693KA8-26-R-00004-Section L Attachment L.2 Past Performance Questionnaire.docx

693KA8-26-R-00004

PART IV – SECTION L

ATTACHMENT L.2

PAST PERFORMANCE QUESTIONNAIRE

PROCUREMENT SENSITIVE WHEN COMPLETED

FOR OFFICIAL USE ONLY

(Offeror’s name here) is proposing on a Federal Aviation Administration (FAA) Online Mathematics Tutoring Service. Past performance is of considerable importance to this acquisition.

Please complete this questionnaire on behalf of (Add Offeror’s name here). Indicate, based on the ratings below, the contractor’s performance on the identified program. Assessments should reflect only performance for which contractor is/was responsible. The following is a definition of the rating levels:

Rating Performance Level

4 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.

3 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.

2 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.

1 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.

0 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.

Please circle (or underline for e-mailed responses) a “Number” or “Yes” / “No” corresponding to your rating or “N/A” if you are unable to provide a rating for an area.

PLEASE PROVIDE NARRATIVE EXPLANATIONS FOR ANY MARGINAL, POOR OR “YES” RATINGS. SPACE FOR YOUR NARRATIVE REMARKS IS PROVIDED ON THE LAST PAGE OF THE QUESTIONNAIRE. IF MORE SPACE IS NEEDED, USE THE BACK OF THE QUESTIONNAIRE.

You are urged to supplement your own knowledge of the contractor’s performance with judgment of others in your organization. In addition to completing the attached questionnaire for the identified program, we solicit your comments on other similar programs for which your activity has contracts with this offeror.

PART ONE: INSTRUCTIONS

(Offeror’s name here) is proposing on a Federal Aviation Administration (FAA) Online Mathematics Tutoring Service. Past performance is of considerable importance to this acquisition

We would greatly appreciate you taking the time to complete this form. Please provide an honest assessment and return to FAA not later than May 4th, 2026 at 12:00 PM Eastern Time to, Federal Aviation Administration Attn: Timothy Thannisch (AAQ-310) 800 Independence Ave. S.W., Washington DC 20591 E-mail: timothy.g.thannisch@faa.gov

If you have any questions, please contact Mr. Timothy Thannisch.

PART TWO: GENERAL INFORMATION

A. CONTRACTOR:

POINT OF CONTACT:

TITLE:

TELEPHONE NO.:

B. CONTRACT NUMBER:

CONTRACT TYPE:

PERIOD OF PERFORMANCE:

APPROXIMATE DOLLAR VALUE:

CONTRACT DESCRIPTION:

If performance involved one or more of the following, please mark all that apply:

Online Mathematics Tutoring _____________

Program Management _____

Quality Control Program _____

PART THREE: QUESTIONS

The numbers 0 to 4 correspond with the following descriptive values provided on the questionnaire cover page:

PROGRAM MANAGEMENT

a. If so, please explain?

Yes or No

a. If so, for what?

b. What corrective action did the contractor take to correct the situation?

Yes or No

a. If so, why?

Yes or No

TUTORING

0 1 2 3 4 N/A

a) Providing 24/7 access to tutors.

b) Ability for learners to connect to tutors via multiple device types and browsers, i.e., iOS, Android, Internet Explorer, Chrome.

c) Learner’s ability to upload documents to tutor.

d) Tutors demonstrate knowledge of subject areas and ability to successfully transfer knowledge to learners.

0 1 2 3 4 N/A

0 1 2 3 4 N/A

0 1 2 3 4 N/A

0 1 2 3 4 N/A

If so, what extent was it relevant?

Yes or No

0 1 2 3 4 N/A

Is there anyone to whom you recommend we send this survey? If so, please provide their name, organization and telephone number.

Would you recommend award of a similar contract to this contractor? Yes or No

Remarks: _______________________________________________________________

PART FOUR: RESPONDENT INFORMATION

The following information will assist in the analysis of the data provided. Information will be kept CONFIDENTIAL:

NAME OF RESPONDENT:

POSITION TITLE:

ORGANIZATION:

TELEPHONE NO.:

LENGTH OF INVOLVEMENT IN PROGRAM/CONTRACT:

DATE QUESTIONNAIRE COMPLETED:

THANK YOU!

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