Attachment 03 -Past Performance Questionnaire.docx

DOCX document 3 MB Posted

Attached to
S-76D Flight Simulator Visual System - Amended
Solicitation number
692M15-25-R-00002
Issued by

About this file

This document is a Past Performance Questionnaire that is part of the solicitation for the S-76D Flight Simulator Visual System contract opportunity with the Federal Aviation Administration (FAA).

The key details are: The FAA has a requirement for a visual system for the S-76D cockpit simulator maintained by the Cockpit Simulation Facility in Atlantic City, NJ. The contract will be awarded as a firm fixed-price contract. The NAICS code is 333310 with a business size standard of 1,000 employees. Contractors must be registered in the System for Award Management (SAM) prior to submitting an offer. The evaluation will use Lowest Priced Technically Acceptable (LPTA) factors. A site visit is scheduled for October 30, 2024 and contractors must pre-register to attend. Proposals are due by the time specified and any received after may not be considered.

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Other files

File Type Posted
Questions 692M15-25-R-00002.docx DOCX document
SIR S-76 FINAL.pdf PDF
Attachment 01- SOW S76 Visual System FINAL.pdf PDF
Attachment 02 - Corporate Experience Form.docx DOCX document
Attahcment 04- Terms and Condidtions.docx DOCX document

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Attachment 03 – Past Performance Questionnaire

RFP 692M15-25-R-00002

S-76D Cockpit Simulator Page 1 / 2

Attachment 03 – Past Performance Questionnaire

RFP 692M15-25-R-00002

S-76D Cockpit Simulator Page 2 / 2

Page 2 / 2

Reference Information: Provide the following information for the organization that performed the referenced work:

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

Evaluation Elements
Exceptional
Very Good
Satisfactory
Marginal
Unsatisfactory

Quality of Service

Schedule

Cost Control

Management (including business, subcontract, program, personnel management)

Overall Evaluation

Remarks on exceptional performance. Provide data supporting this observation. [Continue on separate sheet(s) if needed.]

Remarks on unsatisfactory performance. Provide data supporting the observation. [Continue on separate sheet(s) if needed.]

Part C. Identification of Evaluator

Name

Organization

Phone #

Email

Title

Date

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

Evaluator Signature:

Evaluation Ratings Guidance

Rating
Contract Requirements
Problems
Corrective Actions
Exceptional
Exceeds many
Couple minor
Highly effective
Very Good
Exceeds some
Few minor
Effective
Satisfactory
Meets all
Several minor
Satisfactory
Marginal
Does not meet some – Govt impact
Serious, recovery still possible
Marginally effective, not fully implemented
Unsatisfactory
Does not meet most – Govt impact
Serious, recovery not likely
Ineffective

NOTE: THIS INFORMATION WILL BE KEPT CONFIDENTIAL

PPQ must not exceed three (3) pages (including any supporting data provided on a separate sheet, if needed)

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