Attachment #4-Past Performance Questionnaire Revision I.pdf

Contractor Past Performance Questionnaires

SIR/RFO DTFAAC-17-R-00217

For Official Use Only Source Selection Information

PART ONE: INSTRUCTIONS

The company who provided this questionnaire is proposing on a Federal Aviation Administration (FAA) requirement for PAR56, 300 Watt Lamp. Past performance is of considerable importance to this acquisition. Therefore, input from current or previous customers of the offeror is very important. The customer of the offeror will submit the questionnaire directly to the Contracting Officer below.

We would greatly appreciate you taking the time to complete this form. Please provide an honest assessment and immediately return to FAA not later than 2:00 p.m. CST, Date: , to: FAA, Attn: Kevin Gramling; by e-mail: kevin.gramling@faa.gov. If you have any questions, please contact: Kevin Gramling at (405) 954- 3123.

PART TWO:

A. GENERAL INFORMATION. Please add any information below you deem appropriate and correct any information which may be inaccurate.

NAME OF RESPONDENT:

TITLE:

TELEPHONE #:

ORGANIZATION:

CONTRACTOR:

POINT OF CONTACT:

TELEPHONE #:

TITLE:

CONTRACT START/END DATE:

AWARD AMOUNT:

PRESENT AMOUNT:

CONTRACT TYPE:

Contractor Past Performance Questionnaires

SIR/RFO DTFAAC-17-R-00217

B. REQUIREMENT INFORMATION: Give a brief, general description of what the contractor was required to deliver. List the basic characteristics of the product; PAR-56, 300 Watt, Incandescent Lamp;

NSN 6240-01-432-3996, Q20A/PAR56/C,300 Watt (or similar product). This information will help the FAA better understand your user experience and compare it with our requirements.

C. SPECIFIC QUESTIONS: The following questions are divided into those requiring a YES/NO response or a RATING. The YES/NO responses should be supplemented with an explanatory narrative if answered “YES”. When responding to those questions requiring a RATING, choose the number on the scale of 0 to 4, which most accurately describes the contractor’s performance or situation. If the question is not applicable, circle “N/A”. Please feel free to supplement RATING responses with explanatory narrative as well, if necessary. The numbers 0 to 4 correspond with the following descriptive levels:

0 1 2 3 4 Very Poor Poor Average Good Excellent

QUALITY OF PRODUCT OR SERVICE

V er y Po or

A ve ra ge

G oo d

Ex ce lle nt

1. Contractor’s performance demonstrates their capability to provide services which conform to contract requirements? 0 1 2 3 4 N/A

2. Equipment procured from the contractor met requirements and expectations?

0 1 2 3 4 N/A

3. Contractor demonstrated the ability to achieve required Acceptable Quality Level(s) (AQL)? 0 1 2 3 4 N/A

4. Contractor displayed initiative in meeting requirements or taking corrective action(s)? 0 1 2 3 4 N/A

5. Contractor demonstrated technical expertise in the product or service provided? 0 1 2 3 4 N/A

6. Contractor’s quality control practice was effective in providing consistent and high product quality upon delivery?

0 1 2 3 4 N/A

7. Was a Cure Notice or Show Cause Letter ever issued to the contractor?

If YES, please explain in the comments section below.

Yes No

Comments:

8. Was the contract terminated for default or any other cause?

If YES, please explain in the comments section below. Yes No

9. Was an election made to not exercise an option due to the contractor’s poor performance?

If YES, please explain in the comments section below.

V er y d

Ex ce lle

10. Acceptability of the asset’s failure level experienced (due to apparent flaws in material quality or workmanship)?

If significant, please qualify the magnitude and frequency of these events in the comments section below.

0 1 2 3 4 N/A

RELIABILITY, PERFORMANCE, and MAINTENANCE

1. Does the PAR-56, 300 Watt, Incandescent Lamp (or similar product) operate reliably throughout the interval between vendor recommended maintenance actions?

If no, please explain the extent of deviation from the Vendor’s maintenance interval claims in the comments section below.

Yes No

Comments:

2. Does the PAR 56, 300 Watt Lamp (or similar product) meet expectations regarding the amount of dust that is produced by the interaction between the rings and contacts?

Please elaborate in the comments section below.

3. In general, has the received PAR 56, 300 Watt Lamp (or similar product) lived up to the vendor’s claims regarding expected performance and reliability (i.e. time in service without failure)?

Please elaborate in the comments section below.

TIMELINESS OF PERFORMANCE

er y d

E xc el le

1. Contractor’s adherence to contract delivery schedules? 0 1 2 3 4 N/A

2. Impact of the contractor’s schedule by external sources of supply for manufactured goods or material? 0 1 2 3 4 N/A

3. Contractor submitted required reports and documentation and meet interim milestones in a timely manner? 0 1 2 3 4 N/A

4. Reliability of the contractor to correct or remedy any missed services or delayed performance? 0 1 2 3 4 N/A

5. Responsiveness of the contractor to technical directions? 0 1 2 3 4 N/A

6. Responsiveness of the contractor to wrap-up or bringing about closure to contract administration issues? 0 1 2 3 4 N/A

7. Was there an occasion for assessment of liquidated damages?

Please elaborate in the comments or Other Remarks sections below.

BUSINESS RELATIONS

er y d

E xc el le

1. Contractor demonstrated the ability to effectively manage the contract, its personnel, and its subcontractor(s), if any? 0 1 2 3 4 N/A

2. Contractor demonstrated reasonable and cooperative behavior in performance of the contract? 0 1 2 3 4 N/A

3. Contractor demonstrated flexibility in resolving contract problems? 0 1 2 3 4 N/A

4. Contractor ability to solve contract performance problems without extensive guidance from government counterparts? 0 1 2 3 4 N/A

5. Contractor’s commitments of resources in a timely fashion to ensure requirements were met and problems solved? 0 1 2 3 4 N/A

6. Contractor effective in interfacing with the Government’s staff? 0 1 2 3 4 N/A

7. Contractor’s overall cooperation relative to this contract? 0 1 2 3 4 N/A

8. How would you rate the contractor’s overall performance? 0 1 2 3 4 N/A

9. Would you award similar contracts to this contractor? Yes No

Please list any references you might know regarding the contractor’s performance:

Name Address Telephone Number/Email

OTHER REMARKS:

Thank you!

Your cooperation regarding completion of this survey is greatly appreciated. Please note that if a negative reply is supplied, a clarification request is submitted to the contractor, and they in turn have the right to be made aware of the comment.