Attachment 5 - Past Perf Questionnaire.docx

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Attached to
Screening Information Request (SIR) for the Strategic Sourcing for the Acquisition of Various Supplies and Equipment (SAVES)
Solicitation number
697DCK-25-R-00016
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About this file

This document is the Past Performance Questionnaire, which is an attachment to the Screening Information Request (SIR) for the Strategic Sourcing for the Acquisition of Various Supplies and Equipment (SAVES) procurement. The SIR is for a multiple-award Indefinite Delivery Indefinite Quantity (IDIQ) contract vehicle for Commercial Products (Hardware and Software) in support of the Federal Aviation Administration (FAA). The contract includes hardware, software, cloud-based services, and product-based services for IT asset lifecycle management. The NAICS code is 541512 Computer Systems Design Services with a size standard of $34M. Proposals are due by 5:00 PM CST on December 5, 2024. The Past Performance Questionnaire collects information on the contractor's past performance, including staffing, subcontractor management, schedule adherence, customer support, delivery, installation, instructional materials, warranty service, product quality, requirements understanding, problem prevention, corrective actions, standards of work, cost control, and compliance with regulations. Evaluators provide ratings on a scale of 1 to 6 and must provide narratives for ratings of 1 or 2.

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Text version

Federal Aviation Administration

SIR – Attachment 5 – Past Performance Questionnaire

SAVES IT HWSW

Contractors Performance Information (Part A to be completed by the Offeror)

Part A. Contract Summary

Contractor Name

Contract Number

Street

Contract Type

City

Competitive

State

Zip Code

Follow-on
Yes
No

Telephone # email

Performed work as (select 1) Prime Subcontractor Period of Performance

Contract Cost Data
Estimated Cost
Fee
Total Value

Initial Contract Cost

Current Contract Cost

Subcontractors:

Product Description and/or Services Provided

Part B. Performance Evaluation of Contract (To be completed by the Evaluator)

PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the contractor’s performance or situation, in accordance with the ratings guidance table below. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ANY

RATINGS OF 1 OR 2.

1. Contractor provided qualified and appropriate staffing levels
1
2
3
4
5
6
N/A
2. Effectiveness in management of subcontractors
1
2
3
4
5
6
N/A
3. Adherence to schedules and timeliness of deliverables
1
2
3
4
5
6
N/A
4. Timeliness and efficiency of Customer Support
1
2
3
4
5
6
N/A
5. Timely Delivery of Items
1
2
3
4
5
6
N/A
6. Efficiency Installation and Set-up
1
2
3
4
5
6
N/A
7. Contractor provided Instructional Materials
1
2
3
4
5
6
N/A
8. Timeliness and efficiency of Warranty service
1
2
3
4
5
6
N/A
9. Satisfaction with the end products and services (products conformed to requirements)
1
2
3
4
5
6
N/A
10. Contractor understands contract scope and complexity of requirements
1
2
3
4
5
6
N/A
11. Ability to prevent or mitigate potential problems
1
2
3
4
5
6
N/A
12. Effective use of root cause analysis and corrective action plans
1
2
3
4
5
6
N/A
13. Resolution of complexities and difficulties characteristic to integrating, maintaining, and securing mission critical assets
1
2
3
4
5
6
N/A
14. Adherence to SOW/POW/PWS and specifications
1
2
3
4
5
6
N/A
15. Standards of good workmanship
1
2
3
4
5
6
N/A
16. Responsive to technical direction
1
2
3
4
5
6
N/A
17. Contractor submitted accurate reports
1
2
3
4
5
6
N/A
18. Certified at appropriate levels
1
2
3
4
5
6
N/A
19. Ability to identify and correct personnel issues
1
2
3
4
5
6
N/A
20. Cooperative and responsive behavior
1
2
3
4
5
6
N/A
2
3
4
5
6
N/A
21. Adherence to cost terms
1
2
3
4
5
6
N/A
22. Responsive to change orders
1
2
3
4
5
6
N/A
23. Accuracy and completeness of billing
1
2
3
4
5
6
N/A
24. Provision of reliable products to ensure lower life-cycle costs
1
2
3
4
5
6
N/A
25. Commitment to compliance with EPA and OSHA regulations
1
2
3
4
5
6
N/A

Remarks:

SIR – Attachment 5 – Past Performance Questionnaire

SAVES IT HWSW

Narrative (Required for ratings of 1 and/or 2):

Part C. Identification of Evaluator (To be completed by the Evaluator)

Name

Organization

Phone #

Email

Title

Date

NOTE: If verbal telephonic response received, complete the following Information obtained by

Evaluator Signature:

Evaluation Ratings Guidance

1
2
3
4
5
6
Unsatisfactory
Marginal
Neutral
Satisfactory
Very Good
Exceptional

Performance did not meet most contractual requirements.

There were serious problems and the contractor’s corrective actions were ineffective.

Performance did not meet some contractual requirements.

There were problems, some of a serious nature, for which corrective action was only marginally effective.

No record of past performance or the record is inconclusive Performance met contract requirements.

There were some minor problems and corrective actions taken by the contractor were satisfactory.

Performance met all contract requirements and exceeded some to the government’s benefit.

There were a few minor problems which the contractor resolved in a timely, effective manner.

Performance met all contract requirements and exceeded many to the government’s benefit.

Problems, if any, were negligible and were resolved in a timely, highly effective manner.

NOTE: THIS INFORMATION WILL BE KEPT CONFIDENTIAL

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