Past Performance Questionnaire (6973GH-18-R-00047).6973GH-18-R-00047

ATTACHMENT 3 | 6973GH-18-R-00047

PAST PERFORMANCE QUESTIONNAIRE

6973GH-18-R-00047

The PPQ must be returned to the contract specialist prior to the closing of the public announcement @ alan.spaulding@faa.gov

Please complete and/or verify the following reference check information:

1. Name of Contractor: ____________________________________________________

2. What type(s) of supply or service(s) was provided?

3. Type of Contract/Agreement for Pricing (i.e. firm fixed-price, fixed rate per hour (labor-hour, T&M), cost-reimbursable, etc.):

4. Contract Number: _________________________________

5. Total Contract Amount: $____________________________

6. Date of Contract Award: ____________________________

7. Contract Period of Performance: Start _________________ Complete_____________

8. Contractor Role / Responsibility (circle one): Prime Contractor Sub-Contractor

Please complete and/or verify the following responder information:

Name of Responding Point of Contact:

Agency / Organization:

Mailing Address: __________________________________________________________

Telephone Number: __________________________________

Fax Number: __________________________________

E-mail Address: __________________________________ mailto:alan.spaulding@faa.gov

PAST PERFORMANCE QUESTIONNAIRE

1. Quality/Timeliness of Service.

a. How would you rate the contractor's general overall compliance with contract requirements?

Considerably surpassed minimum requirements ( ) Exceeded minimum requirements ( ) Met minimum requirements ( ) Less than minimum requirements ( )

b. How would you rate the timeliness of the Contractor's service - delivered reports on time and adhering to the required schedule?

Considerably surpassed minimum requirements ( ) Exceeded minimum requirements ( )

c. Did the contractor commit adequate resources in timely fashion to meet contract requirements?

Provided abundant resources ( ) Provided sufficient resources ( ) Provided minimal resources ( ) Provided insufficient resources ( )

d. Did the contractor commit adequate resources in timely fashion to solve problems?

Provided abundant resources ( ) Provided sufficient resources ( ) Provided minimal resources ( ) Provided insufficient resources ( )

e. How would you rate the contractor on the timeliness of its responses to inquiries or other administrative matters?

Extremely timely ( ) Generally timely ( ) Generally not timely ( ) Seldom timely ( )

2. Business Relations - Effective Management.

a. To what extent was the contractor able to solve contract performance problems without extensive guidance from government (or entity with requirement) counterparts?

Considerably successful ( ) Generally successful ( ) Little Success ( ) No success ( )

b. To what extent did the contractor display initiative in meeting contract requirements?

Displayed considerable initiative ( ) Displayed some initiative ( ) Displayed little initiative ( ) Displayed no initiative ( )

c. Has this contract been partially or completely terminated for default, or is a termination pending?

( ) Yes If yes, please explain (e.g., inability to meet cost, performance or delivery schedules.)

( ) No

d. Has it ever been necessary to send this Contractor a Notice to Cure letter?

( ) Yes If yes, please explain and indicate the status.

e. How would you rate the performance of the contractor's key personnel?

Extremely effective ( ) Generally effective ( ) Generally ineffective ( ) Extremely ineffective ( )

3. Customer Satisfaction.

a. To what extent did the contractor provide timely assistance, when responding to problems?

Considerably surpassed minimum requirements ( ) Exceeded minimum requirements ( )

b. How would you rate the contractor's response to inquiries related to administrative issues?

Displayed considerable initiative ( ) Displayed some initiative ( ) Displayed little initiative ( ) Displayed no initiative ( )

c. Would you select this contractor again?

( ) Yes

4. Please provide any other comments you may have.