Att.J-13 Past Performance Questionnaire.pdf

- SOURCE SELECTION SENSITIVE -

CONTROLLED UNCLASSIFIED INFORMATION

PAST PERFORMANCE QUESTIONNAIRE

Questionnaires for subcontractors' work may not be submitted in place of the prime contractor; only in addition to the prime contractor submissions.

PAST PERFORMANCE PROJECT INFORMATION (To be filled out by the Offeror):

- Complete Table 1 only and then;

- Send to Rater/Customer with request to submit their completed form directly to the Contracting Officer ONLY at helaina.k.germosen@faa.gov

CONTRACTOR NAME:

CONTRACT NUMBER:

ORDER NUMBER (if applicable):

PROJECT TITLE:

TOTAL PERIOD OF PERFORMANCE,

INCLUDING OPTIONS : MM/YYYY –

MM/YYYY OR Present (Within 4 Years)

TOTAL CONTRACT VALUE:

CONTRACT TYPE: (e.g. FFP, CPFF, etc.)

DESCRIPTION OF WORK

PERFORMED:

(supplemental page may be submitted)

PAST PERFORMANCE REFERENCE INFORMATION (To be filled out by the RATER/CUSTOMER):

NAME:

TITLE:

AGENCY OR CUSTOMER:

PHONE:

E-MAIL:

SIGNATURE OF RATER: (Ratings must be provided by a Contracting Officer, Contracting Officer Representative, or Corporate Officer with cognizance over the project for the ordering activity.

** NOTE TO RATER/CUSTOMER:

DO NOT return this questionnaire (or carbon copy) back to the Offeror. Please submit only to the Contracting Oficer via email: helaina.k.germosen@faa.gov.

Please provide you response no later than Date:

For each of the six (6) criteria listed below, the rater must choose one (1) Adjectival Rating by checking the box, as applicable or enter a score as applicable. At a minimum, for any rating that is checked as equivalent to unsatisfactory or scored at 2 or less (where the contractor was not satisfactory), please submit additional comments to provide more insight on the rating. For any rating that would be Not Applicable, please explain why it does not apply.

Table 1

Table 2

PPQ

SIR 6973GH-24-R-00043

PAST PERFORMANCE QUESTIONNAIRE

1. Quality/Timeliness of Service.

a. How would you rate the contractor's general overall compliance with contract requirements?

Considerably surpassed minimum requirements ( ) Exceeded minimum requirements ( ) Met minimum requirements ( ) Less than minimum requirements ( ) Not Applicable ( )

b. How would you rate the timeliness of the Contractor's service - delivered reports on time and adhering to the required schedule?

Considerably surpassed minimum requirements ( ) Exceeded minimum requirements ( ) Met minimum requirements ( ) Less than minimum requirements ( ) Not Applicable ( )

c. Did the contractor commit adequate resources in timely fashion to meet contract requirements?

Provided abundant resources ( ) Provided sufficient resources ( ) Provided minimal resources ( ) Provided insufficient resources ( ) Not Applicable ( )

e. Did the contractor commit adequate resources in timely fashion to solve problems?

Provided abundant resources Provided sufficient resources ( ) Provided minimal resources ( ) Provided insufficient resources ( ) Not Applicable ( )

f. How would you rate the contractor on the timeliness of its responses to inquiries or other administrative matters?

Extremely timely Generally timely Generally not timely Seldom timely Not applicable

CONTROLLED UNCLASSIFIED INFORMATION

d. How often where submittions/reporting not accurate?

Never ( ) Rarely ( ) Sometimes

Not Applicable ( )

PPQ

SIR 6973GH-24-R-00043

g. How would you rate the contractor for program management in each of the following categories? Using a scale of 0-5 (with 5 being excellent).

Adequate and complete management plan

Specific management team dedicated to this project

N/A

2. Cost Control.

a. If applicable, to what extent did the contractor meet the proposed cost estimates?

Less than estimated cost ( ) Comparatively equal to estimate ( ) Exceeded the costs ( ) Considerably surpassed estimate ( ) Not applicable ( )

b. How would you rate the contractor's initiative, if any, in reducing overall costs to the contract?

Extremely efficient Generally efficient Generally inefficient Extremely inefficient Not applicable

CONTROLLED UNCLASSIFIED INFORMATION

PPQ

SIR 6973GH-24-R-00043

PAST PERFORMANCE QUESTIONNAIRE

Extremely efficient Generally efficient Generally inefficient Extremely inefficient Not applicable

ADDITIONAL COMMENTS:

c. How would you rate the contractor's ability to submit timely current,accurate, and complete billing (invoicing)?

ADDITIONAL COMMENTS:

Indications that the provided team had experience in subcontractor management and surveillance

Process, or metrics, for the evaluation of their own overall management performance

( ) N/A

3. Business Relations - Effective Management.

a. To what extent was the contractor able to solve contract performance problems without extensive guidance from government (or entity with requirement) counterparts?

Considerably successful ( ) Generally successful ( ) Little Success ( ) No success ( ) Not applicable ( )

b. To what extent did the contractor display initiative in meeting contract requirements?

Displayed considerable initiative ( ) Displayed some initiative ( ) Displayed little initiative ( ) Displayed no initiative ( ) Not applicable ( )

c. Was the contractor's selection and use of personnel appropriate for the performance of this contract?

Provided highly qualified personnel ( ) Provided qualified personnel ( ) Provided minimal personnel ( ) Provided insufficient personnel ( ) Not applicable ( )

d. To what extent was the contractor effective in interfacing with the Government's (or other) staff?

Extremely effective ( ) Generally effective ( ) Generally ineffective ( ) Extremely ineffective ( ) Not applicable ( )

f. Has it ever been necessary to send this Contractor a Corrective Action Request (CAR) letter?

( ) Yes ( ) No

g. Has this contract been partially or completely terminated for default, or is a termination pending?

( ) Yes ( ) No

h. Has it ever been necessary to send this Contractor a Notice to Cure letter?

( ) Yes ( ) No

CONTROLLED UNCLASSIFIED INFORMATION

PPQ

SIR 6973GH-24-R-00043

PAST PERFORMANCE QUESTIONNAIRE

e. How would you rate the contractor for performance in each of the following categories? Using a scale of 0-5 (with 5 being excellent).

Effective management, including subcontracts

Notification of problems

N/A N/A

Flexibility

Proactive vs. reactive

h. How would you rate the expertise and performance of the contractor's key personnel?

Extremely effective ( ) Generally effective ( ) Generally ineffective ( ) Extremely ineffective ( ) Not applicable ( )

ADDITIONAL COMMENTS:

4. Customer Satisfaction.

a. To what extent did the contractor provide timely assistance, when responding to problems?

Considerably surpassed minimum requirements ( ) Exceeded minimum requirements ( ) Met minimum requirements ( ) Less than minimum requirements ( ) Not applicable ( )

b. How would you rate the contractor's response to inquiries related to administrative issues?

Displayed considerable initiative Displayed some initiative Displayed little initiative Displayed no initiative Not applicable

c. Would you select this contractor again?

( ) Yes ( ) With slight prejudice ( ) No

ADDITIONAL COMMENTS:

CONTROLLED UNCLASSIFIED INFORMATION

PPQ

PAST PERFORMANCE QUESTIONNAIRE

5. Integrity.

a. Did you experience any integrity problems with this Contractor?

( ) Yes ( ) No

b. Did the contractor maintain integrity during contract performance?

( ) Yes ( ) No

ADDITIONAL COMMENTS:

6. Please provide any other comments you may have. If you have scored any category as less than acceptable/met, please make a comment in the area of the rating or here.

CONTROLLED UNCLASSIFIED INFORMATION

PPQ

PAST PERFORMANCE QUESTIONNAIRE