Past Performance Questionnaire (6973GH-18-R-00062).6973GH-18-R-00062

Section 1

PAST PERFORMANCE QUESTIONNAIRE

6973GH-18-R-00062

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

SECTION 1 – TO BE COMPLETED BY OFFEROR

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

ATTACHMENT 3 | 6973GH-18-R-00062

Section 2

SECTION 2 – TO BE COMPLETED BY RESPONDENT

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 ( )

Section 2

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

Section 2

4. Cost

4.a. Contract Dollar Amounts: _____________________________________________________

Original: ______________________________________________________________________

Current: ______________________________________________________________________

Estimate of Final: _______________________________________________________________

For Award Fee Contracts: ________________________________________________________

Percentage of Award Fee Paid: ____________________________________________________

4.b. Were there cost overruns? If yes, how much was attributable to the contractor?

4.c. Reasons for cost variances.

5. Please provide any other comments you may have.

Name

Title

Signature Date