ATTACHMENT 11-PAST PERFORMANCE SURVEY.pdf

PROCUREMENT SENSITIVE WHEN COMPLETED

FOR OFFICIAL USE ONLY

SIR/RFO No. 6973GH-18-R-00009

MPB Renovation

PAST PERFORMANCE SURVEY

Attachment 9

To: _______________________________________________________________________

Organization:_____________________________________________________________

Fax No.: _________________________ E-mail Address:_________________________

Date: __________________________ Number of Pages (including this sheet): 4 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: CONNIE HOUPT, Contracting Officer

E-mail Address: connie.m.houpt@faa.gov

For questions, please contact me at telephone 405-954-7820.

Please provide your response no later than February 9, 2018, 2:00 p.m. CT

Thank you!

Offeror to complete this page:

1. Name of Contractor: ____________________________________________________

2. Provide a brief description of the renovation project; 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. Contract Number (if applicable): _______________________________________________

5. Total Contract Amount: $_____________________________________________________

6. Date of Contract Award: ______________________________________________________

7. Contract Period of Performance: Start Complete ___________

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 ( )

2. Scheduling of Project.

a. How would you rate the scheduling of the project?

Exceptional ( ) Very Good ( ) Satisfactory ( ) Marginal ( ) Unsatisfactory ( )

3. Please provide any other comments you may have.