equipment delivery and for administrative aspects of performance (i.e. invoices, reports); the Contractor’s Performance was/is:

☐ Exceptional ☐ Very Good ☐ Satisfactory ☐ Marginal

Explanation of Your Response:

3. Quality – As to the extent the Contractor demonstrated an overall commitment to quality and customer satisfaction, the Contractor’s Performance was/is?

☐ Exceptional ☐ Very Good ☐ Satifactory ☐ Marginal ☐ Unsatisfactory

Explanation of Your Response:

☐ Unsatisfactory

Attachment L-2 – Page 7

4. Cost Management – As to managing costs and delivering the required outputs within budget, the Contractor’s Performance was/is:

Explanation of Your Response:

5. Program Management – As to the Contractor successfully managing and communicating all aspects of the contract (including task order performance and trouble tickets, committing adequate resources in a timely manner, and implementing corrective actions when appropriate, the Contractor’s Performance was/is:

Explanation of Your Response:

6. Customer Relationship – As to the extent the Contractor communicated in an effective and proactive manner, and the Contractor was/is proactive in responding to problems, issues and customer concerns, the Contractor’s Performance was/is:

Explanation of Your Response:

☐ Exceptional ☐ Very Good ☐ Satifactory ☐ Marginal ☐ Unsatisfactory

☐ Satifactory ☐ Marginal

☐ Unsatisfactory☐ Exceptional ☐ Very Good ☐ Satifactory ☐ Marginal

☐ Unsatisfactory☐ Exceptional ☐ Very Good

Dedicated Network Telecommunications System (DNTS) SIR # 6693KA8-24-R-00007

Attachment L-2 – Page 8

7. Overall – If given the choice, would you do business with this Contractor again?

☐ Yes ☐ No Explanation of Your Response:

Any other information you wish to share:

PART V: Evaluator’s Signature

(End of Survey)