Attachment 6 Past Performance Questionnaire.pdf
PDF 385 KB Posted
- Attached to
- Road Paving IAH (Houston Bush) Airport
- Solicitation number
- 697DCK-27-R-00033
About this file
This is a Performance Questionnaire form used by the Federal Aviation Administration (FAA) to support source selection evaluations of federal contractors.
The form is divided into two sections: the first section requests offeror-provided information including contractor name and address, contract number, contract initiation and completion dates, total contract value, contract type (Fixed Price, GMP, FPI, etc.), and a description of contract requirements. The second section is completed by an evaluating organization representative, such as a Project Manager or Contracting Officer's Representative (COR), and requests the evaluator's name, position, organization, phone number, and the number of months the evaluator monitored contractor performance.
The evaluation component requires the evaluator to assess the contractor's performance across seven criteria using a standardized rating scale: EX (Exceptional), VG (Very Good), S (Satisfactory), MG (Marginal), US (Unsatisfactory), and N/O (Not Observed). The assessment categories are: (A) Quality of Products and Services; (B) Performance as General Contractor or Architect/Engineer; (C) Technical Requirements fulfillment; (D) Schedule adherence; (E) Cost Control and budget management; (F) Customer Satisfaction and responsiveness; and (G) Overall Assessment. The form provides space for evaluator comments to support the Overall Assessment rating. Completed questionnaires should be emailed to the FAA Contracting Officer at christopher.bartels@faa.gov.
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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:
christopher.bartels@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
G. Overall Assessment.
EX VG S MG US N/O
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File details come from the government source that posted it. Updated .