Attachment 11 - Past Performance Questionaire.docx

Attachment 8

PAST PERFORMANCE QUESTIONNAIRE

Form PPEP B ESC CSDS Helpdesk SIR 6973GH-22-R-00005 Please return the completed questionnaire directly to the Contracting Officer at: Abigael.K.Schultz@faa.gov prior to April 8, 2022, 5:00 PM CST.

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

1. Name of Contractor: __________________________________________________________________

2. What type of Service was provided (i.e. cost accounting, budgeting, financial management, etc.)?

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: __________________________________

1. Quality/Timeliness of Service.

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

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

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

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

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

2. Cost Control.

a. If applicable, to what extent did the contractor meet the proposed cost estimates?

b. How would you rate the contractor's initiative, if any, in reducing overall costs to the Government?

3. 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?

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

c. Was the contractor's selection and use of personnel appropriate for the performance of this contract?

d. To what extent was the contractor effective in interfacing with the Government's (or other) staff?

e. 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

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

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

( ) No

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

4. Customer Satisfaction.

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

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

c. Would you select this contractor again?

( ) Yes ( ) No

5. Integrity.

a. Did you experience any integrity problems with this Contractor?

( ) Yes If yes, please explain.

( ) No

b. Did the contractor maintain integrity during contract performance? If not, please provide reason.

( ) Yes ( ) No If no, please explain.

6. Please provide any other comments you may have.

02/25/2022