Attachment 05 Past Performance Questionnaire.pdf
PDF 967 KB Posted
- Attached to
- BIL-Funded Elevator Modernization and Preventive Service at the Camarillo Air Traffic Control Tower
- Solicitation number
- 697DCK-24-R-00086
About this file
This document contains a past performance questionnaire for a federal contractor. It requests information about prior contracts including the contractor name and address, contract number and dates, description of requirements, and performance ratings in categories such as quality, schedule, cost control and customer satisfaction. The questionnaire is to support source selection for solicitation number 697DCK-24-R-00086, which is for elevator modernization and preventative service at the Camarillo Air Traffic Control Tower. The opportunity is with the Department of Transportation Federal Aviation Administration Southwestern Region. Contact information is provided for the contracting officer overseeing this procurement.
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Text version
PERFORMANCE QUESTIONNAIRE
Your assistance is requested in support of a source selection
Please complete this Questionnaire and email Contracting Officer at:
Erin.M.Crabtree@faa.gov Rodgers.L.Cox@faa.gov
TO BE COMPLETED BY OFFEROR
1. CONTRACTOR NAME & ADDRESS: 2. CONTRACT NO:
3. CONTRACT INITIATION DATE:
4. COMPLETION DATE:
5. TOTAL CONTRACT VALUE:
6. TYPE OF CONTRACT: (Fixed
Price, GMP, FPI, etc.)
7. DESCRIPTION OF CONTRACT REQUIREMENTS:
TO BE COMPLETED BY EVALUATING ORGANIZATION REPRESENTATIVE
8. EVALUATION: a. EVALUATOR'S NAME, POSITION (Project Manager/ COR/ Other) AND ORGANIZATION:
b. EVALUATOR'S PHONE NUMBER: c. MONTHS PERFORMANCE MONITORED BY EVALUATOR:
Please circle the response code for each topic (A – G) that best reflects your experience with this contractor.
EX = Exceptional S = Satisfactory US = Unsatisfactory VG = Very Good MG = Marginal N/O = Not Observed
A. Quality of Products and Services - Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., technical, professional, environmental, or safety and health standards).
EX VG S MG US N/O
B. Performance – Assess the contractor’s performance as the General Contractor or Architect/Engineer (as appropriate) for the project.
EX VG S MG US N/O
C. Technical Requirements – Assess the contractor’s ability to fulfill the technical requirements of the contract.
EX VG S MG US N/O
D. Schedule – Assess the timeliness of contractor against the schedule of activities.
EX VG S MG US N/O
E. Cost Control – Assess the contractor’s ability to manage the contract budget and control costs.
EX VG S MG US N/O
F. Customer Satisfaction – Assess the contractor’s responsiveness to customer concerns and “user friendliness”
EX VG S MG US N/O
697DCK-24-R-00086
G. Overall Assessment.
EX VG S MG US N/O
Comments:
697DCK-23-R-00232
File details come from the government source that posted it. Updated .