3. Past Performance Survey Form.doc
DOC document 82 KB Posted
- Attached to
- Lighting Replacement - Oakland ARTCC Federal contract opportunity
- Solicitation number
- 697DCK-26-R-00285
About this file
This is a Past Performance Survey Form for the Federal Aviation Administration designed to evaluate contractor performance on solicitation 697DCK-26-R-00285. The form serves as a template for FAA personnel and contract customers to provide feedback on contractor performance across multiple evaluation criteria. Respondents must complete all sections including their name, title, organizational address, contact information, and details about the contractor being evaluated (name, address, contract number, contract value, contract type, and award/completion dates).
The survey evaluates ten performance elements using a six-point rating scale (0-25% through 86-100%) plus a "No Knowledge" option: contractor understanding of technical requirements, problem identification and resolution, resource management, provision of skilled personnel, personnel retention and low turnover, adherence to scheduled delivery dates, quality of deliverables, contract compliance, cost forecasting and control, and overall recommendation for future contract awards. Each element includes space for detailed comments, with additional comment space available on the final page. The form is designated "FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED" and is intended to provide the Government with comprehensive information to assess how well contractors performed under their respective contracts.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 0001.pdf | ||
| 1.A. Drawings.pdf | ||
| 697DCK-26-R-00285.pdf | ||
| 1. Specifications.pdf | ||
| 2. Wage Determination.pdf |
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Text version
Past Performance Survey Federal Aviation Administration – AAQ-540
The information obtained from this questionnaire will be utilized to evaluate the past and present performance of offerors submitting proposals in response to the 697DCK-26-R-00285. The information provided will be instrumental in allowing the Government to evaluate how well the contractor performed under your contract(s).
a.
Please complete all sections of the attached questionnaire. Include your name and title, organizational address, e-mail address, telephone and fax number.
b.
Include the contractor’s name and address, the title and/or description of the type of work performed, the award number, the value of the contract (including options), the award and completion date of the project and the type of award/solicitation.
c.
Use the rating scale found on the bottom left corner of the questionnaire to rate each performance element.
d.
Comments are encouraged and would be appreciated. The last page may be used if additional space is needed for comments. Clear handwritten responses are sufficient.
Thank you for your time and participation.
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
PAST PERFORMANCE SURVEY
Your Name & Title yOUR Organizational Address
TEL NO.
FAX :
E-MAIL:
CONTRACTOR’S NAME & ADDRESS
TITLE OR DESCRIPTION OF REQUIREMENT:
CONTRACT NUMBER:
CONTRACT VALUE (INCLUDING OPTIONS):
CONTRACT TYPE:
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FIXED PRICE
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COST + FEE
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COMPETITIVE
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NON-COMPETITIVE
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SET-ASIDE
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SEALED BID
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NEGOTIATED
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SEALED BID
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NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
| PAST PERFORMANCE ELEMENT |
| RATING |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
1.
Contractor demonstrated a thorough understanding of technical requirements of the contract/task.
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Comments:
2.
Contractor anticipated/identified and resolved problems effectively.
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Comments:
3.
Contractor managed and directed resources (i.e. personnel, subcontractors, equipment, etc.) effectively.
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Comments:
4.
Contractor provided the necessary skilled personnel to perform the required work.
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Comments:
5.
Contractor retained the necessary skilled personnel and maintained a low turnover rate.
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Comments:
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
CUSTOMER SATISFACTION SURVEY
6.
Contractor met scheduled contract delivery dates.
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Comments:
7.
Contractor provided accurate, complete and high quality deliverables.
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Comments:
8.
Contractor complied with the terms of the contract.
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Comments:
9.
Contractor was diligent in forecasting and controlling contract cost.
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Comments:
| 10. I would recommend award to this contractor again. |
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Comments:
| 1 |
| 0 – 25% of the time |
| Strongly Disagree |
| 2 |
| 26 – 40% of the time |
| Disagree |
| 3 |
| 41 – 55% of the time |
| Somewhat Disagree |
| 4 |
| 56 – 70% of the time |
| Somewhat Agree |
| 5 |
| 71 – 85% of the time |
| Agree |
| 6 |
| 86 – 100% of the time |
| Strongly Agree |
NA
No Knowledge of This Element
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
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