Att 6-Past Performance Questionnaire.docx
DOCX document 22 KB Posted
- Solicitation number
- 6973GH-27-R-00006
About this file
This is a Past Performance Questionnaire template designed for offerors responding to the FAA's solicitation for an ARSR4 Collector Power Supply Test Station (CPSTS).
The questionnaire functions as an appendix document that establishes the framework for evaluating contractor past performance capabilities relevant to this acquisition. As a template, it does not contain specific performance evaluation criteria, scoring methodologies, or detailed requirements within this document itself. Rather, it serves as the standardized form through which offerors must demonstrate their experience and track record in delivering similar systems, equipment, or services. The questionnaire would typically require offerors to provide details on relevant past contracts, project outcomes, customer references, and performance metrics to support the FAA's assessment of contractor responsibility and capability to successfully execute the CPSTS development and delivery requirements outlined in the broader solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Att 1-SOW for Design ARSR4 CPTS 9-9-26.pdf | ||
| Att 7-6340_26_tib_chp46_vol46.pdf | ||
| Att 3-6340_59 Repair Manual.pdf | ||
| 6973GH-27-R-00006.pdf | ||
| Att 2-6340_52 CPSTS.pdf | ||
| Att 4-CPTS Evaluation Information.pdf | ||
| Att 5-Organizational Experience Information Form.docx | DOCX document |
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Text version
PROCUREMENT SENSITIVE WHEN COMPLETED
FOR OFFICIAL USE ONLY
6973GH-23-R-000xx [project name]
PAST PERFORMANCE QUESTIONNAIRE
To: _______________________________________________________________________
Organization:_____________________________________________________________
Fax No.: _________________________ E-mail Address:_________________________
Date: __________________________ Number of Pages (including this sheet): 4 in total
Your name was provided as a past performance point of contract for the following:
Contractor Name:_________________________________________________________
Contract Number: _______________________________ Date(s)____________________
Project Title: ___________________________________________________________
Contractor Role / Responsibility (circle one): Prime Contractor Sub-Contractor
In regard to the above contractor’s performance on the referenced contract, please complete the attached Past Performance Questionnaire and return as follows:
Send to: Connie Houpt, Contracting Officer
E-mail Address: connie.m.houpt@faa.gov
Please provide your response no later than [TBD], 2023, 2:00 p.m. CT
Thank you!
A. Please complete and/or verify the following reference check information:
1. Name of Contractor: ____________________________________________________
2. Type of contract/agreement for pricing; e.g., firm fixed-price, fixed rate per hour (labor-hour, T&M), cost-reimbursable:
3. Contract Number: _________________________________
4. Total Contract Amount: $____________________________
5. Date of Contract Award: ____________________________
6. Contract Period of Performance: Start _________________ Complete_____________
B. Please complete and/or verify the following responder information:
Name of Responding Point of Contact: _____________________________________________________
Agency/Organization: _________________________________________________________________
Mailing Address: __________________________________________________________
Telephone Number: __________________________________
E-mail Address: __________________________________
1. How would you rate the contractor's overall compliance with contract requirements?
( ) Acceptable ( ) Unacceptable
2. How would you rate the timeliness of the Contractor - adhering to the required schedule?
( ) Acceptable ( ) Unacceptable `
3. Has this contract been partially or completely terminated for default, or is a termination pending?
( ) Yes / If yes, please explain and indicate the status.
( ) No/Acceptable
4. Has it ever been necessary to send this Contractor a Notice to Cure letter?
( ) Yes If yes, please explain and indicate the status.
( ) No
5. How would you rate the performance of the contractor's key personnel?
( ) Acceptable ( ) Unacceptable
6. Would you recommend awarding similar contracts or using the offeror again for future work?
( ) Yes/Acceptable ( ) No/Unacceptable
7. Did you experience any integrity problems with this Contractor?
( ) Yes If yes, please explain.
( ) No
8. Please provide any other comments you may have.
Attachment 7R
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