SIR Attachment 4 - Past Performance Questionnaire_REVISED 10-06-26 for Amendment 0003.docx
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- Solicitation number
- 697DCK-25-R-00368
About this file
This is a Past Performance Questionnaire (PPQ) template that the FAA Office of Information Technology requires offerors to submit as part of their proposal evaluation for SIR 697DCK-25-R-00368. The form must be completed by references familiar with the offeror's past performance on relevant contracts and returned directly to Ms. Kay F. Morello and Stephen Young at the FAA via email no later than the proposal due date of October 6, 2026, at 5:00 PM ET.
The PPQ specifically evaluates an offeror's capability to deliver over 730 printer consumables across the 48 contiguous United States and the District of Columbia, including non-foreign Outside Continental United States (OCONUS) locations. References must confirm whether the contractor met four-business-day or less delivery timelines for CONUS/OCONUS orders more than 98% of the time. The questionnaire requests ratings across eight performance categories using a five-point scale: Exceptional (E), Very Good (VG), Satisfactory (S), Marginal (M), and Unacceptable (UA). Evaluation criteria include contractor-client relationship quality, quality of work and quality control, schedule performance, cost control, timely documentation submission, and overall customer satisfaction with deliverables. References must also indicate whether they would award another contract to the evaluated firm and provide an overall performance rating. The government reserves the right to verify all information provided on the form.
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Attachment 4 (SIR # 697DCK-25-R-00368)
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
The Federal Aviation Administration (FAA) AIT (Office of Information Technology) is considering the Offeror listed below for a U.S. Government contract. Your comments would be appreciated regarding this firm’s past performance. After completing this PPQ, return it directly to this office via email to Ms. Kay F. Morello (kay.f.morello@faa.gov and Stephen.young@faa.gov) no later than the Proposal due date and time. Your prompt response is greatly appreciated. If the referenced project is a government project, you may forward a copy of the official performance evaluation in lieu of completing this form.
THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.
Part I – Offeror’s Information (To be completed by Offeror)
Offeror Information
Name of Offeror Being Evaluated:
Address of Offeror Being Evaluated:
CAGE Code of Offeror Being Evaluated:
UEI Number of Offeror Being Evaluated:
Part II- Contract Information (To be completed by Offeror’s Reference) Please provide the following information regarding the contractor identified in Part I above:
Project Information
Contract Number:
Delivery/Task Order Number:
Contract/Project Title:
Location:
Award Date:
Completion Date:
Contract Value:
| Offeror Performed As: |
| |_| Prime Contractor |
Describe how the work performed relates to the purchase of over 730+ printer consumables within the 48 United States, and the District of Columbia, to include non-foreign Outside Continuous United States locations.
| Was the delivery timeline for four (4) -business days or less for CONUS/OCONUS orders? |
| |_| Yes |_| No |
| Did the contractor meet those delivery timelines more than 98% of the time? If not, what percentage? |
| |_| Yes |_| No |
Part III – Ratings and Questions (To be completed by Offeror’s Reference)
Evaluator Information
Name of Evaluator:
Government Agency/Commercial Company:
Address:
Phone Number:
Email Address:
Position Held in Relation to this Project:
Rating: Please evaluate the past performance using only the following ratings without variation.
DO NOT RATE ON A “+” OR “-” SCALE. If a “+” or “-” is used, the rating without the “+” or “-” will be applied. If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.
| “E” |
| Exceptional |
| Performance greatly exceeded the contract requirements. |
| “VG” |
| Very Good |
| Performance exceeded the contract requirements. |
| “S” |
| Satisfactory |
| Performance met the contract requirements. |
| “M” |
| Marginal |
| Performance met the minimum contract requirements, but some material aspects of the contractor’s performance were less than satisfactory. |
| “UA” |
| Unacceptable |
| Performance was poor and/or did not satisfy contract requirements. |
| “NA” |
| Not Acceptable |
| No information or did not apply to your contract |
Please rate and provide any supporting information/comments for the following:
| 1. The relationship between the Offeror and client’s/customer’s contract team: |
| |_| |_| |_| |_| |_| |_| |
E VG S M U NA
| 2. Quality of work: |
| |_| |_| |_| |_| |_| |_| |
E VG S M U NA
| 3. Quality control: |
| |_| |_| |_| |_| |_| |_| |
E VG S M U NA
| 4. Ability to meet the performance schedule: |
| |_| |_| |_| |_| |_| |_| |
E VG S M U NA
| 5. Ability/actions to improve schedule problems, if applicable: |
| |_| |_| |_| |_| |_| |_| |
E VG S M U NA
| 6. Ability to control costs: |
| |_| |_| |_| |_| |_| |_| |
E VG S M U NA
| 7. Ability to submit required documentation (invoices, reports, data, etc.) in a timely manner: |
| |_| |_| |_| |_| |_| |_| |
E VG S M U NA
| 8. Would you award another contract to the party being evaluated? If not, please explain: |
| |_| |_| |
Yes No
| 9. Was the customer satisfied with the end product (deliverables)? If not, please explain: |
| |_| |_| |
Yes No
10. Additional Remarks:
| Overall rating for this firm: |
| |_| |_| |_| |_| |_| |
E VG S M U
Signature of Evaluator Date
RFP/SIR # 697DCK-25-R-00368
Past Performance Questionnaire, Page 1 of 3
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